用便免疫化学测试进行结肠直肠癌查:参与模式
Hanna Heyman1, Johannes Blom1, Deborah Saraste1
1Department of Surgery, Södersjukhuset, Stockholm and Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Journal of medical screening
|July 19, 2023
概括
在使用便免疫化学测试 (FIT) 的基于人口的结直肠癌 (CRC) 查中观察到高参与率. 最初的参与强烈预测了持续的参与,而提醒信则表明未来退出的风险更高.
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:
- 基于人口的查计划对于早期检测结直肠癌 (CRC) 是至关重要的.
- 便免疫化学测试 (FIT) 是一种广泛采用的CRC查方法.
- 了解参与模式是优化查计划有效性的关键.
研究的目的:
- 评估参与和识别基于人口的CRC查计划中的模式,使用FIT.
- 评估影响持续参与CRC查的因素.
主要方法:
- 瑞典斯德哥尔摩-戈特兰地区连续三轮查 (2015年10月 - 2020年12月) 的参与数据分析.
- 包括所有被邀请参加查计划的个人.
- 参与模式的评估,包括吸收率,一致的参与,以及对提醒信的回应.
主要成果:
- 在26,541名个人和79,623次查事件中,总体吸收率为71.5%.
- 女性的参与率高于男性;参与率在两种性别的查回合中显著增加.
- 持续参与是最常见的模式 (61.0%),在初次参与后,参加所有三轮比赛的概率为87.7%.
结论:
- 针对CRC的基于人口的FIT查表明参与率始终很高.
- 最初的参与是持续参与CRC查的强有力的预测指标.
- 需要提醒信的需要表明,随后退学的风险更高,突出了需要干预的领域.
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