Utilization of colorectal cancer screening tests: a 1997 survey of Massachusetts internists.
Utilization of colorectal cancer screening tests: a 1997 survey of Massachusetts internists.
复制标题
结直肠癌筛查测试的利用：1997 年对马萨诸塞州内科医生的一项调查。
DOI：
10.1006/pmed.2001.0903
复制
发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Heeren,T
中科院分区：
文献类型：
--
作者：
Schroy3rd,PC;Geller,AC;CrosierWood,M;Page,M;Sutherland,L;Holm,LJ;Heeren,T
背景医生不遵守筛查建议一直是有效控制结直肠癌的主要障碍。本研究的总体目标是根据新的疗效数据、修订的指南、改进的技术和更广泛的保险覆盖范围来评估初级保健医生目前的态度和筛查行为。与结直肠癌筛查相关的实践模式在中期邮寄，1997年对700名随机选择的马萨诸塞州内科医生进行了调查。近60%的受访者表示，在过去5年中，筛查行为有所增加。大多数人（80%）知道至少一套筛查指南，90%的人报告使用一种或多种推荐的筛查策略。粪便潜血试验（FOBT），单独（47%）或结合乙状结肠镜检查（50%），是大多数受访者的首选策略。结肠镜检查很少使用（5%），尽管高感知的有效性。关注患者的依从性是一个重要的决定因素FOBT利用率，而感知的有效性，关注时间或疗效数据，以前的程序培训，日期的许可证，和使用的教学材料是独立的决定因素乙状结肠镜utilization.ConclusionMassachusetts的内科医生报告选择结肠直肠癌筛查策略的利用率高。未来的研究必须验证自我报告的依从性并探索结肠镜检查的障碍。
BackgroundPhysician noncompliance with screening recommendations has been a major barrier to effective colorectal cancer control. The overall objectives of this study were to assess the current attitudes and screening behavior of primary care physicians in light of new efficacy data, revised guidelines, improved technology, and more widespread insurance coverage.MethodsQuestionnaires inquiring about knowledge, beliefs, and practice patterns related to colorectal cancer screening were mailed in mid-1997 to 700 randomly selected Massachusetts internists.ResultsThe overall response rate was 63%. Nearly 60% of respondents reported an increase in screening behavior during the past 5 years. Most (80%) were aware of at least one set of screening guidelines and 90% reported utilizing one or more recommended screening strategies. Fecal occult blood testing (FOBT), alone (47%) or in combination with flexible sigmoidoscopy (50%), was the preferred strategy for most respondents. Colonoscopy was rarely utilized (5%) despite high perceived effectiveness. Concern about patient compliance was a significant determinant of FOBT utilization, whereas perceived effectiveness, concerns about time or efficacy data, prior procedural training, date of licensure, and use of instructional materials were independent determinants of sigmoidoscopy utilization.ConclusionMassachusetts' internists report high rates of utilization of select colorectal cancer screening strategies. Future studies must validate self-reported compliance and explore barriers to screening colonoscopy.