Shokar Navkiran K, Carlson Carol A, Shokar Gurjeet S
University of Texas Medical Branch, Galveston, TX 77555-1123, USA.
J Cancer Educ. 2006 Summer;21(2):84-8. doi: 10.1207/s15430154jce2102_9.
Colorectal cancer (CRC) screening rates remain low, despite widespread recommendations. The study purpose was to ascertain whether lack of CRC screening is attributable to physicians' failure to address CRC screening or to patients' failure to comply with physician recommendation. This relationship was also examined over time.
Retrospective chart review of 400 preventive health visits.
Physicians appropriately addressed screening 16.5% of the time during 1998-1999 and 51% of the time during 2002-2003 (P <or= .001). The rate of test completion by patients was 53% in 1998-1999 and 31% in 2002-2003, resulting in completed CRC screening rates of 5% and 16.5%, respectively (P <or= .001).
Further education is needed, especially to target patient barriers to CRC screening test completion.
尽管有广泛的建议，但结直肠癌（CRC）筛查率仍然很低。本研究的目的是确定未进行CRC筛查是由于医生未提及CRC筛查，还是患者未遵从医生的建议。同时也对这种关系随时间的变化进行了研究。
对400次预防性健康检查进行回顾性病历审查。
在1998 - 1999年期间，医生适当提及筛查的时间占16.5%，在2002 - 2003年期间占51%（P≤0.001）。患者的检查完成率在1998 - 1999年为53%，在2002 - 2003年为31%，导致CRC筛查的完成率分别为5%和16.5%（P≤0.001）。
需要进一步开展教育，尤其是针对阻碍患者完成CRC筛查检查的因素。
