在便检测结果呈阳性后及时跟踪:评估农村和非农村人口的诊断结肠镜延迟
Anthony J Duncan1, Grayson H Baden1, Sandi Zukanovic1
1Department of Surgery, School of Medicine & Health Sciences, University of North Dakota, Fargo, ND, USA.
及时进行结肠镜检查对于结肠直肠癌 (CRC) 查至关重要. 便DNA测试为农村和非农村患者提供可访问和快速的后续结肠镜检查.
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) 是美国癌症死亡的一个重要原因.
- 查犹和长时间等待结肠镜检查引发了人们对DNA便检测等替代方法的兴趣.
- 确保在便检测结果呈阳性后及时进行结肠镜检查至关重要,特别是对于农村人口来说.
研究的目的:
- 为了比较农村和非农村患者在阳性便测试后诊断结肠镜检查的及时性.
- 评估基于便的DNA测试在不同地理区域的人群中对结直肠癌查的可访问性和有效性.
主要方法:
- 一项观察性病例控制研究包括1316名18岁以上的患者,他们的DNA便测试呈阳性,正在接受结肠镜检查 (2018年1月至2023年12月).
- 患者被分为农村或非农村使用农村-城市通勤区 (RUCA) 代码.
- 测量的主要结果是从阳性便测试到诊断性结肠镜检查的几天时间.
主要成果:
- 在农村 (35天) 和非农村患者 (37天) 之间,结肠镜检查的中位时间没有显著差异.
- 农村患者更有可能在外部设施进行结肠镜检查 (25%对3.1%).
- 总的来说,随访结肠镜检查时间相似,这表明两组都及时获得了结肠镜检查.
结论:
- 积极的便测试导致了农村和非农村人士的及时诊断结肠镜检查.
- 便DNA检测是一种有效且易于使用的结直肠癌查方法,支持其持续使用.
- 这种方法有助于降低医疗保健系统的负担,并改善各种患者群体的查可访问性.
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