Braun Kay-Patrick, Maurer Julia, Wolff Ingmar, Vogel Torsten, Lebentrau Steffen, May Matthias, Herrmann Markus
Institute of General Medicine, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
MVZ Dr. Braun GmbH, Cottbus, Germany.
Prim Health Care Res Dev. 2024 Dec 16;25:e68. doi: 10.1017/S1463423624000653.
This study investigates the level of knowledge and utilization of colorectal cancer (CRC) and prostate cancer (PCa) early detection measures (EDMs) over a period of 12 years in general practice from the patient's perspective.
The role of general practitioners (GPs) in EDMs for CRC and PCa in Germany is not well-documented with comprehensive data.
We conducted a patient-centric survey in the German federal state of Berlin-Brandenburg at a 12-year interval to examine the role of GPs in EDMs for CRC and PCa. In 2009, 55 GPs were tasked with informing 50 consecutive male patients, each aged over 35, about participating in a survey study (study phase 1/SP1). To evaluate changes over 12 years, a new survey involving 50 male patients from each of 150 GPs was conducted from October 2021 to March 2022 (SP2).
We thoroughly reviewed the questionnaires of 890 patients, with 755 in SP1 and 135 in SP2. Patients showed greater awareness of recommendations regarding colonoscopy compared to prostate-specific antigen (PSA) testing. GPs were the most frequently reported source of information for both EDMs in our cohort. Comparing the two study phases, no significant difference in specific awareness of colonoscopy or PSA testing was found among men eligible for EDMs. However, there was a notable increase in the role of health insurance companies as a source of information about colonoscopy over time. Nearly 60% of included patients underwent colonoscopy and/or PSA testing as EDMs.
The number of EDMs performed among study participants did not increase over time. Our study confirms that GPs remain the primary source of information about EDMs among the study participants.
本研究从患者角度调查了12年间全科医疗中结直肠癌（CRC）和前列腺癌（PCa）早期检测措施（EDMs）的知识水平和使用情况。
德国全科医生（GPs）在CRC和PCa的EDMs中的作用尚无全面数据的充分记录。
我们在德国联邦州柏林-勃兰登堡每隔12年进行一次以患者为中心的调查，以研究GPs在CRC和PCa的EDMs中的作用。2009年，55名全科医生负责告知连续50名年龄超过35岁的男性患者参与一项调查研究（研究阶段1/SP1）。为评估12年间的变化，2021年10月至2022年3月进行了一项新调查，涉及150名全科医生中每位医生的50名男性患者（SP2）。
我们全面审查了890名患者的问卷，其中SP1有755名，SP2有135名。与前列腺特异性抗原（PSA）检测相比，患者对结肠镜检查建议的知晓度更高。在我们的队列中，全科医生是这两种EDMs最常被报告的信息来源。比较两个研究阶段，符合EDMs条件的男性在结肠镜检查或PSA检测的具体知晓度上没有显著差异。然而，随着时间推移，健康保险公司作为结肠镜检查信息来源的作用显著增加。近60%的纳入患者接受了结肠镜检查和/或PSA检测作为EDMs。
研究参与者中进行的EDMs数量未随时间增加。我们的研究证实，全科医生仍然是研究参与者中EDMs信息的主要来源。
