Cancer screening and preventative care among long-term cancer survivors in the United Kingdom.
Cancer screening and preventative care among long-term cancer survivors in the United Kingdom.
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DOI：
10.1038/sj.bjc.6605609
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发表时间：
2010-03-30
影响因子：
8.8
通讯作者：
中科院分区：
文献类型：
--
作者：
在联合王国，癌症长期幸存者大多由他们的全科医生在初级保健环境中进行随访;然而，很少有关于服务使用的研究。本研究旨在探讨癌症幸存者是否在英国初级保健中接受足够的筛查和预防性护理。我们使用全科医学研究数据库确定了一组乳腺癌、结直肠癌和前列腺癌的长期生存者，其生存期至少为5年，对照组的年龄、性别和实践相匹配。我们比较了癌症幸存者和对照组对癌症筛查的依从性和预防性护理的使用。癌症幸存者队列包括18612名乳腺癌、5764名结直肠癌和4868名前列腺癌幸存者。大多数癌症幸存者接受与对照组相同水平的癌症筛查，但乳腺癌幸存者接受乳房X线检查的可能性低于对照组（OR=0.78，95%CI：0.66-0.92）。长期癌症幸存者接受了相当水平的流感疫苗接种和胆固醇测试，但乳腺癌（OR = 0.81，95% CI：0.74-0.87）和前列腺癌幸存者（OR=0.70，95% CI：0.57-0.87）接受血压测试的可能性较小。所有幸存者更有可能接受骨密度测定。在联合王国，三种常见癌症的幸存者和未患癌症的人在初级保健环境中提供和接受预防性保健的情况相当。然而，该队列中的长期乳腺癌幸存者不太可能接受乳房X光检查。
Long-term cancer survivors in the United Kingdom are mostly followed up in a primary care setting by their general practitioner; however, there is little research on the use of services. This study examines whether cancer survivors receive adequate screening and preventative care in UK primary care. We identified a cohort of long-term survivors of breast, colorectal and prostate cancer with at least a 5-year survival using the General Practice Research Database, with controls matched for age, gender and practice. We compared adherence with cancer screening and the use of preventative care between cancer survivors and controls. The cancer survivors’ cohort consisted of 18 612 breast, 5764 colorectal and 4868 prostate cancer survivors. Most cancer survivors receive cancer screening at the same levels as controls, except for breast cancer survivors who were less likely to receive a mammogram than controls (OR=0.78, 95% CI: 0.66–0.92). Long-term cancer survivors received comparable levels of influenza vaccinations and cholesterol tests, but breast (OR 0.81, 95% CI: 0.74–0.87) and prostate cancer survivors (OR=0.70, 95% CI: 0.57–0.87) were less likely to receive a blood pressure test. All survivors were more likely to receive bone densitometry. The provision and uptake of preventive care in a primary care setting in the United Kingdom is comparable between the survivors of three common cancers and those who have not had cancer. However, long-term breast cancer survivors in this cohort were less likely to receive a mammogram.
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影响因子：
4.2
作者：
Aziz, NM
通讯作者：
Aziz, NM
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作者：
GREENSTEIN, S;FOWBLE, BL;TROUPIN, RH
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TROUPIN, RH
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作者：
Maddams, J.;Brewster, D.;Moller, H.
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Moller, H.
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作者：
Duffy, CM;Clark, MA;Allsworth, JE
通讯作者：
Allsworth, JE
影响因子：
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作者：
Reid, David M.;Doughty, Julie;Coleman, Robert E.
通讯作者：
Coleman, Robert E.