Screening for Barrett's esophagus: results from a population-based survey.

Screening for Barrett's esophagus: results from a population-based survey.
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DOI:
10.1007/s10620-014-3092-8
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发表时间:
2014-08
影响因子:
3.1
通讯作者:
Iyer, Prasad G.
Iyer, Prasad G.
中科院分区:
医学3区
文献类型:
--
作者:
Gupta, Milli;Beebe, Timothy J.;Dunagan, Kelly T.;Schleck, Cathy D.;Zinsmeister, Alan R.;Talley, Nicholas J.;Locke, G. Richard, III;Iyer, Prasad G.

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巴雷特食管(BE)和腺癌(EAC)的筛查是有争议的,但寻找最佳方法的兴趣仍然存在。社区内对筛查的态度尚不清楚。我们的目的是通过一项调查来评估这些态度。在50岁以下的成年人中进行了一项混合模式调查,以评估对BE的认识,参与筛查的意愿以及对筛查方法的偏好。评估方法为镇静内镜(sEGD)、非镇静经鼻内镜(uTNE)和视频胶囊(VCE)。413名成人中有136名(33%)有反应[47%为男性,平均(SD)年龄为63(10.2)岁],26%的应答者在基线时知道BE。在阅读了有关BE的信息后,72%的人对筛查感兴趣。接受筛查试验的历史和胃肠道症状可预测是否有兴趣。与sEGD(36%)相比,64%的人更倾向于使用非镇静技术(VCE: 56%, uTNE: 8%)。大多数成年人愿意接受BE/EAC筛查,并倾向于非镇静技术。
Screening for Barrett’s esophagus (BE) and adenocarcinoma (EAC) is controversial, but interest remains in finding the optimal method. Attitudes on screening within the community are unknown. We aimed to assess these attitudes via a survey. A mixed-mode survey was conducted in adults <50 years to assess awareness regarding BE, willingness to participate in screening, and preferences regarding method of screening. Methods evaluated were sedated endoscopy (sEGD), unsedated transnasal endoscopy (uTNE) and video capsule (VCE). A total of 136 from 413 (33 %) adults responded [47 % males, mean (SD) age 63 (10.2) years], and 26 % of responders knew of BE at baseline. After reading the information on BE, 72 % were interested in screening. A history of undergoing screening tests and GI symptoms were predictive of interest. Unsedated techniques were preferred by 64 % (VCE: 56 % and uTNE: 8 %) versus sEGD (36 %). The majority of adults were willing to undergo screening for BE/EAC, with a preference for unsedated techniques.
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