Receipt of recommended surveillance among colorectal cancer survivors: a systematic review.
Receipt of recommended surveillance among colorectal cancer survivors: a systematic review.
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DOI：
10.1007/s11764-013-0290-x
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发表时间：
2013-09
期刊：
影响因子：
--
通讯作者：
Bluethmann SM
中科院分区：
文献类型：
--
作者：
Carpentier MY;Vernon SW;Bartholomew LK;Murphy CC;Bluethmann SM
定期监测可降低结直肠癌 (CRC) 幸存者复发癌症的风险。然而，研究表明，接受后续测试并不符合指南。这项系统评价的目的是：(1) 检查 CRC 幸存者是否接受了推荐的治疗后监测测试和程序，包括遵守既定指南；(2) 确定 CRC 监测的相关性。使用适合每个数据库的关键词和主题词的术语对 Medline、PubMed、PsycINFO、CINAHL Plus 和 Scopus 数据库进行系统检索。研究采用三步流程进行筛选：(1) 主要作者审查所有符合条件的研究的摘要； (2) 共同作者审阅了随机 5% 的摘要样本； (3) 两组合著者审阅了所有“可能”的摘要。差异是通过讨论来裁定的。审查中纳入了 34 项研究。总体依从性范围为 12-87%。在治疗后最初 12 至 18 个月内，93% 的人遵守建议的就诊。体检的依从性为 78-98%，结肠镜检查的依从性为 18-61%，CEA 测试的依从性为 17-71%。治疗后 2 至 3 年，就诊的累积依从率为 70-88%，体检的累积依从率为 89-93%，结肠镜检查的累积依从率为 49-94%，CEA 检测的累积依从率为 7-79%。 18-28% 的 CRC 幸存者接受了高于建议的总体监测；过度使用体检（42%）、结肠镜检查（24-76%）和转移性疾病检测（1-29%）也很普遍。结直肠癌监测相关性的研究主要集中在社会人口统计学和疾病/治疗特征上，并且各个研究之间的关联模式不一致。偏离监测建议包括使用不足和过度使用。需要检查可改变的决定因素，以便为针对适当和及时收到建议的监测的干预措施提供信息。
Regular surveillance decreases the risk of recurrent cancer in colorectal cancer (CRC) survivors. However, studies suggest that receipt of follow-up tests is not consistent with guidelines. This systematic review aimed to: (1) examine receipt of recommended post-treatment surveillance tests and procedures among CRC survivors, including adherence to established guidelines, and (2) identify correlates of CRC surveillance. Systematic searches of Medline, PubMed, PsycINFO, CINAHL Plus, and Scopus databases were conducted using terms adapted for each database’s keywords and subject headings. Studies were screened for inclusion using a 3-step process: (1) lead author reviewed abstracts of all eligible studies; (2) coauthors reviewed random 5% samples of abstracts; and (3) two sets of coauthors reviewed all “maybe” abstracts. Discrepancies were adjudicated through discussion. Thirty-four studies are included in the review. Overall adherence ranged from 12–87%. Within the initial 12 to 18 months post-treatment, adherence to recommended office visits was 93%. Adherence ranged from 78–98% for physical exams, 18–61% for colonoscopy, and 17–71% for CEA testing. By 2 to 3 years post-treatment, cumulative adherence ranged from 70–88% for office visits, 89–93% for physical exams, 49–94% for colonoscopy, and 7–79% for CEA testing. Between 18–28% of CRC survivors received greater than recommended overall surveillance; overuse of physical exams (42%), colonoscopy (24–76%), and metastatic disease testing (1–29%) was also prevalent. Studies of correlates of CRC surveillance focused on socio-demographic and disease/treatment characteristics, and patterns of association were inconsistent across studies. Deviation from surveillance recommendations includes both under- and overuse. Examination of modifiable determinants is needed to inform interventions targeting appropriate and timely receipt of recommended surveillance.
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DOI：
10.1111/j.1365-2753.2007.00880.x
发表时间：
2008-06-01
影响因子：
2.4
作者：
Cardella, Jonathan;Coburn, Natalie G.;Wright, Frances
通讯作者：
Wright, Frances
影响因子：
6.2
作者：
Brawarsky, Phyllis;Neville, Bridget A.;Haas, Jennifer S.
通讯作者：
Haas, Jennifer S.
影响因子：
45.3
作者：
Grunfeld, E;Levine, MN;Whelan, T
通讯作者：
Whelan, T
影响因子：
2.2
作者：
Fox, Justin P.;Jeffrey, Diana D.;Gross, Cary P.
通讯作者：
Gross, Cary P.
影响因子：
45.3
作者：
Desch, CE;Benson, A;Petrelli, NJ
通讯作者：
Petrelli, NJ