Myers R E, Balshem A M, Wolf T A, Ross E A, Millner L
Population Science Division, Fox Chase Cancer Center, Cheltenham, Pa. 19012.
Am J Public Health. 1993 Nov;83(11):1620-2. doi: 10.2105/ajph.83.11.1620.
This prospective study was done in a health maintenance organization colorectal cancer screening program to determine whether 166 persons found to have abnormal fecal occult blood test results typically underwent complete diagnostic evaluation (i.e., either colonoscopy or barium enema x-ray plus flexible sigmoidoscopy). Chart audit data show that 137 (82%) subjects contacted a physician to discuss follow-up. A complete diagnostic evaluation was recommended to only 52 (38%) patients who talked with a physician. Forty-two (81%) patients who were advised to get a complete diagnostic evaluation actually complied. Significant differences in clinical findings were observed for patients who did and did not have a complete diagnostic evaluation.
这项前瞻性研究是在一个健康维护组织的结肠直肠癌筛查项目中进行的，目的是确定166名粪便潜血试验结果异常的人是否通常会接受全面的诊断评估（即结肠镜检查或钡灌肠X线检查加乙状结肠镜检查）。病历审核数据显示，137名（82%）受试者联系了医生讨论后续检查。在与医生交谈的患者中，只有52名（38%）被建议进行全面的诊断评估。在被建议进行全面诊断评估的42名（81%）患者中，实际遵照建议进行了检查。对接受和未接受全面诊断评估的患者的临床检查结果进行了显著差异观察。
