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初级保健干预对结直肠癌早期检测项目的影响。

Impact of a Primary Care intervention on the colorectal cancer early detection programme.

作者信息

Luque Mellado Francisco José, Paino Pardal Lidia, Condomines Feliu Isabel, Tora-Rocamora Isabel, Cuadras Rofastes Mercè, Romero Díaz Elvira, Pacheco Ortiz Maribel, Camuñez Bravo Juan Carlos, Aldea Marta, Grau Cano Jaume

机构信息

Equipo de Atención Primaria Guineueta, Institut Català de la Salut, Barcelona, España.

Equipo de Atención Primaria Guineueta, Institut Català de la Salut, Barcelona, España.

出版信息

Gastroenterol Hepatol. 2019 Jun-Jul;42(6):351-361. doi: 10.1016/j.gastrohep.2019.01.007. Epub 2019 Apr 4.

Abstract

AIM

To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain.

PATIENTS AND METHODS

The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease.

RESULTS

We made 3,327 phone calls to 2,343 people. After the intervention the participation rate was 54.9%, which meant an increase of 5.7% with respect to the participation in the usual protocol for the programme (49.2%). The intervention allowed 5cancers, 2high-risk neoplasms and 8low- and intermediate-risk lesions to be diagnosed. An average of 9phone calls was necessary to achieve the participation of one additional person.

DISCUSSION

The telephonic intervention performed by primary care professionals has significantly increased the population participation rate and the detection of neoplasms with respect to the usual colorectal cancer early detection programme protocol.

摘要

目的

评估西班牙巴塞罗那吉内乌埃塔基本城市卫生区初级保健专业人员对第一轮结直肠癌早期检测计划非参与者进行电话访谈的有效性。

患者与方法

吉内乌埃塔初级卫生保健团队使用标准化电话呼叫协议联系了那些未对第一轮结直肠癌早期检测计划邀请做出回应的人。我们基于参与情况和诊断出的疾病分析了干预措施的影响。

结果

我们给2343人打了3327个电话。干预后参与率为54.9%,这意味着相较于该计划常规方案的参与率(49.2%)提高了5.7%。该干预使得5例癌症、2例高危肿瘤和8例低危及中危病变得以诊断。平均需要打9个电话才能使另外一人参与进来。

讨论

相较于常规的结直肠癌早期检测计划方案,初级保健专业人员进行的电话干预显著提高了人群参与率和肿瘤检出率。

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