修订后的美国预防服务工作组筛查建议与波士顿医疗系统中结直肠癌筛查的种族/民族差异。
The Revised United States Preventive Services Task Force Screening Recommendations and Racial/Ethnic Differences in Colorectal Cancer Screening in a Boston Healthcare System.
机构信息
Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Department of Medicine, Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts, USA.
出版信息
Clin Transl Gastroenterol. 2024 Sep 1;15(9):e1. doi: 10.14309/ctg.0000000000000736.
INTRODUCTION
To evaluate the impact of the updated United States Preventive Services Task Force colorectal cancer (CRC) screening recommendations on screening rates in a large health system.
METHODS
We reviewed Massachusetts General Brigham electronic health record data for individuals eligible for CRC screening between January 3, 2020, and January 5, 2023, and calculated whether age-eligible individuals were up-to-date with CRC screening.
RESULTS
There were large declines in the percentage of individuals who were up-to-date with CRC screening for all racial/ethnic groups, with non-Hispanic Asians being largest (-13.5%).
DISCUSSION
Health systems should implement culturally tailored strategies to reach and screen newly eligible individuals for CRC screening to prevent worsening disparities in CRC.
简介
评估美国预防服务工作组（USPSTF）更新的结直肠癌（CRC）筛查建议对大型医疗系统中筛查率的影响。
方法
我们回顾了马萨诸塞州综合医院电子健康记录数据，其中包括 2020 年 1 月 3 日至 2023 年 1 月 5 日期间符合 CRC 筛查条件的个体，并计算了年龄符合条件的个体是否进行了 CRC 筛查。
结果
所有种族/族裔群体中，符合 CRC 筛查条件的个体比例均大幅下降，其中非西班牙裔亚裔降幅最大（-13.5%）。
讨论
医疗系统应实施文化适宜的策略，为新符合条件的个体提供 CRC 筛查，以防止 CRC 筛查的差异进一步恶化。
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