在综合医疗保健系统中,在45-75岁的成年人中完成结肠直肠癌测试:回顾性分析
Marina Hanna1, Qin Sun2, Ari Bell-Brown3
1University of Washington Seattle United States.
概括
结肠直肠癌 (CRC) 查在指导方针改变后,在45-49岁的成年人中增加. 结肠镜和便免疫化学测试 (FIT) 是最常见的方法,显示CRC测试完成的改善.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 美国预防服务工作组 (USPSTF) 在2021年更新了指南,建议从45岁开始对结直肠癌 (CRC) 进行查.
- 这一转变旨在解决年轻成年人中CRC率上升的问题.
研究的目的:
- 评估降低CRC查年龄对测试完成率的影响.
- 分析不同CRC查方式在45-49岁的成年人中与老年人相比的使用情况.
- 评估2021年至2024年期间CRC查完成和模式使用的变化.
主要方法:
- 使用了回顾性队列研究设计.
- 分析了来自学术社区综合健康系统的电子健康记录.
- 包括45-75岁的成年人,他们有资格从2021年到2024年进行CRC查,检查CRC测试的完成和模式 (结肠镜检查,FIT,FIT-DNA,CT结肠镜检查,灵活的西格莫镜检查).
主要成果:
- 整体CRC测试完成率从2021年的61.8%增加到2024年的70.8%.
- 45-49岁的年龄组显示了查完成率的最显著增加,从25.6%上升到51.7%.
- 结肠镜检查和便免疫化学检查 (FIT) 是主要的查方式,在45-49岁的人群中,FIT和结肠镜检查使用率显著增加. 查完成的种族和民族差异也减少了.
结论:
- 2021年USPSTF建议导致CRC测试完成率提高,特别是在45-49岁年龄组.
- 结肠镜和FIT是主要的查方法,表明成功采用这些方式.
- 有组织的外展和多样化的查选项提高了CRC测试的完成率,尽管需要进一步努力才能实现年轻人国家查目标.
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