结直肠癌的风险和参与基于便免疫化学测试的查
H J van de Schootbrugge-Vandermeer1, L de Jonge1, M E van Leerdam2
1Department of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Public health
|September 9, 2025
概括
结肠直肠癌 (CRC) 查参与因社会人口统计学因素而异. 干预措施应针对具有高CRC风险的低参与群体,以获得最大的健康益处.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 基于便免疫化学测试 (FIT) 的结直肠癌 (CRC) 查参与在社会人口群体之间是不平等的.
- 针对低参与率,高风险小组可以最大限度地提高CRC查计划的健康益处.
研究的目的:
- 调查在荷兰CRC查计划中参与率较低的社会人口群体内的结肠直肠癌 (CRC) 风险.
- 为了确定针对性CRC查干预措施的弱势群体.
主要方法:
- 一项基于人口的队列研究包括受邀参加2018-2019年荷兰CRC查计划的个人.
- 用多变量逻辑回归分析了查,人口统计和CRC诊断的数据.
- 评估了社会人口统计因素与CRC风险之间的关联.
主要成果:
- 总体参与率为72.3%. 男性的参与率较低,但CRC风险较高. 低收入群体的参与率也较低,CRC风险更高.
- 与CRC风险和性别/收入之间的关联在参与者中比非参与者更为明显.
- 土耳其/摩洛哥背景的个人参与率低,但CRC风险较低.
结论:
- 在荷兰查计划中,在低参与率的群体中,结肠直肠癌 (CRC) 的风险显著不同.
- 干预措施应优先考虑脆弱子组,考虑查参与和CRC风险水平.
- 需要量身定制的策略来改善CRC查公平性和结果.
相关概念视频
Serum Laboratory Studies, Stool Test, Breath Test
768
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
768
Assessment of the Rectum and Anus
1.1K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.1K
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
382
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
382
Endoscopic Procedures II: Colonoscopy
633
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
633
Lower GI Series: Barium Enema
1.4K
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
1.4K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
644
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
644


