Follow-up colonoscopy after an abnormal stool-based colorectal cancer screening result: analysis of steps in the colonoscopy completion process.
Follow-up colonoscopy after an abnormal stool-based colorectal cancer screening result: analysis of steps in the colonoscopy completion process.
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DOI：
10.1186/s12876-021-01923-1
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发表时间：
2021-09-28
影响因子：
2.4
通讯作者：
Mummadi RR
中科院分区：
文献类型：
--
作者：
Coronado GD;Kihn-Stang A;Slaughter MT;Petrik AF;Thompson JH;Rivelli JS;Jimenez R;Gibbs J;Yadav N;Mummadi RR
粪便免疫化学检测（FIT）结果异常后延迟接受后续结肠镜检查与结直肠癌发病率和死亡率增加有关。对于联邦合格的健康中心完成后续结肠镜检查的模式知之甚少。我们提取了 2017 年 8 月 5 日至 2018 年 8 月 4 日期间 FIT 结果异常的健康中心患者的医疗记录，年龄为 50-75 岁（N = 711）。我们评估了一年内结肠镜检查转诊率、术前就诊完成率、结肠镜检查完成率以及结肠镜检查时间；这些结果与患者特征之间的关联；以及病历中发现的未完成的原因。在 711 名 FIT 结果异常的患者中，90% 的患者被转诊接受结肠镜检查，但只有 52% 的患者完成了术前访视，43% 的患者在 1 年内完成了结肠镜检查。进行结肠镜检查的中位时间为 83 天（四分位数范围：52-131 天）。 65-75 岁（对比 50-64 岁）、无保险（对比有保险）或上一年没有就诊（对比 ≥ 1 次门诊）的患者，术前就诊和结肠镜检查完成率相对较低。列出的未完成的常见原因是患者拒绝，或者提供者无法联系到患者。提高卫生中心结肠镜检查随访率的努力可能侧重于支持从初级胃肠病学护理过渡到专科胃肠病学护理，并强调对老年未参保患者和最近没有就诊的患者的护理。我们的研究结果可以为提高结肠镜检查随访率、缩短接受结肠镜检查的时间以及挽救结直肠癌患者的生命提供信息。试验注册：国家临床试验（NCT）标识符：NCT03925883。
Delays in receiving follow-up colonoscopy after an abnormal fecal immunochemical test (FIT) result are associated with increased colorectal cancer incidence and mortality. Little is known about patterns of follow-up colonoscopy completion in federally qualified health centers. We abstracted the medical records of health center patients, aged 50–75 years, who had an abnormal FIT result between August 5, 2017 and August 4, 2018 (N = 711). We assessed one-year rates of colonoscopy referral, pre-procedure visit completion, colonoscopy completion, and time to colonoscopy; associations between these outcomes and patient characteristics; and reasons for non-completion found in the medical record. Of the 711 patients with an abnormal FIT result, 90% were referred to colonoscopy, but only 52% completed a pre-procedure visit, and 43% completed a colonoscopy within 1 year. Median time to colonoscopy was 83 days (interquartile range: 52–131 days). Pre-procedure visit and colonoscopy completion rates were relatively low in patients aged 65–75 (vs. 50–64), who were uninsured (vs. insured) or had no clinic visit in the prior year (vs. ≥ 1 clinic visit). Common reasons listed for non-completion were that the patient declined, or the provider could not reach the patient. Efforts to improve follow-up colonoscopy rates in health centers might focus on supporting the care transition from primary to specialty gastroenterology care and emphasize care for older uninsured patients and those having no recent clinic visits. Our findings can inform efforts to improve follow-up colonoscopy uptake, reduce time to colonoscopy receipt, and save lives from colorectal cancer. Trial registration: National Clinical Trial (NCT) Identifier: NCT03925883.
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DOI：
10.1158/1055-9965.epi-15-0470
发表时间：
2016-02
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
--
作者：
Chubak J;Garcia MP;Burnett-Hartman AN;Zheng Y;Corley DA;Halm EA;Singal AG;Klabunde CN;Doubeni CA;Kamineni A;Levin TR;Schottinger JE;Green BB;Quinn VP;Rutter CM;PROSPR consortium
通讯作者：
PROSPR consortium
影响因子：
5.9
作者：
Quick, Benjamin W.;Hester, Christina M.;Greiner, K. Allen
通讯作者：
Greiner, K. Allen
DOI：
10.3322/caac.21452
发表时间：
2018-05
期刊：
CA: a cancer journal for clinicians
影响因子：
--
作者：
Doubeni CA;Gabler NB;Wheeler CM;McCarthy AM;Castle PE;Halm EA;Schnall MD;Skinner CS;Tosteson ANA;Weaver DL;Vachani A;Mehta SJ;Rendle KA;Fedewa SA;Corley DA;Armstrong K
通讯作者：
Armstrong K
影响因子：
6.2
作者：
Bharti, Balambal;May, Folasade (Fola) Popoola;Gupta, Samir
通讯作者：
Gupta, Samir
影响因子：
120.7
作者：
Corley, Douglas A.;Jensen, Christopher D.;Levin, Theodore R.
通讯作者：
Levin, Theodore R.