在机会性与非机会性宫部查中遵守推后续行动:来自丹麦的基于注册表的队列研究
Susanne F Jørgensen1,2, Mathilde L Nielsen3, Sisse H Njor1,2,3
1Research Unit for Screening and Epidemiology, Department of Biochemistry and Immunology, Lillebaelt Hospital, Vejle, Southern Denmark Region, Denmark.
Scandinavian journal of public health
|October 25, 2024
概括
机会性宫查,无论是延迟的还是过于频繁的,都与后续检查的不良遵守有关. 这凸显了全科医生在管理宫部查后续的关键作用.
科学领域:
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 组织的宫部查计划往往包括机会性查.
- 宫查后遵守后续检查方案是一个已知的问题.
- 机会性查可能会影响遵守推的随访时间表.
研究的目的:
- 调查机会性宫查和在非阴性查结果后遵守后续检查之间的关联.
- 为了确定是否偏离推查间隔的影响后续遵守.
主要方法:
- 使用国家注册表包括42399名丹麦妇女在2015-2017年间进行了查,结果非阴性.
- 将不遵守归类为不充分和过度的后续行动.
- 计算的相对风险 (RRs) 比较了机会性查妇女与非机会性查妇女的随访坚持.
主要成果:
- 延迟查的妇女 (1-3年或3-7年) 显示没有随访的风险更高 (RR分别为1.99和1.92).
- 过早查的妇女 (长达6个月) 患有不充分 (RR 1.08) 和过度随访 (RR 1.39) 的风险增加.
- 超过6个月的早期查显著增加了所有偏差的风险,特别是过度的随访 (RR 1.67).
结论:
- 迟到的机会性查增加了后续不充分的风险.
- 频繁的机会性查与过度随访的风险更高.
- 查参与行为影响了后续的遵守,强调了全科医生的守门角色.
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