基于预测风险的结肠直肠癌查决定:试点随机对照试验的协议
Ekaterina Plys1, Jean-Luc Bulliard1, Aziz Chaouch1
1Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
JMIR research protocols
|September 7, 2023
概括
个性化结肠直肠癌 (CRC) 风险信息增加了适当的查测试. 这项试点研究评估了基于风险的CRC查的可行性,旨在优化资源分配和查效益.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 查,包括便免疫化学测试 (FIT) 和结肠镜检查,可以减少发病率和死亡率.
- 个体CRC风险差异很大,需要个性化查方法.
- 目前基于风险的查策略面临着关于可行性和有效性的不确定性.
研究的目的:
- 评估沟通个体CRC风险和量身定制的查建议 (FIT或结肠镜) 对参与者的测试选择的影响.
- 评估对个性化CRC查结果进行更大规模临床试验的可行性.
主要方法:
- 一项试点随机对照试验,涉及880名年龄在50-69岁的瑞士参与者.
- 参与者根据15年CRC风险 (低,中等,高) 使用QCancer计算器进行分层.
- 干预组获得了个性化风险信息和查建议;对照组获得了标准信息.
主要成果:
- 该研究预计干预组的适当查吸收率高于对照组.
- 预计两组之间整体查吸收率不会有显著差异.
- 该试点旨在为全面随机对照试验的设计提供信息.
结论:
- 个性化风险沟通可以影响适当的结肠直肠癌查测试选择.
- 这项研究将提高对大规模基于风险的CRC查实施的理解.
- 结果可以指导优化CRC查策略,平衡风险-收益和资源利用.
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