Perception of colonoscopy benefits: a gap in patient knowledge?
Perception of colonoscopy benefits: a gap in patient knowledge?
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DOI：
10.1007/s10900-011-9506-z
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发表时间：
2012-06
影响因子：
5.9
通讯作者：
Onega, Tracy L.
中科院分区：
文献类型：
--
作者：
Yim, Michael;Butterly, Lynn F.;Goodrich, Martha E.;Weiss, Julie E.;Onega, Tracy L.
确定特定结肠镜检查患者特征、检查特征和患者对结肠镜检查降低其死于结直肠癌风险的感知之间的关联。使用来自新罕布什尔州结肠镜登记处的数据（2004-2008年）进行横断面分析，包括自我报告问卷、结肠镜检查报告表和随访问卷，其中包括“进行结肠镜检查降低了我死于结肠癌的机会”。卡方检验和逻辑回归用于评估患者和结肠镜检查特征的患者反应差异。大多数患者（N=5672，81%）同意结肠镜检查降低了他们死于结肠癌的机会。有息肉病史的患者与既往未行息肉切除术的患者相比，更可能同意结肠镜检查降低其死亡率[OR（95%CI）= 1.34（1.06，有结直肠癌家族史的患者比无家族史的患者更有可能同意该声明[OR（95%CI）= 1.33（1.12，1.58）]。个人息肉史和结直肠癌家族史是患者对结肠镜检查的积极看法的重要预测因素，表明个人经历可能影响结肠镜检查的感知益处。应采取干预措施，有效传播结肠镜检查益处的知识。
To determine associations between specific colonoscopy patient characteristics, exam characteristics and patients’ perception of colonoscopy reducing their risk of dying from colorectal cancer. A cross-sectional analysis was conducted using data (2004–2008) from the New Hampshire Colonoscopy Registry, consisting of a self-report questionnaire, colonoscopy report form, and a follow-up questionnaire, which included the question, “Having a colonoscopy decreased my chances of dying from colon cancer”. Chi-square tests and logistic regression were used to assess differences in patient responses by patient and colonoscopy characteristics. A majority of patients (N=5672, 81%) agreed that having a colonoscopy decreased their chances of dying from colon cancer. Patients with a personal history of polyps were more likely to agree that colonoscopy reduced their chances of dying compared to patients without prior polypectomy [OR (95% CI) = 1.34 (1.06, 1.69)] and patients with a family history of colorectal cancer were 33% more likely to agree to the statement than those without a family history [OR (95% CI) = 1.33 (1.12, 1.58)]. Personal history of polyps and family history of colorectal cancer are significant predictors of patients’ positive perception of colonoscopy, suggesting that personal experience may influence the perceived benefit of colonoscopy. Intervention efforts should be made to effectively disseminate knowledge of the benefit of colonoscopy.
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