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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.

DOI:10.1177/1553350606290163
PMID:17012147
Abstract

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.

摘要

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。

相似文献

1
Colorectal cancer screening: do we practice what we preach?结直肠癌筛查:我们言行一致吗?
Surg Innov. 2006 Jun;13(2):81-5. doi: 10.1177/1553350606290163.
2
Screening colonoscopy and fecal occult blood testing practice patterns: a population-based survey of gastroenterologists.结肠镜筛查和粪便潜血检测的实践模式:一项基于人群的胃肠病学家调查。
J Clin Gastroenterol. 2008 Nov-Dec;42(10):1089-94. doi: 10.1097/MCG.0b013e3181599bfc.
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Screening for colorectal cancer on the front line.一线结直肠癌筛查
Am J Gastroenterol. 2003 Apr;98(4):915-23. doi: 10.1111/j.1572-0241.2003.07360.x.
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Utilization of colorectal cancer screening tests: a 1997 survey of Massachusetts internists.结直肠癌筛查测试的应用:1997年对马萨诸塞州内科医生的一项调查。
Prev Med. 2001 Nov;33(5):381-91. doi: 10.1006/pmed.2001.0903.
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Strategies of follow-up for colorectal cancer: a survey of the American Society of Colon and Rectal Surgeons.结直肠癌的随访策略:美国结直肠外科医师学会的一项调查
Tech Coloproctol. 2006 Oct;10(3):199-207. doi: 10.1007/s10151-006-0280-3. Epub 2006 Sep 20.
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Family history and colorectal cancer screening: a survey of physician knowledge and practice patterns.家族病史与结直肠癌筛查:医生知识与实践模式调查
Am J Gastroenterol. 2002 Apr;97(4):1031-6. doi: 10.1111/j.1572-0241.2002.05624.x.
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Survey of the opinions, knowledge, and practices of gastroenterologists regarding colorectal cancer screening and use of the fecal occult blood test.胃肠病学家关于结直肠癌筛查及粪便潜血试验使用的意见、知识和实践调查
Am J Gastroenterol. 2000 Dec;95(12):3629-32. doi: 10.1111/j.1572-0241.2000.03381.x.
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Many participants in fecal occult blood test population screening have a higher-than-average risk for colorectal cancer.许多参与粪便潜血试验人群筛查的人患结直肠癌的风险高于平均水平。
Eur J Gastroenterol Hepatol. 2006 Oct;18(10):1079-83. doi: 10.1097/01.meg.0000231754.35340.fa.
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Adherence with colorectal cancer screening guidelines: a review.结直肠癌筛查指南的依从性:综述
Prev Med. 2004 May;38(5):536-50. doi: 10.1016/j.ypmed.2003.12.011.
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Predictors of colorectal screening in rural Colorado: testing to prevent colon cancer in the high plains research network.科罗拉多州农村地区结直肠癌筛查的预测因素:在高平原研究网络中预防结肠癌的检测
J Rural Health. 2007 Summer;23(3):238-45. doi: 10.1111/j.1748-0361.2007.00096.x.

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