结肠镜和便隐性血液检测在德国广泛用于查或诊断目的:纵向分析
Michel Hornschuch1, Sarina Schwarz1, Ulrike Haug1,2
1Department of Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology - BIPS.
概括
德国结肠直肠癌 (CRC) 查显示,便隐性血液检测 (FOBT) 和结肠镜检查的参与率很高. 索赔数据显示,在性别和教育水平上,对查和诊断目的都有显著的吸收.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
背景情况:
- 据报道,德国结肠直肠癌 (CRC) 查计划的参与率很低,与便隐性血液检测 (FOBT) 和结肠镜检查的并行提供形成鲜明对比.
- 无论是FOBT还是结肠镜都起着双重作用,用于查和诊断目的,使摄取评估复杂化.
- 了解实际使用率对于评估德国CRC查计划的有效性至关重要.
研究的目的:
- 量化和描述德国人口对结直肠检查 (包括FOBT和结直肠镜检查) 的接受率.
- 分析根据性别和教育水平分层的查和诊断利用模式.
- 评估健康声明数据对监测CRC查的价值.
主要方法:
- 利用德国药物流行病学研究数据库 (约20%的德国人口) 来分析索赔数据.
- 包括2011年50岁 (队列1) 和55岁 (队列2) 个人的队列.
- 评估使用FOBT或结肠镜进行查或诊断,直到59岁 (队列1) 和64岁 (队列2) 的年龄.
主要成果:
- 在185,949名50岁以上的个人中,80%的女性和63%的男性在59岁之前至少进行过一次结肠直肠检查.
- 结肠镜检查率为女性的25%,男性的31%,其中很大一部分用于查.
- 使用率因教育水平而异,在55岁的队列中观察到类似的高利用率.
结论:
- 这项研究表明,德国对结直肠检查的使用率很高,与此前关于查参与率低的报道相反.
- 健康声明数据为监测CRC查提供了宝贵的纵向资源,捕捉了查和诊断程序.
- 这些发现强调了考虑测试的双重使用和利用全面数据源进行准确评估的重要性.
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