[在非斯省健康中心工作的全科医生的癌症筛查实践]

[Cancer screening practices of general practitioners working in the Fez Prefecture health center].

作者信息

El Fakir Samira, Abda Naima, Najdi Adil, Bendahou Karima, Obtel Majdouline, Berraho Mohamed, Nejjari Chakib

出版信息

Sante Publique. 2013 Sep-Oct;25(5):685-91.

Abstract

INTRODUCTION

General practitioners can play a key role in prevention and early detection of cancer. The aim of this study was to assess their current clinical practices concerning risk factors such as smoking, alcohol, diet and cancer screening.

METHOD

A self-administered questionnaire was sent to GPs working at the Fez Prefecture health centre (Morocco).Questions concerned primary prevention (smoking, alcohol, diet, sun exposure) and cancer screening (breast, uterine cervix, colon-rectum, prostate, skin cancers).

RESULTS

The participation rate was 75.8%. The average age of GPs was 45.6 ± 6.8 years and 53.8% were female. Monitoring training on cancer prevention was reported by 25.6% of GPs. We noted a great diversity for screening, even for cancers with a consensus concerning the role of screening, such as breast, and uterine cervix cancers. Many physicians reported ordering prostate- specific antigen tests (70.2%) but only 6.7% ordered faecal occult blood tests.

CONCLUSION

This study emphasizes the need to improve the general practitioners' knowledge on cancer screening.

摘要

引言

全科医生在癌症预防和早期检测中可发挥关键作用。本研究旨在评估他们目前在吸烟、饮酒、饮食等风险因素及癌症筛查方面的临床实践。

方法

向在非斯省卫生中心（摩洛哥）工作的全科医生发放了一份自填式问卷。问题涉及一级预防（吸烟、饮酒、饮食、日晒）和癌症筛查（乳腺癌、子宫颈癌、结直肠癌、前列腺癌、皮肤癌）。

结果

参与率为75.8%。全科医生的平均年龄为45.6±6.8岁，53.8%为女性。25.6%的全科医生报告接受过癌症预防监测培训。我们注意到在筛查方面存在很大差异，即使是对于筛查作用已达成共识的癌症，如乳腺癌和子宫颈癌。许多医生报告开具前列腺特异性抗原检测（70.2%），但只有6.7%的医生开具粪便潜血检测。