Endorsement by the primary care practitioner consistently improves participation in screening for colorectal cancer: a longitudinal analysis
Endorsement by the primary care practitioner consistently improves participation in screening for colorectal cancer: a longitudinal analysis
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DOI：
10.1258/jms.2010.009101
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发表时间：
2010-01-01
影响因子：
2.9
通讯作者：
Young, G. P.
中科院分区：
文献类型：
--
作者：
Zajac, I. T.;Whibley, A. H.;Young, G. P.
目的探讨全科医生（GP）和全科医生（GPR）对粪便潜血试验（FOBT）筛查的认可对连续四轮筛查参与率的影响。（每组n = 600）：一个来自英联邦选民名册（ER），三个来自两个合作GP（GP 1，GP 2，GP 3）的合并患者名单。受试者被邮寄提供筛选使用粪便免疫化学测试在连续四轮，间隔约18个月。GP 1和ER组被邀请进行筛查，没有GPR或医疗实践的任何认可; GP 2受邀者收到了一份邀请，表明他们的医疗实践支持筛查;结果多变量分析表明，在GP 2中，初始参与以及连续四轮的重新参与显著增强（39%、42%、45%和44%）和GP 3组（42%、47%、48%和49%）相对于ER组（33%、37%、40%和36%）。分析还表明，60-69奥尔兹最有可能参加所有回合的比赛（相对风险[RR] 1.49，1.39，1.43和1.25），男性参与所有筛查的可能性通常低于女性（RR 0.86，0.84，0.80和0.83）。结论关联GPR或医疗实践的最近接触的邀请，以屏幕实现更好的参与和再参与比从一个集中的筛选单位的邀请。此外，仅通过实践认可就可以实现加强参与，而不需要GPR的实际参与。
Objectives To investigate the effect of general practice (GP) and general practitioner (GPR) endorsement for faecal occult blood test (FOBT)-based screening on maintenance of participation in screening over four successive screening rounds.Setting South Australian residents aged >= 50 years.Methods Random selection of four groups (n = 600 per group): one from the Commonwealth electoral roll (ER) and three from the combined patient lists of two collaborating GPs (GP1, GP2, GP3). Subjects were mailed offers to screen using a faecal immunochemical test over four successive rounds, spaced approximately 18 months apart. The GP1 and ER groups were invited to screen without any endorsement from a GPR or medical practice; GP2 invitees received an invitation indicating support for screening from their medical practice; and GP3 invitations were printed on practice letterhead and were signed by a GPR.Results Multivariate analyses indicated that initial participation as well as re-participation over four successive rounds was significantly enhanced in the GP2 (39%, 42%, 45% and 44%) and GP3 groups (42%, 47%, 48% and 49%) relative to the ER group (33%, 37%, 40% and 36%). The analyses also indicated that 60-69 year olds were most likely to participate in all rounds (relative risk [RR] 1.49, 1.39, 1.43 and 1.25), and men were generally less likely to participate than women in all screening rounds (RR 0.86, 0.84, 0.80 and 0.83).Conclusions Associating a GPR or medical practice of recent contact with an invitation to screen achieves better participation and re-participation than does an invitation from a centralized screening unit. Furthermore, enhanced participation can be achieved by practice endorsement alone without requiring actual GPR involvement.