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首页> 外文期刊>BMC Family Practice >Colorectal cancer screening using the faecal occult blood test (FOBt): a survey of GP attitudes and practices in the UK
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Colorectal cancer screening using the faecal occult blood test (FOBt): a survey of GP attitudes and practices in the UK

机译：使用粪便潜血测试（FOBt）进行大肠癌筛查：对英国GP态度和做法的调查

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Background Colorectal cancer (CRC) is the third most common cancer in the UK. Five-year survival rates are less than 50%, largely because of late diagnosis. Screening using faecal occult blood tests (FOBt) can detect bowel cancer at an earlier stage than symptomatic presentation, and has the potential to significantly decrease colorectal cancer mortality. However, uptake of screening is currently low, despite the introduction of the NHS Bowel Cancer Screening Programme (NHSBCSP), and it has been suggested that GP recommendations of screening can improve patient compliance. GP recommendation of CRC screening is argued to be affected by attitudes towards it, along with perceptions of its efficacy. Methods This paper presents the findings of a cross-sectional postal survey of GPs in the UK which aimed to investigate GPs' attitudes in relation to colorectal cancer screening and the use of FOBt in routine practice. An 'attitude' score was calculated, and binary logistic regression used to evaluate the association of socio-demographic and general practice attributes with attitudes towards CRC screening and FOBt. Results Of 3,191 GPs surveyed, 960 returned usable responses (response rate 30.7%). Positive attitudes were associated with personal experience of CRC screening and Asian or Asian British ethnicity. GPs from practices located in more deprived locations were also more likely to have positive attitudes towards FOBt and its recommendation to patients. Conclusions The success of population-based screening for CRC will largely be determined by GP attitudes and support, particularly with regard to FOBt. Previous research has implied that South Asian GPs are more likely to have negative attitudes towards FOBt screening, however, our research suggests that this is not a group requiring targeted interventions to increase their support for the NHSBCSP. Of the available CRC screening tests, GPs perceived FOBt to be the most appropriate for population-based screening.
机译：背景结直肠癌（CRC）是英国第三大常见癌症。五年生存率不到50％，主要是因为诊断晚。使用粪便潜血测试（FOBt）进行的筛查可以在较有症状的早期发现肠癌，并且有可能显着降低大肠癌的死亡率。但是，尽管引入了NHS肠癌筛查计划（NHSBCSP），但筛查的吸收率目前仍很低，并且有人建议GP筛查的建议可以改善患者的依从性。据认为，GP对CRC筛查的建议受其态度以及对其疗效的看法影响。方法本文介绍了英国GP横断面邮政调查的结果，旨在调查GP对大肠癌筛查的态度以及FOBt在常规实践中的使用。计算“态度”得分，并使用二元逻辑回归分析评估社会人口统计学和一般实践属性与对CRC筛查和FOBt态度的关联。结果在接受调查的3,191名GP中，有960人返回了可用的回答（回答率为30.7％）。积极态度与CRC筛查和亚洲或亚洲英国种族的个人经历有关。来自更贫困地区的医生也更可能对FOBt及其对患者的建议持积极态度。结论基于人群的CRC筛查的成功在很大程度上取决于GP的态度和支持，尤其是在FOBt方面。先前的研究表明，南亚全科医生可能对FOBt筛查持消极态度，但是，我们的研究表明，这不是一个需要有针对性的干预措施以增加其对NHSBCSP支持的群体。在可用的CRC筛查测试中，GP认为FOBt最适合基于人群的筛查。

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