Eliciting Population Preferences for Mass Colorectal Cancer Screening Organization
Eliciting Population Preferences for Mass Colorectal Cancer Screening Organization
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DOI：
10.1177/0272989x09342747
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发表时间：
2010-03-01
影响因子：
3.6
通讯作者：
Launoy, Guy
中科院分区：
文献类型：
--
作者：
Nayaradou, Maximilien;Berchi, Celia;Launoy, Guy
介绍。实施大规模结直肠癌（CRC）筛查是一项公共卫生重点。与任何癌症筛查项目一样，人群参与是CRC筛查成功的基础。人口的偏好可能影响他们参与的可能性。目标。作者试图引出人群对CRC筛查试验特征的偏好，以改进CRC筛查活动的设计。方法。采用离散选择实验。问卷编制了一组对假设的结直肠癌筛查方案。这项调查是在2006年6月至10月期间通过邮寄方式进行的，调查对象是2000名年龄在50岁至74岁之间的法国西北部居民，他们是从选举名单中随机选出的。调查问卷发给了2000人，每个人在7个属性不同的假设测试中做出3或4个离散选择：如何提供筛查，过程，敏感性，不必要的结肠镜检查率，预期死亡率降低，筛查测试结果传递方法和成本。结果。656人（32.8%）回复完整。影响人群偏好的属性包括预期死亡率降低、敏感性、成本和过程。来自高社会阶层的参与者尤其受到敏感性的影响。结论。结果表明，离散选择实验提供了患者对CRC筛查偏好的信息：例如，通过提高测试敏感性（最有价值的属性）来提高筛查方案的有效性，将提高普通人群对CRC筛查方案的满意度。需要更多的研究来研究患者的偏好实际上如何影响对常规筛查项目的坚持。
Introduction. The implementation of mass colorectal cancer (CRC) screening is a public health priority. Population participation is fundamental for the success of CRC screening as for any cancer screening program. The preferences of the population may influence their likelihood of participation. Objectives. The authors sought to elicit population preferences for CRC screening test characteristics to improve the design of CRC screening campaigns. Methods. A discrete choice experiment was used. Questionnaires were compiled with a set of pairs of hypothetical CRC screening scenarios. The survey was conducted by mail from June 2006 to October 2006 on a representative sample of 2000 inhabitants, aged 50 to 74 years from the northwest of France, who were randomly selected from electoral lists. Questionnaires were sent to 2000 individuals, each of whom made 3 or 4 discrete choices between hypothetical tests that differed in 7 attributes: how screening is offered, process, sensitivity, rate of unnecessary colonoscopy, expected mortality reduction, method of screening test result transmission, and cost. Results. Complete responses were received from 656 individuals (32.8%). The attributes that influenced population preferences included expected mortality reduction, sensitivity, cost, and process. Participants from high social classes were particularly influenced by sensitivity. Conclusions. The results demonstrate that the discrete choice experiment provides information on patient preferences for CRC screening: improving screening program effectiveness, for instance, by improving test sensitivity (the most valued attribute) would increase satisfaction among the general population with regard to CRC screening programs. Additional studies are required to study how patient preferences actually affect adherence to regular screening programs.