米国における都市学術医療システムにおける臓がんスクリーニングに関連する医療提供者の特徴
PubMedで要約を見る
まとめ
この要約は機械生成です。最近のガイドライン以前は ほとんどの医療従事者は高リスク患者に対して 門がんのスクリーニングを行っていなかった. 検診率は低かった.特にHIV陽性,非白人,シスジェンダーの女性は,改善の必要性を示していた.
科学分野
- 腫瘍学
- 公衆衛生
- 感染症
背景
- 新しいガイドラインは,HIV感染者,婦人科がん歴,コンディロマ・アクミナタ,固体臓器移植を含む優先集団における門がんのスクリーニングを提唱しています.
- これらのガイドライン以前の医療従事者の間で米国における門がんスクリーニングの慣行は,ほとんど特徴づけられていない.
研究 の 目的
- アメリカの都市部の医療システムにおける臓がん検診の実践と提供者の特徴を調査する.
- 医療従事者の間で臓がんのスクリーニング行動に関連する要因を特定する.
主な方法
- 2015年1月1日から2022年8月1日までの診療の分析
- 臓がんのスクリーニングに関連する提供者要因を特定するために,チ2テストとロジスティック回帰を用いた.
- 感染症 (ID),初等医療提供者 (PCP),産婦人科医 (OBGYNs) を含む,異なる提供者のスクリーニング行動を調べた.
主要な成果
- 1098人の医療従事者のうち48. 5%が少なくとも1回の門がんスクリーニングを行った.
- スクリーニングは感染症の提供者の中で最も頻繁であり (93. 8%) OBGYNs (28. 3%).
- 優先集団の年間スクリーニング率は,すべての分野において低かったが,高解像度アノスコピーの訓練を受けた人々の割合は高かった.
- HIV感染者が少なく シスジェンダーの女性が多く 白人でない患者が多くいる場合 検査を受ける可能性が低いのです
結論
- リスクの高い患者を診る医療従事者の多くは 門がん検診を行っていない.
- 様々な医療分野での年間スクリーニングレベルは低かった.
- 標的型戦略は,特にHIV陽性,非白人,シスジェンダーの女性の検を強化するために不可欠です.
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