Centre for Research into Cancer Prevention and Screening, University of Dundee, Dundee, UK.
Department of Colorectal Surgery, Ninewells Hospital and Medical School, Dundee, UK.
Br J Surg. 2018 Apr;105(5):529-534. doi: 10.1002/bjs.10758. Epub 2018 Feb 21.
Uptake of population-based screening for colorectal cancer in Scotland is around 55 per cent. Abdominal aortic aneurysm (AAA) screening has recently been introduced for men aged 65 years and the reported uptake is 78 per cent. The aim was to determine the impact of a brief intervention on bowel screening in men who attended AAA screening, but previously failed to complete bowel screening.
Men invited for AAA screening between September 2015 and March 2016 within NHS Tayside were included. Attendees who had not responded to their latest bowel screening invitation were seen by a colorectal cancer clinical nurse specialist. Reasons for not completing the faecal occult blood test (FOBT) were recorded; brief information on colorectal cancer screening was communicated, and participants were offered a further invitation to complete a FOBT. Those who responded positively were sent a further FOBT from the Scottish Bowel Screening Centre. Subsequent return of a completed FOBT within 6 months was recorded.
A total of 556 men were invited for AAA screening, of whom 38·1 per cent had not completed a recent FOBT. The primary reason stated for not participating was the time taken to complete the test or forgetting it (35·1 per cent). Other reasons included: lack of motivation (23·4 per cent), confusion regarding the aim of screening (16·2 per cent), disgust (19·8 per cent), fear (6·3 per cent) and other health problems (9·9 per cent). Following discussion, 81·1 per cent agreed to complete the FOBT and 49 per cent subsequently returned the test.
A substantial proportion of previous bowel screening non-responders subsequently returned a completed FOBT following a brief intervention with a nurse specialist. Attendance at non-bowel screening appointments may provide a valuable opportunity to improve bowel screening uptake.
苏格兰的基于人群的结直肠癌筛查率约为 55%。腹部主动脉瘤（AAA）筛查最近已开始面向 65 岁男性进行，报告的参与率为 78%。目的是确定对在接受 AAA 筛查但之前未能完成结直肠筛查的男性进行简短干预对肠道筛查的影响。
纳入 NHS 泰赛德（NHS Tayside）于 2015 年 9 月至 2016 年 3 月期间邀请参加 AAA 筛查的男性。未回复最新结直肠筛查邀请的参与者由结直肠癌临床护士专家进行检查。记录未完成粪便潜血试验（FOBT）的原因；提供有关结直肠筛查的简要信息，并为参与者提供再次完成 FOBT 的机会。对积极回应的人，由苏格兰肠道筛查中心（Scottish Bowel Screening Centre）再次寄发 FOBT。记录 6 个月内完成的 FOBT 的后续返回情况。
共有 556 名男性受邀参加 AAA 筛查，其中 38.1%的人未完成最近的 FOBT。未参加的主要原因是完成测试所需的时间或忘记测试（35.1%）。其他原因包括：缺乏动力（23.4%）、对筛查目的感到困惑（16.2%）、恶心（19.8%）、恐惧（6.3%）和其他健康问题（9.9%）。讨论后，81.1%的人同意完成 FOBT，其中 49%的人随后返回了测试结果。
在接受护士专家的简短干预后，相当一部分之前未进行结直肠筛查的人随后完成了 FOBT。参加非肠道筛查预约可能为提高肠道筛查参与率提供宝贵机会。
