The use of preventive health services among elderly uterine cancer survivors
The use of preventive health services among elderly uterine cancer survivors
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DOI：
10.1016/j.ajog.2007.05.036
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发表时间：
2008-01-01
影响因子：
9.8
通讯作者：
Virnig, Beth A.
中科院分区：
文献类型：
--
作者：
McBean, A. Marshall;Yu, Xinhua;Virnig, Beth A.
目的：该研究的目的是确定子宫癌幸存妇女是否与无癌症史的妇女一样接受4种推荐的预防服务（乳房X线检查，结直肠癌筛查，流感免疫接种和骨密度检测）。研究设计：我们使用监测，流行病学和最终结果-医疗保险数据库来比较67岁或以上的幸存者与无癌症史的匹配组女性的比率。研究结果：存活者更有可能接受乳房X线检查（调整后的比值比[OR]，1.40; 95%置信区间[CI]，1.30-1.50）或结直肠癌筛查检查（调整后的OR，1.11; 95% CI，1.05-1.18）。流感免疫和骨密度检测率相似。由妇产科医生或妇科肿瘤学家看到的28%的幸存者使用率最高。结论：需要努力增加所有妇女对服务的使用，以实现《2010年健康人》确定的目标比率。
OBJECTIVE: The purpose of the study was to determine whether women who survived uterine cancer received 4 recommended preventive services (mammography, colorectal cancer screening, influenza immunization, and bone density testing) at the same rates as women with no history of cancer. STUDY DESIGN: We used the Surveillance, Epidemiology, and End Results-Medicare database to compare the rates among survivors aged 67 years or older with a matched group of women with no history of cancer. RESULTS: Survivors were significantly more likely to have a mammogram (adjusted odds ratio [OR], 1.40; 95% confidence interval [CI], 1.30-1.50) or a colorectal cancer screening examination (adjusted OR, 1.11; 95% CI, 1.05-1.18). Influenza immunization and bone density testing rates were similar. The 28% of survivors seen by an obstetrician-gynecologist or gynecologic oncologist had the highest rates of use. CONCLUSION: Efforts need to be made to increase the use of services by all women to achieve the target rates established by Healthy People 2010.