症状性FIT复发的社会人口变化:对125,659名患者的基于人口的分析
Emily Jane Haworth1, Caroline Addison2, William Hamilton3
1Newcastle University, Newcastle upon Tyne, United Kingdom of Great Britain and Northern Ireland.
概括
在英国,通过便免疫化学测试 (FIT) 进行结肠直肠癌查显示完成率高 (93%). 然而,非返回更有可能发生在年轻,男性,贫困,种族多样化和城市人口中,这表明健康不平等.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 便免疫化学测试 (FIT) 是英国初级保健中怀疑结直肠癌的关键分类工具.
- 关于FIT完成率和测试回报的社会人口统计学变化,人们知之甚少.
研究的目的:
- 为了确定2023年FIT整体回报率.
- 分析与FIT完成相关的社会人口因素.
主要方法:
- 基于2023年来自英国一家病理学实验室的125,659个FIT请求的基于人口的分析.
- 后勤回归评估了社会人口统计 (年龄,性别,贫困,种族,城市/农村) 和10周内未返回测试之间的关联.
- 进行了敏感性分析,不包括年轻患者和10周的回归窗口.
主要成果:
- 总体而言,FIT回报率为93%.
- 在50岁以下的患者,男性,最贫困地区的患者,种族多样化的人口和城市居民中观察到更高的不返回可能性.
- 这些模式在所有灵敏度分析中保持一致.
结论:
- 虽然整体FIT完成率很高,但在不返回方面存在显著的社会人口统计差异.
- 需要对障碍和促进因素进行进一步的研究,以解决不平等问题并改善及时诊断的机会.
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