Interventions to improve care related to colorectal cancer among racial and ethnic minorities: a systematic review.
Interventions to improve care related to colorectal cancer among racial and ethnic minorities: a systematic review.
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DOI：
10.1007/s11606-012-2044-2
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发表时间：
2012-08
影响因子：
5.7
通讯作者：
Polite, Blase N.
中科院分区：
文献类型：
--
作者：
Naylor, Keith;Ward, James;Polite, Blase N.
系统地回顾文献，以确定改善与结直肠癌护理相关的少数民族健康的干预措施。MEDLINE、PsycINFO、CINAHL和科克伦数据库，1950年至2010年。在符合结直肠癌筛查条件且由≥ 50%的种族/族裔少数人群（或包括按种族/族裔进行的特定亚组分析）组成的美国人群中进行的干预。所有纳入的研究均与可识别的医疗保健来源相关。三位作者独立审查了所有文章的摘要，并通过协商一致确定了最终列表。所有论文均独立审查，并使用唐斯和布莱克检查表计算和分配质量评分。我们的最终分析中纳入了33项研究。涉及电话或面对面接触的患者教育与导航相结合，可以使少数人群的结直肠癌筛查率略有提高，约为15个百分点。研究发现，由教育课程和提醒组成的提供者指导的多模式干预措施以及纯教育干预措施在提高结直肠癌筛查率方面也有效，约为10至15个百分点。未发现针对筛选后随访、治疗依从性和生存率的相关干预措施。该综述排除了任何与可识别的医疗保健来源无关的干预研究。大多数研究中的少数民族人群主要是西班牙裔和非洲裔美国人，限制了对其他种族和少数民族人群的普遍性。量身定制的患者教育结合患者导航服务，以及与健康素养低的患者沟通的医生培训，可以适度提高CRC筛查的依从性。现在研究人员有责任继续评估和完善这些干预措施，并开始将其扩展到整个结肠癌护理连续体。本文的在线版本（doi：10.1007/s11606-012-2044-2）包含补充材料，可供授权用户使用。
To systematically review the literature to identify interventions that improve minority health related to colorectal cancer care. MEDLINE, PsycINFO, CINAHL, and Cochrane databases, from 1950 to 2010. Interventions in US populations eligible for colorectal cancer screening, and composed of ≥50 % racial/ethnic minorities (or that included a specific sub-analysis by race/ethnicity). All included studies were linked to an identifiable healthcare source. The three authors independently reviewed the abstracts of all the articles and a final list was determined by consensus. All papers were independently reviewed and quality scores were calculated and assigned using the Downs and Black checklist. Thirty-three studies were included in our final analysis. Patient education involving phone or in-person contact combined with navigation can lead to modest improvements, on the order of 15 percentage points, in colorectal cancer screening rates in minority populations. Provider-directed multi-modal interventions composed of education sessions and reminders, as well as pure educational interventions were found to be effective in raising colorectal cancer screening rates, also on the order of 10 to 15 percentage points. No relevant interventions focusing on post-screening follow up, treatment adherence and survivorship were identified. This review excluded any intervention studies that were not tied to an identifiable healthcare source. The minority populations in most studies reviewed were predominantly Hispanic and African American, limiting generalizability to other ethnic and minority populations. Tailored patient education combined with patient navigation services, and physician training in communicating with patients of low health literacy, can modestly improve adherence to CRC screening. The onus is now on researchers to continue to evaluate and refine these interventions and begin to expand them to the entire colon cancer care continuum. The online version of this article (doi:10.1007/s11606-012-2044-2) contains supplementary material, which is available to authorized users.
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影响因子：
3.3
作者：
Christie, Jennifer;Itzkowitz, Steven;Jandorf, Lina
通讯作者：
Jandorf, Lina
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
DOI：
10.1001/archfami.7.4.320
发表时间：
1998-07-01
期刊：
ARCHIVES OF FAMILY MEDICINE
影响因子：
--
作者：
Dietrich, AJ;Tobin, JN;Tosteson, TD
通讯作者：
Tosteson, TD
影响因子：
6.2
作者：
Blumenthal, Daniel S.;Smith, Selina A.;Alema-Mensah, Ernest
通讯作者：
Alema-Mensah, Ernest