Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults
Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults
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DOI：
10.2105/ajph.94.10.1775
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发表时间：
2004-10-01
影响因子：
12.7
通讯作者：
Thun, MJ
中科院分区：
文献类型：
--
作者：
Chao, A;Connell, CJ;Thun, MJ
目标.我们通过适应症、人口统计学和生活方式因素调查了内镜检查（乙状结肠镜检查或结肠镜检查）的患病率。我们分析了1997年癌症预防研究（CPS）II营养队列中50岁及以上参与者的横断面数据。58%的男性和51%的女性报告曾经接受过内窥镜检查;只有42%的男性和31%的女性报告内窥镜检查是为了筛查，而不是为了疾病诊断或随访。患病率因人口统计学和生活方式因素而异。增加结直肠癌筛查的努力需要针对妇女、所有50-64岁的人以及具有结直肠癌风险因素的人。未来的研究应区分内镜筛查与疾病诊断和随访程序，以避免高估筛查依从性。
Objectives. We examined the prevalence of endoscopy (sigmoidoscopy or colonoscopy) by indication and by demographic and lifestyle factors.Methods. We analyzed cross-sectional data collected in 1997 from participants aged 50 years and older in the Cancer Prevention Study (CPS) II Nutrition Cohort.Results. Fifty-eight percent of men and 51% of women reported ever having undergone endoscopy; only 42% of men and 31% of women reported endoscopy for screening rather than for disease diagnosis or follow-up. Prevalence varied by demographic and lifestyle factors.Conclusions. Efforts to increase colorectal cancer screening need to target women, all persons aged 50-64 years, and those with colorectal cancer risk factors. Future studies should distinguish endoscopy for screening from procedures for disease diagnosis and follow-up to avoid overestimating screening compliance.