Breast and cervical cancer screening behaviours among colorectal cancer survivors in Nova Scotia
Breast and cervical cancer screening behaviours among colorectal cancer survivors in Nova Scotia
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DOI：
10.3747/co.21.2090
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发表时间：
2014-10-01
期刊：
影响因子：
2.6
通讯作者：
Porter, G.
中科院分区：
文献类型：
--
作者：
Corkum, M.;Urquhart, R.;Porter, G.
PurposeWe分析了模式和相关因素与接受乳腺癌和宫颈癌筛查的结肠直肠癌survivors.MethodsIndividuals在新斯科舍省2001年1月至2005年12月之间被诊断为结肠直肠癌的队列中有资格列入。使用行政数据确定接受乳腺癌和宫颈癌筛查的情况。分析中使用了一般人群的年龄限制（乳腺：40-69岁;宫颈：21-75岁）。Kaplan-Meier和考克斯比例风险模型用于评估首次筛查的时间。结果在318例和443例分别符合乳腺癌和宫颈癌筛查分析的结直肠癌幸存者中，30.1% [95%可信区间（CI）：21.2%至39.0%]从未接受过筛查性乳腺X线摄影，47.9%[95%可信区间（CI）：21.2%至39.0%]从未接受过筛查性乳腺X线摄影。（95% CI：37.8%-58.0%）在研究期间从未接受过宫颈癌筛查。结直肠癌诊断前接受筛查与诊断后接受筛查密切相关（乳腺癌筛查的风险比：4.71; 95% CI：3.42 - 6.51;宫颈癌筛查的风险比：6.83; 95% CI：4.58至10.16）。结论在一般人群筛查年龄建议范围内的许多结直肠癌幸存者没有接受乳腺癌和宫颈癌筛查。未来的研究应该集中在符合人群癌症筛查年龄建议的幸存者身上。
PurposeWe analyzed patterns and factors associated with receipt of breast and cervical cancer screening in a cohort of colorectal cancer survivors.MethodsIndividuals diagnosed with colorectal cancer in Nova Scotia between January 2001 and December 2005 were eligible for inclusion. Receipt of breast and cervical cancer screening was determined using administrative data. General-population age restrictions were used in the analysis (breast: 40-69 years; cervical: 21-75 years). Kaplan-Meier and Cox proportional hazards models were used to assess time to first screen.ResultsOf 318 and 443 colorectal cancer survivors eligible for the breast and cervical cancer screening analysis respectively, 30.1% [95% confidence interval (CI): 21.2% to 39.0%] never received screening mammography, and 47.9% (95% CI: 37.8% to 58.0%) never received cervical cancer screening during the study period. Receipt of screening before the colorectal cancer diagnosis was strongly associated with receipt of screening after diagnosis (hazard ratio for breast cancer screening: 4.71; 95% CI: 3.42 to 6.51; hazard ratio for cervical cancer screening: 6.83; 95% CI: 4.58 to 10.16).ConclusionsMany colorectal cancer survivors within general-population screening age recommendations did not receive breast and cervical cancer screening. Future research should focus on survivors who meet age recommendations for population-based cancer screening.