Eisinger François, Cals Laurent, Calazel-Benque Anne, Blay Jean-Yves, Coscas Yvan, Dolbeault Sylvie, Namer Moïse, Pivot Xavier, Rixe Olivier, Serin Daniel, Roussel Claire, Morère Jean-François
Paoli Calmettes Institute; INSERM UMR599 232 Bd, St Marguerite, 13009 Marseille, France.
BMC Cancer. 2008 Apr 15;8:104. doi: 10.1186/1471-2407-8-104.
Colorectal cancer (CRC) screening has been shown to decrease CRC mortality. Organised mass screening programs are being implemented in France. Its perception in the general population and by general practitioners is not well known.
Two nationwide observational telephone surveys were conducted in early 2005. First among a representative sample of subjects living in France and aged between 50 and 74 years that covered both geographical departments with and without implemented screening services. Second among General Practionners (Gps). Descriptive and multiple logistic regression was carried out.
Twenty-five percent of the persons(N = 1509) reported having undergone at least one CRC screening, 18% of the 600 interviewed GPs reported recommending a screening test for CRC systematically to their patients aged 50-74 years. The odds ratio (OR) of having undergone a screening test using FOBT was 3.91 (95% CI: 2.49-6.16) for those living in organised departments (referent group living in departments without organised screening), almost twice as high as impact educational level (OR = 2.03; 95% CI: 1.19-3.47).
CRC screening is improved in geographical departments where it is organised by health authorities. In France, an organised screening programs decrease inequalities for CRC screening.
结直肠癌（CRC）筛查已被证明可降低CRC死亡率。法国正在实施有组织的大规模筛查项目。其在普通人群和全科医生中的认知情况尚不清楚。
2005年初进行了两项全国性观察性电话调查。第一项调查针对居住在法国、年龄在50至74岁之间的具有代表性的样本，涵盖了已实施筛查服务和未实施筛查服务的地理区域。第二项调查针对全科医生（GPs）。进行了描述性和多元逻辑回归分析。
25%的人（N = 1509）报告至少接受过一次CRC筛查，600名受访全科医生中有18%报告系统地向其50 - 74岁的患者推荐CRC筛查测试。对于居住在有组织筛查区域的人群（以居住在无组织筛查区域的人群为参照组），使用粪便潜血试验（FOBT）进行筛查测试的优势比（OR）为3.91（95%置信区间：2.49 - 6.16），几乎是受教育程度影响的两倍（OR = 2.03；95%置信区间：1.19 - 3.47）。
在由卫生当局组织开展CRC筛查的地理区域，筛查情况有所改善。在法国，有组织的筛查项目减少了CRC筛查方面的不平等现象。
