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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Survey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy.
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Survey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy.

机译：在意大利拉齐奥市进行的大肠癌筛查知识，态度和实践调查。

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BACKGROUND: Several international guidelines have recommended the involvement of general practitioners (GPs) in screening programs, but current evidence suggests this is very difficult. We implemented a survey to understand the attitudes, knowledge, and practices regarding colorectal cancer screening of GPs in the Lazio region. METHODS: Survey of all GPs working in 13 of the 50 districts in Lazio using a mail-in questionnaire. RESULTS: Out of 1192 GPs, 699 responded (59%). Ninety-four percent consider CRC a preventable disease. Knowledge about oncological screenings is higher in GPs using the guidelines as source of information. Twenty-five percent properly recommend the available screening tests for colorectal cancer, 22% do not recommend any, 6% under-recommend, and 47% over-recommend. Adequate knowledge of oncological screenings is positively associated with correct recommendation. Thirty-two percent of GPs recommend inappropriate follow-up tests for patients with positive fecal occult blood test. CONCLUSIONS: The low response rate reveals the lack of GP's interest in screening. Knowledge about screening and use of guidelines as sources of scientific information are important factors to improve attitudes about screening, but there is a large percentage of well-informed GPs who do not recommend colorectal cancer screening at all. Currently, many GPs do not properly follow the patients up after a positive FOBT.
机译：背景：几项国际准则已建议全科医生（GP）参与筛查程序，但目前的证据表明这非常困难。我们进行了一项调查，以了解拉齐奥地区大肠癌大肠癌筛查的态度，知识和做法。方法：使用邮寄问卷调查在拉齐奥的50个地区中的13个地区的所有GP。结果：在1192名GP中，有699名（59％）回答。 94％的人认为CRC是可预防的疾病。使用指南作为信息来源，全科医生对肿瘤筛查的知识更高。有25％的人正确推荐了可用于大肠癌的筛查测试，有22％的人不推荐任何检查，有6％的人推荐不足，有47％的人推荐。足够的肿瘤筛查知识与正确的推荐意见正相关。 32％的全科医生建议对粪便潜血试验阳性的患者进行不适当的随访检查。结论：低响应率表明缺乏GP的筛选兴趣。关于筛查的知识和将指南用作科学信息的来源是提高人们对筛查态度的重要因素，但是，有很多知情的全科医生不建议进行大肠癌筛查。目前，许多全科医生在FOBT阳性后仍未适当随访患者。

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