行为干预改善乳腺癌查推广:两项随机临床试验
Shivan J Mehta1,2, Corinne Rhodes1,3, Kristin A Linn1
1Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA internal medicine
|May 6, 2024
概括
大量订购和短信显著增加了乳腺癌查乳房扫描完成率. 临床医生认可没有显著影响查率,但短信确实有.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 在瘤学瘤学.
背景情况:
- 尽管有公共卫生倡议,乳腺癌查率仍低于国家目标.
- 需要有效的策略来提高乳腺扫描完成率.
研究的目的:
- 评估批量订购,短信和临床医生认可在提高乳腺癌查率方面的有效性.
- 评估这些干预措施对三个月内完成乳腺造影的影响.
主要方法:
- 两项同时进行的实用随机临床试验采用了2x2因数设计.
- 参与者包括40-74岁的妇女,她们有资格接受乳腺癌查.
- 干预措施包括大量的乳房扫描订单,短信提醒和临床医生认可的消息.
主要成果:
- 大量订购增加了乳房扫描完成率2.7% (P<.001).
- 短信在A试验中增加了2.1%的乳房扫描完成率 (P<.001),在B试验中增加了2.5% (P=.003).
- 临床医生认可并没有显著增加乳房镜完成率 (1.1%的差异,P=.18).
结论:
- 大量订购和短信是提高乳腺造影完成率的有效策略.
- 短信,特别是在初步接触后,可以提高查遵守率.
- 进一步的研究可能会探索优化临床医生认可策略.
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