The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review.
The implementation of colorectal cancer screening interventions in low-and middle-income countries: a scoping review.
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DOI：
10.1186/s12885-021-08809-1
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发表时间：
2021-10-19
期刊：
影响因子：
3.8
通讯作者：
Donnelly M
中科院分区：
文献类型：
--
作者：
Schliemann D;Ramanathan K;Matovu N;O'Neill C;Kee F;Su TT;Donnelly M
低收入和中等收入国家（LMIC）在过去十年中经历了结直肠癌（CRC）发病率的增加，与高收入国家（HIC）相比，5年生存率较低，在高收入国家（HIC）中，筛查和治疗服务的实施已经取得了进展。本综述对有关CRC筛查干预措施的内容、实施和吸收以及在中低收入国家实施CRC筛查干预措施的机遇和挑战的文献进行了范围界定和映射。我们系统地遵循了五步范围界定审查框架，以识别和审查2020年2月之前用英语撰写的关于中低收入国家CRC筛查的相关文献。我们在Medline、Embase、Web of Science和Google Scholar中检索了针对一般、无症状、高危成人人群的研究。TIDieR工具和实施清单被用来从实证研究中提取数据;我们从政策审查和评论中提取了基于数据的见解。在9个中等收入国家实施了CRC筛查干预措施（n = 24项研究）。基于人群的筛查方案（n = 11）以及小规模筛查干预措施（n = 13）采用了各种招募策略。面对面招募参与者的干预措施（单独或与其他招募策略相结合）（10/15），机会主义的基于诊所的筛查干预措施（5/6）和与筛查相结合的教育干预措施（3/4），似乎是在LMIC中持续实现> 65%吸收的策略。FOBT/FIT和结肠镜检查摄取范围为14 - 100%。最常报告的执行指标是“吸收/达到”。执行指标方面缺乏细节，需要改进报告做法，以便传播关于如何执行方案的知识。实施CRC筛查方案的机遇和挑战与CRC病例和筛查的报告、具有成本效益的筛查方法、对CRC和筛查的了解、人力资源和培训、医疗保健系统的基础设施、财政资源、公共卫生运动、政府的政策承诺、患者导航、筛查方案的规划和质量保证有关。在线版本包含补充材料，可通过10.1186/s12885-021-08809-1获得。
Low- and middle-income countries (LMICs) experienced increasing rates of colorectal cancer (CRC) incidence in the last decade and lower 5-year survival rates compared to high-income countries (HICs) where the implementation of screening and treatment services have advanced. This review scoped and mapped the literature regarding the content, implementation and uptake of CRC screening interventions as well as opportunities and challenges for the implementation of CRC screening interventions in LMICs. We systematically followed a five-step scoping review framework to identify and review relevant literature about CRC screening in LMICs, written in the English language before February 2020. We searched Medline, Embase, Web of Science and Google Scholar for studies targeting the general, asymptomatic, at-risk adult population. The TIDieR tool and an implementation checklist were used to extract data from empirical studies; and we extracted data-informed insights from policy reviews and commentaries. CRC screening interventions (n = 24 studies) were implemented in nine middle-income countries. Population-based screening programmes (n = 11) as well as small-scale screening interventions (n = 13) utilised various recruitment strategies. Interventions that recruited participants face-to-face (alone or in combination with other recruitment strategies) (10/15), opportunistic clinic-based screening interventions (5/6) and educational interventions combined with screening (3/4), seemed to be the strategies that consistently achieved an uptake of > 65% in LMICs. FOBT/FIT and colonoscopy uptake ranged between 14 and 100%. The most commonly reported implementation indicator was ‘uptake/reach’. There was an absence of detail regarding implementation indicators and there is a need to improve reporting practice in order to disseminate learning about how to implement programmes. Opportunities and challenges for the implementation of CRC screening programmes were related to the reporting of CRC cases and screening, cost-effective screening methods, knowledge about CRC and screening, staff resources and training, infrastructure of the health care system, financial resources, public health campaigns, policy commitment from governments, patient navigation, planning of screening programmes and quality assurance. The online version contains supplementary material available at 10.1186/s12885-021-08809-1.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.22034/apjcp.2018.19.10.2777
发表时间：
2018-10-26
期刊：
Asian Pacific journal of cancer prevention : APJCP
影响因子：
--
作者：
Gholampour, Yousef;Jaderipour, Atefeh;Afzali Harsini, Pooyan
通讯作者：
Afzali Harsini, Pooyan
影响因子：
4.3
作者：
Bénard F;Barkun AN;Martel M;von Renteln D
通讯作者：
von Renteln D
影响因子：
3.3
作者：
Cai, Shan-Rong;Zhang, Su-Zhan;Zheng, Shu
通讯作者：
Zheng, Shu
影响因子：
2.4
作者：
Levy, Alexander;Borren, Nienke Z.;Ananthakrishnan, Ashwin N.
通讯作者：
Ananthakrishnan, Ashwin N.