Loss J, Eichhorn C, Nagel E
Institut für Medizinmanagement und Gesundheitswissenschaften, Universität Bayreuth.
Z Gastroenterol. 2006 Nov;44(11):1127-34. doi: 10.1055/s-2006-927082.
Although colorectal cancer is the second leading cause of cancer death in Germany, screening rates remain low. It is unknown whether local approaches to promoting colorectal cancer screening are effective. This study evaluates the effectiveness of a regional awareness campaign consisting of public information sessions and leaflet distribution, upon the use of colorectal cancer screening by faecal occult blood test (FOBT) and colonoscopy.
Data on FOBT and colonoscopy were collected by doctors for 12 months following the campaign, including reason for and result of the testing. 37 % (n = 43) of all physicians and practitioners in two administrative districts (249 632 inhabitants) that were exposed to the campaign participated in the study. It was recorded whether the individuals requesting colorectal cancer screening had been prompted by the campaign, so the number and outcome of campaign-related tests was determined.
3398 individuals (male: 54.6 %, female: 45.4 %, age: 64.3 +/- 8.3 years) underwent 3551 screening tests (2446 FOBT, 819 colonoscopy, 133 both). 141 additional diagnostic colonoscopies were performed because of a positive result in the FOBT. Adenomas were detected in 279 individuals, malignancies in 11 individuals. 225 FOBT (8.7 %) and 176 colonoscopies (18.5 %) were performed due to the campaign; among these individuals, 49 had adenoma(s), 1 had carcinoma. The effect could be attributed both to leaflets and to information sessions. The proportion of campaign-related screening tests declined over time.
The regional information campaign could reach target individuals and motivate them to utilise colorectal cancer screening. The combination of mass media and personal communicative elements seems useful.
尽管结直肠癌是德国癌症死亡的第二大主要原因，但筛查率仍然很低。目前尚不清楚促进结直肠癌筛查的局部方法是否有效。本研究评估了由公共信息会议和传单分发组成的区域宣传活动对粪便潜血试验（FOBT）和结肠镜检查在结直肠癌筛查中的应用效果。
医生在活动后的12个月内收集了关于FOBT和结肠镜检查的数据，包括检查原因和结果。两个行政区（249632名居民）中所有接触该活动的医生和从业者中有37%（n = 43）参与了研究。记录了要求进行结直肠癌筛查的个体是否受到该活动的促使，从而确定了与活动相关的检查数量和结果。
3398名个体（男性：54.6%，女性：45.4%，年龄：64.3±8.3岁）接受了3551次筛查（2446次FOBT，819次结肠镜检查，133次两者皆做）。由于FOBT结果呈阳性，另外进行了141次诊断性结肠镜检查。在279名个体中检测到腺瘤，11名个体中检测到恶性肿瘤。由于该活动，进行了225次FOBT（8.7%）和176次结肠镜检查（18.5%）；在这些个体中，49人患有腺瘤，1人患有癌症。这种效果可归因于传单和信息会议。与活动相关的筛查测试比例随时间下降。
区域宣传活动能够覆盖目标个体并促使他们进行结直肠癌筛查。大众媒体和个人沟通元素的结合似乎很有用。
