Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Mayo Clinic, Rochester, MN, USA.
Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Cancer Control. 2020 Jan-Dec;27(1):1073274820977112. doi: 10.1177/1073274820977112.
We conducted a survey of primary care clinicians and gastroenterologists (n = 938) between 11/06/19-12/06/19 to assess knowledge and attitudes regarding colorectal cancer screening. We assessed clinicians' attitudes toward lowering the colorectal cancer screening initiation age to 45 years, a topic of current debate. We also evaluated provider and practice characteristics associated with agreement. Only 38.1% of primary care clinicians endorsed colorectal cancer screening initiation at age 45 years, compared to 75.5% of gastroenterologists (p < .0001). Gastroenterologists were over 5 times more likely than primary care clinicians to endorse lowering the screening initiation age (OR = 5.30, 3.54-7.93). Other factors found to be independently associated with agreement with colorectal cancer screening initiation at age 45 years included seeing more than 25 patients per day (vs. fewer) and suburban (vs. urban) location. Results emphasize the need for collaboration between primary care clinicians and gastroenterologists to ensure that patients receive consistent messaging and evidence-based care.
我们于 2019 年 11 月 6 日至 12 月 6 日对初级保健临床医生和胃肠病学家（n=938）进行了调查，以评估他们对结直肠癌筛查的知识和态度。我们评估了临床医生对将结直肠癌筛查起始年龄降低至 45 岁的态度，这是当前争论的话题。我们还评估了与一致性相关的提供者和实践特征。只有 38.1%的初级保健临床医生支持将结直肠癌筛查起始年龄定为 45 岁，而胃肠病学家的这一比例为 75.5%（p<0.0001）。与初级保健临床医生相比，胃肠病学家更有可能支持将筛查起始年龄降低至 45 岁（OR=5.30，3.54-7.93）。其他与支持 45 岁开始结直肠癌筛查相关的独立因素包括每天看诊超过 25 名患者（而非少于 25 名患者）和在郊区（而非城市）行医。研究结果强调了初级保健临床医生和胃肠病学家之间需要合作，以确保患者获得一致的信息和基于证据的治疗。
