Reasons for Participation and Nonparticipation in Colorectal Cancer Screening: A Randomized Trial of Colonoscopy and CT Colonography
Reasons for Participation and Nonparticipation in Colorectal Cancer Screening: A Randomized Trial of Colonoscopy and CT Colonography
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DOI：
10.1038/ajg.2012.140
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发表时间：
2012-12-01
影响因子：
9.8
通讯作者：
Dekker, Evelien
中科院分区：
文献类型：
--
作者：
de Wijkerslooth, Thomas R.;de Haan, Margriet C.;Dekker, Evelien
目的：我们在一项随机对照试验中比较了参与和不参与结肠镜检查和计算机断层扫描（CT）结肠成像之间的结直肠癌（CRC）筛查的原因。在一份问卷调查中，受邀者表示参与或不参与的原因，并指出最具决定性的reason.RESULTS：最常被引用的原因接受筛查的早期发现的前驱病变和CRC，并对科学的贡献。最常被提及的拒绝原因是检查不愉快、准备不方便、缺乏症状和“没有时间/太多精力”。“在结肠镜检查非参与者中，老年受邀者比整体人群更少出现不便，更经常没有症状。最经常报告的原因是最具决定性的原因不参加是结肠镜检查nonparticipants之间的不愉快的检查，和“没有时间/太多的努力”，缺乏症状CT结肠造影nonparticipants.CONCLUSIONS：根据这些结果，未来的筛选程序可以定制提供给受邀者的信息。
OBJECTIVES: We compared reported reasons for participation and nonparticipation in colorectal cancer (CRC) screening between colonoscopy and computed tomographic (CT) colonography in a randomized controlled trial.METHODS: We randomly invited 8,844 people for screening by colonoscopy or CT colonography. On a questionnaire, invitees indicated reasons for participation or nonparticipation and indicated the most decisive reason.RESULTS: The most frequently cited reasons to accept screening were early detection of precursor lesions and CRC, and contribution to science. The most frequently cited reasons to decline were the unpleasantness of the examination, the inconvenience of the preparation, a lack of symptoms, and "no time/too much effort." Among colonoscopy nonparticipants, elderly invitees cited inconvenience less often, and absence of symptoms more often, than did the group overall. The reason reported most frequently as the most decisive reason not to participate was the unpleasantness of the examination among colonoscopy nonparticipants, and "no time/too much effort" and lack of symptoms among CT colonography nonparticipants.CONCLUSIONS: In light of these results, future screening programs could tailor the information provided to invitees.