重新思考再次准备：对非侵入性结直肠癌筛查测试在不充分肠道准备后的态度。
Rethinking the Re-Prep: Attitudes Toward Noninvasive Colorectal Cancer Screening Tests After Inadequate Bowel Preparation.
机构信息
Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Veterans Affairs Medical Center, Ann Arbor, Michigan, USA.
出版信息
Am J Gastroenterol. 2019 Oct;114(10):1685-1687. doi: 10.14309/ajg.0000000000000356.
OBJECTIVES
To assess patient preferences for colorectal cancer screening with stool-based tests after initial colonoscopy with suboptimal bowel preparation.
METHODS
An online scenario-based survey of adults aged 45 to 75 years at average risk for colorectal cancer was performed.
RESULTS
When presented with a hypothetical scenario of screening colonoscopy with suboptimal bowel preparation, 59% of respondents chose stool-based testing as a next step, 29% preferred a repeat colonoscopy within a year, and 12% preferred a repeat colonoscopy in 10 years (N = 1,080).
CONCLUSIONS
Clinicians should consider offering stool-based screening tests as an alternative to repeat colonoscopy after suboptimal bowel preparation.
目的
评估初始结肠镜检查肠道准备不充分后，患者对基于粪便的结直肠癌筛查检测的偏好。
方法
对年龄在 45 至 75 岁、结直肠癌平均风险的成年人进行了一项基于在线情景的调查。
结果
当呈现出肠道准备不充分的筛查结肠镜检查的假设情景时，59%的受访者选择基于粪便的检测作为下一步，29%的人更喜欢在一年内进行重复结肠镜检查，12%的人更喜欢在 10 年内进行重复结肠镜检查（N=1080）。
结论
临床医生应考虑在肠道准备不充分后，将基于粪便的筛查检测作为重复结肠镜检查的替代方案。
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