在异常便测试结果后改善结肠镜完成的患者导航:一项随机对照试验
Gloria D Coronado1, Amanda F Petrik2, Jamie H Thompson2
1Kaiser Permanente Center for Health Research, Portland, Oregon, and University of Arizona Cancer Center, Tucson, Arizona (G.D.C.).
Annals of internal medicine
|March 31, 2025
概括
患者导航显著增加了随访结肠镜完成率,对于有异常便测试的人来说. 这种干预措施在改善遵守推的结肠直肠癌查方案方面被证明是有效的.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 胃肠病学 胃肠病学
背景情况:
- 患者导航是改善健康结果的推做法.
- 在异常便测试后增加结肠镜检查完成的有效性尚未得到充分证实.
研究的目的:
- 评估患者导航是否有助于完成后续结肠镜检查.
- 评估结肠镜检查在异常便检查后一年完成率.
主要方法:
- 一项随机对照试验,涉及967名年龄在50-75岁的参与者,便检测异常.
- 干预:双语工作人员通过电话为患者提供导航.
- 比较:通常的护理.
主要成果:
- 结肠镜检查完成率在患者导航组 (55.1%) 与通常护理 (42.1%) 相比较高.
- 风险差异有利于患者导航13.0个百分点 (95% CI,6.5到19.4).
- 干预措施的有效性在各个患者亚组中是一致的.
结论:
- 患者导航是改善后续结肠镜检查完成的有效策略.
- 支持将患者导航集成到结直肠癌查计划中.
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