The influence of multi-morbidities on colorectal cancer screening recommendations and completion.
The influence of multi-morbidities on colorectal cancer screening recommendations and completion.
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DOI：
10.1007/s10552-021-01408-2
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Suls JM
中科院分区：
文献类型：
--
作者：
Coronado GD;Nielson CM;Keast EM;Petrik AF;Suls JM
患者的慢性疾病负担可以影响提供者推荐癌症筛查的可能性，以及患者是否会参与其中。使用STOP CRC务实研究的数据，我们研究了慢性疾病负担与结直肠癌筛查推荐和使用之间的关联。参与STOP CRC诊所（n = 26）接受常规护理或培训，以实施邮寄粪便免疫化学检测（FIT）外展计划。选定的门诊患者（n = 60，187例患者）年龄在50-74岁之间，已逾期进行结直肠癌筛查。我们使用逻辑回归来检查FIT建议和完成与患者慢性疾病负担之间的关联，使用Charlson Comorbance指数和慢性疾病和残疾支付系统计算。对于每个指标，FIT推荐几率在慢性疾病负担最小的个体中高8-9%，在慢性疾病负担高的个体中低13-23%（倒U形关联）。在接受FIT的成年人中，患有任何慢性疾病的人完成FIT的几率比没有慢性疾病的人低20%，并且随着疾病负担的增加而减少（逆线性相关）。分析显示，患者的慢性疾病负担和提供者对FIT的建议之间存在倒U形关联，患者的慢性疾病负担和FIT完成之间存在反向线性关联。 NCT01742065
Patients’ chronic disease burden can influence the likelihood that providers will recommend cancer screening and that patients will participate in it. Using data from the STOP CRC pragmatic study, we examined associations between chronic disease burden and colorectal cancer screening recommendation and use. Participating STOP CRC clinics (n = 26) received either usual care or training to implement a mailed fecal immunochemical test (FIT) outreach program. Selected clinic patients (n = 60,187 patients) were aged 50–74 and overdue for colorectal cancer screening. We used logistic regression to examine the associations between FIT recommendations and completion and patients’ chronic disease burden, calculated using the Charlson Comorbidity Index and the Chronic Illness and Disability Payment System. For each index, FIT recommendation odds were 8–9% higher among individuals with minimal chronic disease burden and 13–23% lower among individuals with high chronic disease burden (inverted U-shaped association). Among adults who were ordered a FIT, FIT completion odds were 20% lower for individuals with any, versus no, chronic condition, and diminished with increasing disease burden (inverse linear association). Analysis showed an inverted U-shaped association between patients’ chronic disease burden and providers’ recommendation of a FIT, and an inverse linear association between patients’ chronic disease burden and FIT completion. NCT01742065
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影响因子：
3.4
作者：
Mani D;Aboulafia DM
通讯作者：
Aboulafia DM
影响因子：
5.5
作者：
Klabunde CN;Zheng Y;Quinn VP;Beaber EF;Rutter CM;Halm EA;Chubak J;Doubeni CA;Haas JS;Kamineni A;Schapira MM;Vacek PM;Garcia MP;Corley DA;PROSPR consortium
通讯作者：
PROSPR consortium
影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
3.8
作者：
Guiriguet C;Pera G;Castells A;Toran P;Grau J;Rivero I;Buron A;Macià F;Vela-Vallespín C;Vilarrubí-Estrella M;Marzo-Castillejo M
通讯作者：
Marzo-Castillejo M
影响因子：
2.2
作者：
Coronado, Gloria D.;Vollmer, William M.;Green, Beverly B.
通讯作者：
Green, Beverly B.