Screening utilization among cancer survivors: a meta-analysis
Screening utilization among cancer survivors: a meta-analysis
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DOI：
10.1093/pubmed/fdx030
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发表时间：
2018-03-01
影响因子：
4.4
通讯作者：
Uhlig, Johannes
中科院分区：
文献类型：
--
作者：
Uhlig, Annemarie;Mei, Janet;Uhlig, Johannes
背景研究表明，与无癌症患者相比，癌症幸存者对癌症筛查服务的利用率有所增加和减少。本研究综合现有的证据在荟萃analysis.Methods系统的文献综述进行了2016年8月。如果研究比较了成年癌症幸存者与无癌症对照者对宫颈癌、乳腺癌和结直肠癌筛查服务的利用情况，则纳入研究。结果在3538篇研究中，有19篇符合纳入标准。癌症幸存者更有可能利用乳腺癌筛查服务（比值比（OR）= 1.27，95%可信区间（CI）：1.13-1.42，P < 0.001），结直肠癌（OR = 1.25，95%CI：1.15-1.37，P < 0.001）（OR = 1.38，95% CI：1.08-1.75，P < 0.001）。与无癌症对照组相比，癌症幸存者更有可能利用癌症筛查服务。未来的研究应该评估，是否利用筛查服务转化为延长生存期。
Background Studies have been published showing both increased and decreased utilization of cancer screening services in cancer survivors compared with cancer-free counterparts. This study synthesizes existing evidence in a meta-analysis.Methods A systematic literature review was conducted in August 2016. Studies were included if they compared the utilization of screening services for cervical, breast and colorectal cancer among adulthood cancer survivors to cancer-free controls. Random effects meta-analyses were conducted to pool estimates.Results Of 3538 studies, 19 fulfilled the inclusion criteria. Cancer survivors were more likely to utilize screening services for breast cancer (odds ratio (OR) = 1.27, 95% confidence interval (CI): 1.13-1.42, P < 0.001), colorectal cancer (OR = 1.25, 95% CI: 1.15-1.37, P < 0.001) and cervical cancer (OR = 1.38, 95% CI: 1.08-1.75, P < 0.001) than cancer-free controls.Conclusions Overall, cancer survivors were more likely to utilize cancer screening services when compared with cancer-free controls. Future studies should evaluate, whether the utilization of screening services translates into prolonged survival.