结肠直肠癌查:一种多组件干预措施,以增加45-49岁患者的摄入量
Sean P McClellan1, Shreya Patel2, Elizabeth Uy-Smith2
1From the Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA; Division of Gastroenterology, Zuckerberg San Francisco General Hospital, San Francisco, CA; San Francisco Health Network, San Francisco, CA; and Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA. smccle2@uic.edu.
Journal of the American Board of Family Medicine : JABFM
|October 25, 2024
概括
一项新的干预措施显著提高了45-49岁成年人结肠直肠癌 (CRC) 查率. 这种多元组件策略,包括邮寄测试和数字宣传,改善了对这个年轻人群的CRC查完成率.
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:
- 建议从45岁开始对结肠直肠癌 (CRC) 进行查.
- 关于在50岁以下的人群中促进CRC查的研究有限.
- 需要有效的策略来增加这一年龄组的查采用率.
研究的目的:
- 评估多组件干预对CRC查完成的影响.
- 评估45-49岁患者的查趋势.
- 确定有效的方法,以促进年轻人CRC查.
主要方法:
- 在45-49岁的患者中实施了多组分干预.
- 外展包括邮寄的便免疫化学测试 (FIT),短信和电子邮件.
- 现有的FIT常务命令协议已扩展到这个年龄组.
- 分段线性回归分析了查完成趋势.
- 51-55岁的患者作为对照组.
主要成果:
- 在干预组 (45-49岁) 中,CRC查完成率显著增加.
- 癌症查率从干预前的0.4%增加到干预后的2.8%.
- 该干预措施对查完成产生了持续的积极影响.
- 观察到的查增加明显高于对照组.
结论:
- 多组分干预有效地提高了45-49岁患者中CRC查完成率.
- 医疗保健系统应该考虑类似的干预措施,以加强CRC查参与这一人口.
- 这项研究为提高早期癌症检测的积极策略提供了证据.
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