癌症结直肠癌筛查:我们是否解决了目标人群的担忧和需求?

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
T. Tran, A. Ferrari, S. Hoeck, M. Peeters, G. Van Hal
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引用次数: 6

摘要

尽管人们认识到结直肠癌(CRC)筛查的好处,但在许多国家,筛查的效果仍不理想。在处理这个问题时,没有得到充分注意的一个重要因素是人口偏好。我们的综述提供了与该主题相关的最新证据的全面总结。检索了四个OVID数据库:OVID MEDLINE®ALL、Biological Abstracts、CAB Abstracts和Global Health。在生成的742篇文章中,根据预定义的纳入标准,选择了154篇全文进行更彻底的评估。最终,我们的综述纳入了83项研究。一般人群倾向于结肠镜检查作为最准确的检查,或粪便隐血检查(FOBT)作为最小侵入性的CRC筛查。新兴的血液检查(SEPT9)和胶囊结肠镜检查(纳米颗粒)也受到青睐,它们有可能克服现有技术的缺陷。性别、年龄、种族、筛查经历、教育和信仰、CRC感知风险、保险和健康状况影响一个人的检测偏好。为了提高接受率,CRC筛查项目应考虑提供替代检测方法,并根据公众的喜好调整筛查信息的内容和传递方式。其他后勤措施,如肠准备类型,内镜医师的性别,粪便收集装置和参与者的奖励也可能是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Colorectal Cancer Screening: Have We Addressed Concerns and Needs of the Target Population?
Despite the recognized benefits of colorectal cancer (CRC) screening, uptake is still suboptimal in many countries. In addressing this issue, one important element that has not received sufficient attention is population preference. Our review provides a comprehensive summary of the up-to-date evidence relative to this topic. Four OVID databases were searched: Ovid MEDLINE® ALL, Biological Abstracts, CAB Abstracts, and Global Health. Among the 742 articles generated, 154 full texts were selected for a more thorough evaluation based on predefined inclusion criteria. Finally, 83 studies were included in our review. The general population preferred either colonoscopy as the most accurate test, or fecal occult blood test (FOBT) as the least invasive for CRC screening. The emerging blood test (SEPT9) and capsule colonoscopy (nanopill), with the potential to overcome the pitfalls of the available techniques, were also favored. Gender, age, race, screening experience, education and beliefs, the perceived risk of CRC, insurance, and health status influence one’s test preference. To improve uptake, CRC screening programs should consider offering test alternatives and tailoring the content and delivery of screening information to the public’s preferences. Other logistical measures in terms of the types of bowel preparation, gender of endoscopist, stool collection device, and reward for participants can also be useful.
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CiteScore
1.50
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