数字导航对选多目标便DNA测试的依从性的影响
Mallik Greene1, Timo Pew2, A Burak Ozbay2
1Exact Sciences Corporation, Madison, Wisconsin, USA.
概括
数字宣传,包括短信和电子邮件,显著改善了使用多目标便DNA (mt-sDNA) 测试对结直肠癌 (CRC) 查的坚持. 多通道通信可以在现实环境中提高查完成率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 是美国癌症相关死亡的主要原因,查是预防的关键.
- 关于数字外展如何影响CRC查采用和遵守情况的研究有限.
- 有效的查策略对于降低CRC疾病负担至关重要.
研究的目的:
- 评估各种数字外展道对患者遵守CRC查的影响.
- 评估多目标便DNA (mt-sDNA) 测试在现实环境中的有效性.
- 在不同的数字外展策略中比较坚持和时间来测试回报.
主要方法:
- 一项现实研究涉及超过240万名年龄在45-85岁的患者进行mt-sDNA测试.
- 患者接受了标准的外展 (信件,电话) 以及不同的数字方法 (短信,电子邮件或两者).
- 多变量回归分析了数字外展方法与坚持/时间测试回报之间的关联.
主要成果:
- 总体上,对mt-sDNA测试的坚持率为70.1%,在短信加电子邮件组的坚持率最高 (72.9%).
- 收到短信和电子邮件推广的患者的测试回报率最高 (OR,1.75).
- 数字外展,特别是短信和电子邮件,与没有数字外展相比,测试返回时间减少了8.7%.
结论:
- 多道数字外展,结合短信和电子邮件,显著提高了通过mt-sDNA测试对CRC查的遵守.
- 在接受综合数字外展方法的患者中,观察到最高的坚持率.
- 这些发现强调了多通道导航对于促进CRC选完成的重要性.
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