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综合癌症筛查性能指标:一项系统评价。

Integrated Cancer Screening Performance Indicators: A Systematic Review.

作者信息

Mema Silvina C, Yang Huiming, Vaska Marcus, Elnitsky Sherry, Jiang Zhichang

机构信息

Interior Health Authority, Kelowna, British Columbia, Canada.

Alberta Health Services, Calgary, Alberta, Canada.

出版信息

PLoS One. 2016 Aug 12;11(8):e0161187. doi: 10.1371/journal.pone.0161187. eCollection 2016.

Abstract

Cancer screening guidelines recommend that women over 50 years regularly be screened for breast, cervical and colorectal cancers. Population-based screening programs use performance indicators to monitor uptake for each type of cancer screening, but integrated measures of adherence across multiple screenings are rarely reported. Integrated measures of adherence that combine the three cancers cannot be inferred from measures of screening uptake of each cancer alone; nevertheless, they can help discern the proportion of women who, having received one or two types of screening, may be more amenable to receiving one additional screen, compared to those who haven't had any screening and may experience barriers to access screening such as distance, language, and so on. The focus of our search was to identify indicators of participation in the three cancers, therefore our search strategy included synonyms of integrated screening, cervical, breast and colorectal cancer screening. Additionally, we limited our search to studies published between 2000 and 2015, written in English, and pertaining to females over 50 years of age. The following databases were searched: MEDLINE, EMBASE, EBM Reviews, PubMed, PubMed Central, CINAHL, and Nursing Reference Center, as well as grey literature resources. Of the 78 initially retrieved articles, only 7 reported summary measures of screening across the three cancers. Overall, adherence to cervical, breast and colorectal cancer screening ranged from around 8% to 43%. Our review confirms that reports of screening adherence across breast, cervical and colorectal cancers are rare. This is surprising, as integrated cancer screening measures can provide additional insight into the needs of the target population that can help craft strategies to improve adherence to all three screenings.

摘要

癌症筛查指南建议50岁以上的女性定期进行乳腺癌、宫颈癌和结直肠癌筛查。基于人群的筛查项目使用性能指标来监测每种癌症筛查的接受情况,但很少报告多种筛查综合的依从性指标。仅从每种癌症筛查接受情况的指标中无法推断出包含这三种癌症的综合依从性指标;然而,与未进行任何筛查且可能因距离、语言等因素面临筛查障碍的女性相比,这些指标有助于识别那些已经接受了一两种筛查、可能更愿意再接受一次筛查的女性比例。我们检索的重点是确定参与这三种癌症筛查的指标,因此我们的检索策略包括综合筛查、宫颈癌、乳腺癌和结直肠癌筛查的同义词。此外,我们将检索范围限制在2000年至2015年发表的、用英文撰写的、针对50岁以上女性的研究。我们检索了以下数据库:医学文献数据库(MEDLINE)、荷兰医学文摘数据库(EMBASE)、循证医学评价数据库(EBM Reviews)、美国国立医学图书馆生物医学文献数据库(PubMed)、美国国立医学图书馆生物医学文献中心数据库(PubMed Central)、护理学与健康领域数据库(CINAHL)和护理参考中心数据库,以及灰色文献资源。在最初检索到的78篇文章中,只有7篇报告了这三种癌症筛查的综合指标。总体而言,宫颈癌、乳腺癌和结直肠癌筛查的依从性范围约为8%至43%。我们的综述证实,关于乳腺癌、宫颈癌和结直肠癌筛查依从性的报告很少。这令人惊讶,因为综合癌症筛查指标可以为目标人群的需求提供更多见解,有助于制定提高所有三种筛查依从性的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3b4/4982666/e5027dc12a73/pone.0161187.g001.jpg

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