Hariprasad Roopa, John Amrita, Das H K, Bora Kaustubh, Singh Lucky, Khaund Purnananda, Hussain Aizaz, Singh Shalini
National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, India.
Regional Medical Research Centre, Dibrugarh, Assam, India.
J Family Med Prim Care. 2020 Jul 30;9(7):3688-3700. doi: 10.4103/jfmpc.jfmpc_40_20. eCollection 2020 Jul.
The three most commonly occurring cancers in India are those of the breast, uterine cervix, and lip or oral cavity, together accounting for approximately 34% of all cancers. All the three cancers are amenable to prevention, early detection, and treatment through which the morbidity and mortality due to these cancers can be reduced. This pilot study was conducted to assess the operational feasibility of the national cancer screening guidelines.
This study was conducted in the Dibrugarh district of Assam in seven tea garden hospitals which serve as the primary health centers for the tea estate population in the Northeast region of India. The study intervention was a three-day training package designed to train primary care physicians in population-based screening for oral, breast, and cervical cancers. Knowledge evaluation and skill assessment were performed with a validated questionnaire and checklist, respectively.
Pre and posttraining knowledge assessment showed significant gain in the knowledge levels of the participants in all topics. The greatest knowledge increase was seen in breast cancer (96.3%), followed by cervical cancer (57.5%), oral cancer (35.5%) and general cancer-related information (16.7%). The skill assessment done for each participant individually at the end of the training indicated a need for retraining all participants in breast cancer screening.
The learnings from this study will be of great help in scaling up the capacity building programme for cancer screening when the nation-wide population-based cancer screening programme will be rolled out in the country.
印度最常见的三种癌症是乳腺癌、子宫颈癌和唇癌或口腔癌，这三种癌症合计约占所有癌症的34%。这三种癌症都可通过预防、早期检测和治疗来降低其发病率和死亡率。本试点研究旨在评估国家癌症筛查指南的操作可行性。
本研究在阿萨姆邦迪布鲁格尔区的七家茶园医院开展，这些医院是印度东北地区茶园人口的主要医疗中心。研究干预措施是一个为期三天的培训包，旨在对基层医疗医生进行口腔癌、乳腺癌和宫颈癌的人群筛查培训。分别使用经过验证的问卷和检查表进行知识评估和技能评估。
培训前后的知识评估显示，参与者在所有主题上的知识水平都有显著提高。乳腺癌方面的知识增长最为显著（96.3%），其次是宫颈癌（57.5%）、口腔癌（35.5%）和一般癌症相关信息（16.7%）。培训结束时对每位参与者单独进行的技能评估表明，所有参与者都需要重新接受乳腺癌筛查培训。
当该国推出全国性的基于人群的癌症筛查计划时，本研究的经验教训将对扩大癌症筛查能力建设计划有很大帮助。
