Defining and measuring adherence to cancer screening.
Defining and measuring adherence to cancer screening.
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DOI：
10.1177/0969141316630766
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发表时间：
2016-12
影响因子：
2.9
通讯作者：
Hubbard R
中科院分区：
文献类型：
--
作者：
Chubak J;Hubbard R
癌症筛查的重要性众所周知，但如何定义和衡量依从性却存在很大差异。本手稿确定了筛查依从性的衡量标准，并讨论了如何估计它们。我们首先描述为什么筛查依从性很重要：预测长期结果，了解不同环境下结果的差异，并确定需要改进的领域。我们概述了与依从性相关的感兴趣的问题，包括有关吸收、流行或最新以及纵向依从性的问题，然后确定哪些措施最适合每个问题。我们对如何选择衡量标准的讨论侧重于研究纳入标准和结果定义。最后，我们描述如何使用来自两个常见数据源（调查研究和监测研究）的数据来估计不同的衡量标准。估计需要考虑数据源、纳入标准和结果定义。审查通常会存在并且必须加以考虑。我们的结论是，对癌症筛查指南的遵守情况进行一致的定义和估计将有助于研究、测试和环境之间的比较，并有助于阐明未来研究和干预的领域。
The importance of cancer screening is well-recognized, yet there is great variation in how adherence is defined and measured. This manuscript identifies measures of screening adherence and discusses how to estimate them. We begin by describing why screening adherence is of interest: to anticipate long-term outcomes, to understand differences in outcomes across settings, and to identify areas for improvement. We outline questions of interest related to adherence, including questions about uptake, currency or being up-to-date, and longitudinal adherence, and then identify which measures are most appropriate for each question. Our discussion of how to select a measure focuses on study inclusion criteria and outcome definitions. Finally, we describe how to estimate different measures using data from two common data sources, survey studies and surveillance studies. Estimation requires consideration of data sources, inclusion criteria, and outcome definitions. Censoring often will be present and must be accounted for. We conclude that consistent definitions and estimation of adherence to cancer screening guidelines will facilitate comparison across studies, tests, and settings and help elucidate areas for future research and intervention.
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