图形扫描结肠镜的发展趋势:使用和相关因素的10年分析
Ali Abbas1, Po-Hong Liu2, Amit G Singal2
1School of Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.
计算机断层结肠扫描 (CTC) 用于结肠直肠癌查的使用率一直很低,直到2021年才显著增加. 这种增长与慢性健康状况,少数群体地位和较低收入有关,可能减少查差异.
科学领域:
- 公共卫生 公共卫生
- 医疗成像医学成像
- 癌症查 癌症查
背景情况:
- 结肠直肠癌 (CRC) 查对于早期检测和预防至关重要.
- 计算机断层结肠镜 (CTC) 是用于CRC查的非侵入性成像技术.
- 了解影响CTC采用趋势和因素对于公共卫生战略至关重要.
研究的目的:
- 检查美国有资格接受查的成年人中计算机断层结肠镜 (CTC) 使用趋势.
- 确定与CTC利用相关的社会人口统计和健康相关因素.
- 评估CTC在减少结直肠癌查差异方面的潜力.
主要方法:
- 来自国家健康访谈调查 (2010, 2015, 2018, 2019, 2021) 的58,058名成年人全国代表性样本的分析.
- 根据每个调查年度的社会人口统计学和健康因素估计CTC使用情况.
- 应用多变量逻辑回归来确定与CTC使用相关的因素.
主要成果:
- 总体而言,CTC使用率较低 (1.7%),与前几年相比,2021年 (3.5%) 的显著增加 (1.3%-1.4%).
- 与CTC使用增加相关的因素包括2021年调查年,西班牙裔和非西班牙裔黑人种族,以及较低的家庭收入 (<200%联邦贫困水平).
- 患有糖尿病,COPD,癌症等慢性疾病和最近入院的成年人更有可能接受CTC查.
结论:
- 在2010年至2019年期间,CTC的使用仍然很低,但在2021年出现了显著的增长.
- 在少数群体,收入较低的个人和患有慢性健康状况的人群中,CTC的采用率更高.
- 在这些人群中增加CTC使用可能有助于减少结直肠癌查现有的差异.
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