Kendell Cynthia, Urquhart Robin, Kyei Akua, Heitman Steven J, Tinmouth Jill
Department of Medicine, Dalhousie University, Halifax, NS B3H 2Y9, Canada.
Nova Scotia Health, Halifax, NS B3S 0H6, Canada.
Curr Oncol. 2024 Dec 18;31(12):8010-8022. doi: 10.3390/curroncol31120591.
The Canadian Screening for Colorectal Cancer Research Network (CanSCCRN) recently set out to develop a national CRC screening research agenda and identify priority research areas. The specific objectives were to (1) identify evidence gaps relevant to CRC screening and the barriers and facilitators to evidence generation and uptake by CRC screening programs, (2) establish high-priority collaborative research ideas to inform best CRC screening practices, and (3) identify one to two research topics for grant development and submission within 12 to 18 months. Three focus groups were conducted with network members and relevant parties ( = 15) to identify evidence gaps, barriers, and facilitators to evidence generation and uptake. Three workshops were subsequently held to discuss focus group findings and develop an action plan for research. An electronic survey was used to prioritize the evidence gaps to be addressed. Overall, five categories of barriers and six categories of facilitators to evidence uptake and generation were identified, as well as 23 evidence gaps to be addressed. Screening participation, post-polypectomy surveillance, and screening age range were identified as research priority research areas. Adequate resourcing and infrastructure, as well as partnerships with knowledge end users, are integral to addressing these research areas and advancing CRC screening programs in Canada and beyond.
加拿大结直肠癌筛查研究网络(CanSCCRN)最近着手制定一项全国性的结直肠癌筛查研究议程,并确定优先研究领域。具体目标是:(1)确定与结直肠癌筛查相关的证据空白,以及结直肠癌筛查项目产生和采用证据的障碍与促进因素;(2)确立高度优先的合作研究思路,为最佳的结直肠癌筛查实践提供信息;(3)在12至18个月内确定一至两个用于资助申请和提交的研究课题。与网络成员及相关方(共15人)进行了三个焦点小组讨论,以确定证据空白、证据产生和采用的障碍与促进因素。随后举办了三次研讨会,讨论焦点小组的结果并制定研究行动计划。通过一项电子调查对有待解决的证据空白进行优先排序。总体而言,确定了证据采用和产生的五类障碍、六类促进因素,以及23个有待解决的证据空白。筛查参与率、息肉切除术后监测和筛查年龄范围被确定为优先研究领域。充足的资源和基础设施,以及与知识终端用户的伙伴关系,对于解决这些研究领域以及推进加拿大国内外的结直肠癌筛查项目至关重要。