Barley Elizabeth, Borschmann Rohan, Walters Paul, Tylee Andre
Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK.
Cochrane Database Syst Rev. 2013 Jul 16(7):CD009641. doi: 10.1002/14651858.CD009641.pub2.
Adults with severe mental illness (i.e. schizophrenia or other related psychotic disorders and bipolar disorder) can be at greater risk of cancer than those without severe mental illness (SMI). Early detection of cancer through screening is effective in improving patient outcomes including death. However, people with SMI are less likely than others to take up available cancer screening.
To determine the effectiveness of interventions targeted at adults with SMI, or their carers or health professionals, and aimed at increasing the uptake of cancer screening tests for which the adults with SMI are eligible.
We searched electronically the Cochrane Schizophrenia Group's Register (25th October 2012).
All randomised controlled trials (RCTs) of interventions, targeted towards adults with SMI or their carers or health professionals, to encourage uptake of cancer screening tests for which the adults with SMI were eligible.
Two review authors independently screened titles and abstracts and assessed these against the inclusion criteria.
We did not find any trials that met the inclusion criteria.
AUTHORS' CONCLUSIONS: A comprehensive search showed that currently there is no RCT evidence for any method of encouraging cancer screening uptake in people with SMI. No specific approach can therefore be recommended. High-quality, large-scale RCTs are needed urgently to help address the disparity between people with SMI and others in cancer screening uptake.
患有严重精神疾病（即精神分裂症或其他相关精神障碍以及双相情感障碍）的成年人比没有严重精神疾病的人患癌症的风险更高。通过筛查早期发现癌症对于改善包括死亡在内的患者预后是有效的。然而，患有严重精神疾病的人比其他人接受现有癌症筛查的可能性更小。
确定针对患有严重精神疾病的成年人、其护理人员或卫生专业人员的干预措施的有效性，旨在提高患有严重精神疾病的成年人符合条件的癌症筛查测试的接受率。
我们通过电子方式检索了Cochrane精神分裂症研究组注册库（2012年10月25日）。
所有针对患有严重精神疾病的成年人、其护理人员或卫生专业人员的干预措施的随机对照试验（RCT），以鼓励接受患有严重精神疾病的成年人符合条件的癌症筛查测试。
两位综述作者独立筛选标题和摘要，并根据纳入标准对其进行评估。
我们未找到任何符合纳入标准的试验。
全面检索表明，目前尚无RCT证据支持任何鼓励患有严重精神疾病的人接受癌症筛查的方法。因此，无法推荐任何具体方法。迫切需要高质量、大规模的RCT来帮助解决患有严重精神疾病的人与其他人在癌症筛查接受率方面的差距。
