结直肠癌筛查：我们言行一致吗？
Colorectal cancer screening: do we practice what we preach?
作者信息
Colquhoun Patrick, Weiss Eric G, Efron Jonathan, Nogueras Juan J, Vernava Anthony M, Wexner Steven D
机构信息
Department of Colorectal Surgery, Cleveland Clinic Florida, Weston and Naples, Florida 3331, USA.
出版信息
Surg Innov. 2006 Jun;13(2):81-5. doi: 10.1177/1553350606290163.
OBJECTIVE
Compliance rates for colorectal cancer screening have been reported as low, and ignorance is the most common factor sighted to explain this. The aim of this study was to determine screening compliance among colorectal surgeons assumed to be educated of the risks of colorectal cancer.
METHODS
A postal survey was distributed to the members of the American Society of Colon and Rectal Surgeons.
RESULTS
A total of 1195 members were surveyed. All respondents indicated that they advocate screening. Colonoscopy every 10 years and annual fecal occult blood testing were the most common strategies advocated to individuals with baseline risk. Colonoscopy every 5 years and annual fecal occult blood testing were the most common strategies advocated to patients with a first-degree relative with polyps or cancer. Most of these colorectal surgeons initiated their screening before 50 years of age.
CONCLUSION
Colorectal cancer screening compliance is high among members of the American Society of Colon and Rectal Surgeons. These rates may be the result of awareness of the risks of colorectal cancer.
目的
据报道，结直肠癌筛查的依从率很低，而无知是解释这一现象最常见的因素。本研究的目的是确定那些被认为了解结直肠癌风险的结直肠外科医生的筛查依从情况。
方法
向美国结直肠外科医师协会的成员发放了一份邮寄调查问卷。
结果
共对1195名成员进行了调查。所有受访者均表示他们提倡筛查。对于基线风险人群，每10年进行一次结肠镜检查和每年进行一次粪便潜血检测是最常见的提倡策略。对于有一级亲属患息肉或癌症的患者，每5年进行一次结肠镜检查和每年进行一次粪便潜血检测是最常见的提倡策略。这些结直肠外科医生大多在50岁之前就开始进行筛查。
结论
美国结直肠外科医师协会成员的结直肠癌筛查依从率很高。这些比率可能是对结直肠癌风险有认识的结果。
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