Moreno Courtney C, Jarrett Thomas, Vey Brianna L, Mittal Pardeep K, Krupinski Elizabeth A, Roberts David L
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA.
Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Curr Probl Diagn Radiol. 2019 Jan;48(1):50-52. doi: 10.1067/j.cpradiol.2017.12.011. Epub 2018 Jan 6.
To assess patient knowledge about colorectal cancer incidence and prognosis as well as willingness to undergo screening with various tests (eg, optical colonoscopy, stool-based tests, computed tomographic colonography (CTC)).
A survey was administered to consecutive patients of a general academic-based internal medicine clinic.
Survey response rate was 86.3%. A majority of respondents (55%) reported being aware of general information about colorectal cancer, and 99% indicated a belief that colorectal cancer screening was a good idea. A majority of respondents (73%) were willing to undergo optical colonoscopy, and some were willing to undergo stool-based tests (48%), or CT colonography CTC (40%). A majority reported being more willing to undergo a colorectal cancer screening test if the test did not involve radiation (86%), did not involve insertion of a tube or device into the rectum (78%), did not involve a pre-proceduralpreprocedural bowel cleansing regimen (73%), or did not involve sedation (60%).
Improved patient education about the negligible radiation risk associated with CTC or development of a non-invasive imaging test that did not involve a preprocedural bowel cleansing regimen may increase rates of colorectal cancer screening.
评估患者对结直肠癌发病率和预后的了解情况，以及接受各种检查（如光学结肠镜检查、粪便检测、计算机断层结肠成像（CTC））进行筛查的意愿。
对一家普通学术型内科诊所的连续就诊患者进行了一项调查。
调查回复率为86.3%。大多数受访者（55%）表示了解结直肠癌的一般信息，99%的受访者认为结直肠癌筛查是个好主意。大多数受访者（73%）愿意接受光学结肠镜检查，一些人愿意接受粪便检测（48%）或CT结肠成像（40%）。大多数人表示，如果检查不涉及辐射（86%）、不涉及将管子或装置插入直肠（78%）、不涉及检查前的肠道清洁方案（73%）或不涉及镇静（60%），他们更愿意接受结直肠癌筛查测试。
加强患者对与CTC相关的可忽略不计的辐射风险的教育，或开发一种不涉及检查前肠道清洁方案的非侵入性成像检查，可能会提高结直肠癌筛查率。
