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在两个公共医院进行了用于预防结肠直肠癌的便免疫化学测试

Changlin Gong¹, Maria Teresa Medina Rojas², Maria Gabriela Rubianes Guerrero³

¹Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.

Journal of gastrointestinal cancer

|February 22, 2025

概括

通过便免疫化学测试 (FIT) 进行结直肠癌 (CRC) 查的低坚持导致错过诊断. 提高患者参与度对于改善公立医院CRC查率至关重要.

科学领域:

胃肠病学胃肠病学
在瘤学瘤学.
公共卫生公共卫生

背景情况:

便免疫化学测试 (FIT) 有效降低结直肠癌 (CRC) 的死亡率.
患者遵守CRC查仍然是一个重大挑战.
质量改进 (QI) 举措对于评估查遵守和结果至关重要.

研究的目的:

在使用便免疫化学测试 (FIT) 的结直肠癌 (CRC) 查质量改善倡议中评估查遵守和发现.
为了确定影响结肠镜完成率的因素,在一个积极的FIT结果后.

主要方法:

在30个月的时间内对FIT标本进行回顾性检查.
分析QI测量的电子病历,包括结肠镜完成和FIT阳性患者的发现.
将患者分为无症状和症状组进行分类,以比较坚持和结果.

主要成果:

在2400个标本中,有174个具有FIT阳性结果;47.6%完成了结肠镜检查.
结肠镜检查显示,10%的患者患有CRC,51.3%的患者患有腺瘤,17.5%的患者患有高级腺瘤.
低坚持 (47.6%) 主要是由于患者拒绝,特别是在老年人中,导致错过的CRC诊断.

结论:

在FIT阳性患者中结直肠腺瘤和癌症的高患病率强调了查的重要性.
低坚持率,特别是在老年患者中,导致错过了早期CRC检测和预防的机会.
加强患者参与策略是必要的,以改善公共医院环境中的CRC查遵守率.

关键词:

癌症教育癌症教育预防癌症预防癌症结肠镜检查是一次结肠镜检查.结肠直肠癌是一种癌症.便免疫化学测试便免疫化学测试

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