A population-based, community estimate of total colon examination: the impact on compliance with screening for colorectal cancer.
A population-based, community estimate of total colon examination: the impact on compliance with screening for colorectal cancer.
复制标题
基于人群的社区对全结肠检查的估计：对结直肠癌筛查依从性的影响。
DOI：
10.1111/j.1572-0241.2002.05484.x
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Hayran,Mutlu
中科院分区：
文献类型：
--
作者：
Schoen,RobertE;Weissfeld,JoelL;Trauth,JeanetteM;Ling,BruceS;Hayran,Mutlu
目的：结直肠癌筛查未得到充分利用。全结肠检查（TCE），如结肠镜检查，可以有一个显着的影响，测量与筛选的依从性，因为结肠镜检查可能是能够偶尔进行一次，每10年。在一项以人群为基础的调查中，我们确定了患病率和验证自我报告的TCE和评估其对遵守screening.METHODS的影响：我们采访了一个年龄和性别分层随机抽样的50- 79岁的居民在宾夕法尼亚州西南部的两个社区。受试者报告曾进行过粪便潜血试验（FOBT）、软式乙状结肠镜检查（FS）、硬性直肠镜检查、钡灌肠和结肠镜检查以及自上次使用以来的持续时间。自我报告的结直肠癌检测通过检索程序reports.RESULTS验证：抽样的1223个人，496完成了电话采访（40.6%的整体和58.3%的合格接触）。在没有结直肠癌个人或家族史或个人息肉史的患者中（n= 377），分别有50%、19.6%、39.8%和17.5%的人报告曾接受过FOBT、FS、钡灌肠和结肠镜检查。31%的人报告在前一年内有FOBT或在前5年内有FS。包括TCE在过去5年内增加了测量的依从性为39.7%。在有结直肠癌家族史的受试者中，依从性显著更高（62.9% vs 39.7%，比值比= 2.6，95%CI = 1.3-5.2）。自我报告最近的结肠镜检查证实了29 35例（83%）。结论：TCE在这一人群中的患病率是显着的，并包括TCE大幅增加测量与结直肠癌筛查的依从性。自我报告的结肠镜检查使用被验证为准确。
OBJECTIVE:Colorectal cancer screening is underutilized. Total colon examination (TCE), such as with colonoscopy, can have a significant effect on the measured compliance with screening, as colonoscopy may be able to be performed as infrequently as once every 10 yr. In a population-based survey we determined the prevalence and validated the self-reporting of TCE and assessed its impact on compliance with screening.METHODS:We interviewed an age-and sex-stratified random sample of 50-to 79-yr-old residents in two communities in southwestern Pennsylvania. Subjects reported ever having had and duration since last use of fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), rigid proctoscopy, barium enema, and colonoscopy. Self-reports of colorectal testing were validated via retrieval of procedure reports.RESULTS:Out of 1223 individuals sampled, 496 completed a telephone interview (40.6% overall and 58.3% of eligible contacts). In those without personal or family histories of colorectal cancer or personal histories of polyps (n= 377), 50%, 19.6%, 39.8%, and 17.5% reported ever having had FOBT, FS, barium enema, and colonoscopy, respectively. Thirty-one percent reported having FOBT within the previous year or FS within the previous 5 yr. Including TCE within the previous 5 yr increased the measured compliance to 39.7%. Compliance was significantly greater among subjects with family histories of colorectal cancer (62.9% vs 39.7%, odds ratio= 2.6, 95% CI= 1.3–5.2). Self-reports of recent colonoscopy were verified in 29 of 35 instances (83%).CONCLUSION:The prevalence of TCE in this population was significant, and including TCE substantially increased measured compliance with colorectal cancer screening. Self-reported use of colonoscopy was validated as accurate.
乙状结肠镜在初级保健医生中的使用。
影响因子：
5.1
作者：
R. Schoen;J. Weissfeld;L. Kuller
通讯作者：
L. Kuller
DOI：
10.1016/0021-9681(85)90074-8
发表时间：
1985-01-01
期刊：
JOURNAL OF CHRONIC DISEASES
影响因子：
--
作者：
LOVE, RR;EVANS, AM;JOSTEN, DM
通讯作者：
JOSTEN, DM
影响因子：
3
作者：
R. Kelly;J. C. Shank
通讯作者：
J. C. Shank