增加急诊室患者结直肠癌查的干预措施:随机试点研究的结果
Beau Abar1, Chanjun Syd Park2, Nancy Wood3
1Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA beau_abar@urmc.rochester.edu.
Emergency medicine journal : EMJ
|May 22, 2024
概括
在急诊室的短信干预显示了增加结肠直肠癌 (CRC) 查率的希望. 这项试点研究提出了一种可行的方法,以促进符合条件的患者接受CRC查.
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:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因.
- 紧急诊所 (ED) 为实施癌症查干预提供了一个独特的机会.
- 在ED环境中进行CRC查可以改善早期检测并减少与癌症相关的死亡.
研究的目的:
- 适应现有的宫癌查干预措施用于结直肠癌 (CRC) 查.
- 评估确定患者在ED中进行CRC查的可行性.
- 评估基于文本的CRC查干预措施的初步有效性和可接受性.
主要方法:
- 一项随机对照试点研究招募了253名年龄在45-75岁之间的ED患者.
- 非坚持的患者被随机分配到单独接受CRC查建议或以文本为基础的干预.
- 主要结局是患者的CRC查或安排;也评估了可接受性.
主要成果:
- 与对照组相比,短信干预组的CRC查或调度率高出2%至3%.
- 参与者对CRC查干预措施的接受度很高.
- 该干预表明,在ED环境中增加CRC查吸收的潜力.
结论:
- 通过急诊室提供的试点短信干预措施显示了增加结直肠癌查的前景.
- 需要在全功率试验中进行进一步的研究来证实这些发现.
- ED可以作为一个可行的环境,提供预防性卫生干预措施,如CRC查.
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