在COVID-19大流行期间,以便为基础的结直肠癌查的采用变化
Eric A Miller1, Paul F Pinsky2
1Division of Cancer Prevention, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA. Eric.Miller2@nih.gov.
Cancer causes & control : CCC
|June 13, 2023
概括
在COVID-19大流行期间,对结直肠癌 (CRC) 的家庭查 (SBS) 显著增加. 这种SBS的增加为提高CRC查率提供了一个有希望的途径,特别是对于那些避免内镜手术的人来说.
科学领域:
- 公共卫生 公共卫生
- 癌症查 癌症查
- 流行病学 流行病学
背景情况:
- 结肠直肠癌 (CRC) 查至关重要,但未得到充分利用.
- 内镜查面临的障碍,由COVID-19流行病放大.
- 在家中以便为基础的查 (SBS) 在大流行期间作为一种替代方案出现.
研究的目的:
- 分析COVID-19大流行期间SBS吸收的变化.
- 评估不符合内镜查指南的成年人中SBS采用的情况.
- 检查疫情影响的查偏好的变化.
主要方法:
- 利用了2019年和2021年国家卫生面试调查.
- 专注于50-75岁的成年人,没有先前CRC诊断或指导方针一致的内镜查.
- 采用后勤回归来分析人口和健康特征的吸收变化.
主要成果:
- 总体而言,从2019年到2021年,SBS采用率增加了74% (从8.7%到15.1%).
- 在50-52岁年龄组中观察到SBS的最大增加,将内镜与SBS的比率转移.
- 在此期间,医疗保健提供者对Cologuard的推显著增加.
结论:
- 在大流行期间,SBS的使用和推大幅增长.
- 提高患者对SBS的认识可能会提高未来的CRC查率.
- SBS可能会接触到犹或无法接受内镜查的个人.
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