Benito L, García M, Binefa G, Mila N, Vidal C, Lluch M T, Puig M
Cancer Prevention and Control Program, Catalan Institute of Oncology, Hospitalet de Llobregat (Barcelona), Spain.
IDIBELL, Institute of Biomedical Research, Hospitalet de Llobregat (Barcelona), Spain.
Eur J Cancer Care (Engl). 2016 Nov;25(6):992-1004. doi: 10.1111/ecc.12450. Epub 2016 Feb 16.
This study aimed to assess whether primary health care professionals have accurate information regarding colorectal cancer (CRC) screening procedures, surveillance recommendations and referral strategies. This cross-sectional descriptive study was based on a survey conducted among primary health care professionals in Barcelona, Spain. The questionnaire was used to gather information regarding CRC screening procedures as well as demographic and professional characteristics of the study subjects. A CRC and screening awareness score (ranging from 0 to 12) was created based on the survey questions. The response rate was 58.9% (206/305). The estimated mean score (standard deviation) was 8.43 (SD: 1.30). For four questions, more than 60% of the answers were incorrect: one related to risk factors, two concerning follow-up colonoscopy, and one related to surveillance. Only 30.8% of the participants believed that they were responsible for determining the appropriate surveillance intervals and for scheduling colonoscopies. Although the professionals had sufficient knowledge of CRC screening, professional knowledge of some aspects related to the major non-modifiable risk factors for the disease and surveillance colonoscopy procedures could be improved. Frequent communication with professionals is necessary to maintain updated screening-related information. Possible methods for facilitating communication could include continuous briefings, regular message reminders or educational websites.
本研究旨在评估初级卫生保健专业人员是否掌握有关结直肠癌(CRC)筛查程序、监测建议和转诊策略的准确信息。这项横断面描述性研究基于对西班牙巴塞罗那初级卫生保健专业人员进行的一项调查。该问卷用于收集有关CRC筛查程序以及研究对象的人口统计学和专业特征的信息。根据调查问题创建了一个CRC及筛查知晓度评分(范围为0至12分)。回复率为58.9%(206/305)。估计平均得分(标准差)为8.43(标准差:1.30)。对于四个问题,超过60%的答案不正确:一个与风险因素有关,两个与结肠镜随访有关,一个与监测有关。只有30.8%的参与者认为他们负责确定适当的监测间隔并安排结肠镜检查。尽管专业人员对CRC筛查有足够的了解,但对于该疾病主要不可改变的风险因素和监测结肠镜检查程序等某些方面的专业知识仍有待提高。有必要与专业人员进行频繁沟通以保持最新的筛查相关信息。促进沟通的可能方法包括持续简报、定期信息提醒或教育网站。