通过基于血液的测试推进结肠直肠癌检测:定性研究和离散选择实验,以引起人口偏好
Clarence Ong1, Alex R Cook1, Ker-Kan Tan1,2
1Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
JMIR public health and surveillance
|July 17, 2024
概括
基于血液的结直肠癌 (CRC) 查测试是为了方便而首选的,但准确性问题仍然存在. 过渡到这些测试可以显著增加吸收,特别是在特定的人口统计学.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因,查测试吸收率低于最佳.
- 基于血液的测试提供了一个方便的替代传统查方法,避免预测准备和饮食限制.
研究的目的:
- 探索人口对结直肠癌查测试的偏好,强调基于血液的选择.
- 确定影响结肠直肠癌查测试普及的因素.
主要方法:
- 一种混合方法方法,结合半结构面试和离散选择实验 (DCE) 调查.
- 对面试进行主题分析,以确定关键选属性,为DCE调查设计提供信息.
- 使用混合逻辑模型和混合混合多项逻辑模型分析DCE数据.
主要成果:
- 尽管对准确性的担忧,但参与者更喜欢基于血液的测试,因为他们认为风险低,易于使用,尽管对准确性的担忧.
- DCE分析显示,人们更喜欢基于血液而不是基于便的测试,成本和灵敏度是主要因素.
- 估计,如果以低成本转向基于血液的测试,CRC查吸收率可能增加5.9%.
结论:
- 基于血液的CRC查测试被认为是有利的,因为方便,但准确性是一个问题.
- 了解偏好和影响因素对于提高CRC查率至关重要.
- 需要进一步的研究来验证血液测试可用性对查吸收的现实影响.
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