Abar Beau, Park Chanjun Syd, Dalawari Preeti, Klausner Howard, Ogedegbe Chinwe, Valassis Steven, Koneswaran Haran, Adler David, Bradley Keith
University of Rochester Medical Center, 265 Crittenden Blvd, Box 655c, Rochester, NY 14620 USA.
Saint Louis University School of Medicine, St. Louis, MO USA.
Emerg Cancer Care. 2022;1(1):12. doi: 10.1186/s44201-022-00012-7. Epub 2022 Oct 21.
Despite unanimous recommendations from numerous specialty societies on regular colorectal cancer screening, a substantial proportion of eligible adults are non-adherent with screening. The current study investigated whether research associates (RAs) in the emergency department (ED) can adequately assess patients' adherence with colorectal cancer screening recommendations, outlined by the US Preventive Services Task Force (USPSTF), and provide referrals to individuals who are found to be non-adherent.
RAs at seven heterogeneous hospitals in the USA queried non-emergent adult patients and visitors between the ages of 50 and 75. After obtaining verbal consent, the participant's adherence with USPSTF guidelines for colorectal cancer screening was assessed. Participants found due for screening were provided with referrals to obtain these recommended screenings.
A total of 8258 participants were surveyed on their colorectal cancer screening status, with RAs identifying 2063 participants who were not adherent with USPSTF guidelines for colorectal cancer screening and 67 for whom adherence could not be determined (total 27%).
Our study demonstrates that RAs can identify a large volume of eligible adults who would benefit from colorectal cancer screening across a variety of emergency department settings.
尽管众多专业学会一致建议定期进行结直肠癌筛查，但仍有相当一部分符合条件的成年人未坚持筛查。本研究调查了急诊科的研究助理（RAs）能否充分评估患者对美国预防服务工作组（USPSTF）概述的结直肠癌筛查建议的依从性，并为未坚持筛查的个体提供转诊服务。
美国七家不同医院的研究助理询问了年龄在50至75岁之间的非急诊成年患者和访客。在获得口头同意后，评估参与者对USPSTF结直肠癌筛查指南的依从性。被发现应进行筛查的参与者被提供转诊服务以获得这些推荐的筛查。
共对8258名参与者的结直肠癌筛查状况进行了调查，研究助理识别出2063名未遵循USPSTF结直肠癌筛查指南的参与者，以及67名无法确定依从性的参与者（总计27%）。
我们的研究表明，研究助理能够识别出大量符合条件的成年人，他们将在各种急诊科环境中从结直肠癌筛查中受益。
