昆士兰全科医生对结直肠癌筛查的态度、知识和实践

Attitudes, knowledge and practice of CRC screening among GPs in Queensland.

作者信息

Youl Philippa H, Jackson Claire, Oldenburg Brian, Brown Christopher, Dunn Jeff, Aitken Joanne

机构信息

Viertel Centre for Research in Cancer Control, Queensland Cancer Fund, Queensland.

出版信息

Aust Fam Physician. 2006 Jul;35(7):547-50.

PMID:16820832

Abstract

BACKGROUND

Colorectal cancer (CRC) is the most common invasive cancer in Australia. Randomised trials have shown that mortality from CRC can be reduced with the use of screening modalities such as faecal occult blood testing (FOBT). This study sought to determine current attitudes, knowledge and practices of general practitioners in relation to CRC screening.

METHODS

A cross sectional survey of 1500 GPs in Queensland.

RESULTS

Responses were received from 769 (55.6%) GPs. Fifty-three percent of GPs recommended using FOBT for asymptomatic patients over 50 years of age and 18.6% would recommend colonoscopy in such patients. Compared to a previous survey, GPs are now more likely to use FOBT (RR: 2.01, 95% CI: 1.58-2.56). Two-thirds (66.7%) would support a population based screening program using FOBT, an increase of 16% over 3 years.

DISCUSSION

Current use of FOBT in asymptomatic patients, support for population based FOBT, and knowledge of the benefits of CRC screening has increased significantly from previous surveys.

摘要

背景

结直肠癌（CRC）是澳大利亚最常见的侵袭性癌症。随机试验表明，使用粪便潜血试验（FOBT）等筛查方式可降低CRC死亡率。本研究旨在确定全科医生对CRC筛查的当前态度、知识和实践。

方法

对昆士兰州1500名全科医生进行横断面调查。

结果

收到了769名（55.6%）全科医生的回复。53%的全科医生建议对50岁以上无症状患者使用FOBT，18.6%的医生会建议此类患者进行结肠镜检查。与之前的调查相比，全科医生现在更有可能使用FOBT（相对风险：2.01，95%置信区间：1.58 - 2.56）。三分之二（66.7%）的人会支持使用FOBT的基于人群的筛查项目，比3年前增加了16%。