Preferences for colorectal cancer screening tests and screening test use in a large multispecialty primary care practice.
Preferences for colorectal cancer screening tests and screening test use in a large multispecialty primary care practice.
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DOI：
10.1002/cncr.26551
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发表时间：
2012-05-15
期刊：
影响因子：
6.2
通讯作者：
Vernon SW
中科院分区：
文献类型：
--
作者：
Hawley ST;McQueen A;Bartholomew LK;Greisinger AJ;Coan SP;Myers R;Vernon SW
确定与结直肠癌（CRC）筛查测试偏好相关的因素，并检查测试偏好和测试完成之间的关联。患者（N=1224）年龄为50-70岁，平均CRC风险，并逾期进行筛选。结果变量是偏好粪便潜血试验（FOBT），结肠镜检查（COL），乙状结肠镜检查（SIG），或钡灌肠（BE）通过电话调查测量，和测试之间的一致性偏好和测试完成评估使用医疗记录。35%的人喜欢FOBT，41.1%的人喜欢COL，12.7%的人喜欢SIG，5.7%的人喜欢BE。对SIG或COL的偏好与医生的推荐、更好的筛查准备、特定测试的自我效能、更大的CRC担忧和对筛查的感知优点相关。对FOBT的偏好与进行FOBT的自我效能相关。与那些喜欢另一种测试的人相比，喜欢COL的参与者更有可能完成COL。在接受筛查的人中，只有50%的人接受了他们喜欢的测试。那些没有接受他们喜欢的测试最经常接受COL（52%）。患者的偏好和完成的测试之间缺乏一致性表明，患者的偏好没有很好地纳入筛选讨论和测试决策，这可能导致低筛选吸收。医生在讨论检测方案和提出建议时应了解患者的偏好，这可能会增加患者对筛查的接受程度。
Identify factors associated with colorectal cancer (CRC) screening test preference and examine the association between test preference and test completed. Patients (N=1224) were 50-70 years, at average CRC risk, and overdue for screening. Outcome variables were preference for fecal occult blood test (FOBT), colonoscopy (COL), sigmoidoscopy (SIG), or barium enema (BE) measured by telephone survey, and concordance between test preference and test completed assessed using medical records. Thirty-five percent preferred FOBT, 41.1% COL, 12.7% SIG, and 5.7% BE. Preference for SIG or COL was associated with having a physician recommendation, greater screening readiness, test-specific self-efficacy, greater CRC worry, and perceived pros of screening. Preference for FOBT was associated with self-efficacy for doing FOBT. Participants who preferred COL were more likely to complete COL compared with those who preferred another test. Of those screened, only 50% received their preferred test. Those not receiving their preferred test most often received COL (52%). Lack of concordance between patients’ preferences and test completed suggests that patients’ preferences are not well incorporated into screening discussions and test decisions, which could contribute to low screening uptake. Physicians should acknowledge patients’ preferences when discussing test options and making recommendations, which may increase patients’ receptivity to screening.
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影响因子：
3
作者：
Hawley, Sarah T.;Volk, Robert J.;Kneuper, Suzanne
通讯作者：
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影响因子：
5.1
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影响因子：
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影响因子：
7.2
作者：
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通讯作者：
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影响因子：
5.1
作者：
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通讯作者：
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