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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Colorectal cancer screening: recommendations and guideline adherence by physicians from digestive endoscopy centers in the Lazio region, Italy.
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Colorectal cancer screening: recommendations and guideline adherence by physicians from digestive endoscopy centers in the Lazio region, Italy.

机译：结肠直肠癌筛查：意大利拉齐奥地区消化内窥镜中心医师推荐和遵循的指南。

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INTRODUCTION: Endoscopy plays a key role in colorectal cancer screening; at the beginning of a mass screening campaign, it is important for public health officials to assess physicians' attitudes and adherence to guidelines regarding colorectal cancer screening. METHODS: In April 2004, a questionnaire was sent to all 80 digestive endoscopy centers in the Lazio region, identified by the annual census of the Italian Society of Digestive Endoscopy. The results were compared to those from a similar survey of general practitioners (GPs). RESULTS: Seventy-one centers (89%) returned the questionnaire. Only 3% of physicians said they did not recommend any colorectal cancer screening test. Colonoscopy was perceived as the most effective screening test and was the most recommended (80%). Fecal occult blood test was recommended by 61% of physicians and flexosigmoidoscopy by 11%. Endoscopy centers' physicians recommend screening more than GPs (96.9% vs. 78.3%), while they have a similar level of over-recommending (50.8% vs. 47.2%). Almost 95% of endoscopy physicians properly recommended colonoscopy after positive FOBT. CONCLUSIONS: Neither physicians at endoscopy centers nor GPs tend to follow screening guidelines. Screening programmes should not rely on a single medical specialist, but on interdisciplinary management of the disease to strengthen adherence to existing guidelines.
机译：引言：内窥镜检查在大肠癌筛查中起关键作用。在大规模筛查活动开始时，对于公共卫生官员来说，评估医生的态度和对大肠癌筛查指南的遵守情况非常重要。方法：2004年4月，向意大利拉齐奥地区的所有80个消化内窥镜中心发送了一份调查表，该中心由意大利消化内镜学会年度普查确定。将结果与类似的全科医生调查（GPs）进行比较。结果：71个中心（占89％）返回了问卷。只有3％的医生表示他们不建议任何大肠癌筛查测试。结肠镜检查被认为是最有效的筛查测试，也是最推荐的检查方法（80％）。 61％的医师建议进行粪便潜血测试，而11％的建议采用乙状结肠镜检查。内窥镜检查中心的医生建议筛查多于全科医生（96.9％比78.3％），而他们的推荐率也相近（50.8％比47.2％）。 FOBT阳性后，几乎95％的内窥镜医师正确推荐了结肠镜检查。结论：内窥镜检查中心的医生和全科医生都不倾向于遵循筛查指南。筛查计划不应仅依靠一位医学专家，而应依靠疾病的跨学科管理来加强对现有指南的依从性。

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