...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Colon cancer screening in the ambulatory setting.
【24h】

Colon cancer screening in the ambulatory setting.

机译：在非卧床环境中进行结肠癌筛查。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Despite evidence of decreased mortality, recommendations for colon cancer screening have not been widely implemented by physicians. The objective of this study was to determine patient and clinician factors associated with screening for colon cancer. METHODS: A retrospective review of computerized medical records from primary care practices in an academic medical center was performed. Patients comprised men and women aged 50-74 with at least one visit between July 1, 1995 and June 30, 1997. Measurements included Fecal occult blood testing in the past 1 or 2 years, sigmoidoscopy in the previous 5 or 10 years, or colonoscopy in the past 10 years. RESULTS: A total of 6,039 patients were included in the analysis. Fecal occult blood testing had been performed in 44% of patients and sigmoidoscopy in 26%. Fifty-three percent of patients had undergone some type of colon cancer screening. In multivariate analysis, patient factors predictive of fecal occult blood testing included age (odds ratio (OR) per 5 years 1.05; 95% confidence interval 1.04, 1.06), Asian ethnicity (OR 1.23; 1.08, 1.41), number of visits during the study period (OR 1.05; 1.04, 1.06), recency of the last visit (OR 1.03; 1.02, 1.04), and having private insurance (OR 1.65; 1.04, 2.62). Predictors of sigmoidoscopy were similar except that patients with a family history of colon cancer and those with managed care insurance were also more likely to undergo sigmoidoscopy. Patients of nurse practitioners were less likely to receive fecal occult blood testing than were patients of physicians (OR 0.78; 0.65, 0.93). Patients of residents were less likely to undergo sigmoidoscopy than were patients of faculty (OR 0.79; 0.66, 0.94). CONCLUSIONS: Among patients seen in primary care practices, rates of colon cancer screening remain low, especially in patients who are younger, who have been seen less frequently, who are uninsured, or who do not have managed care insurance. Future research should explore these differences and should focus on increasing screening in all patient groups, especially in those who are underscreened.
机译：背景：尽管有降低死亡率的证据，但医生尚未广泛实施结肠癌筛查的建议。这项研究的目的是确定与结肠癌筛查有关的患者和临床因素。方法：回顾性审查了来自学术医疗中心的初级保健实践中的计算机病历。患者包括年龄在50-74岁之间的男性和女性，在1995年7月1日至1997年6月30日之间至少进行了一次访视。测量包括过去1或2年的粪便潜血测试，过去5或10年的乙状结肠镜检查或结肠镜检查在过去的十年中。结果：共有6039名患者被纳入分析。粪便潜血测试在44％的患者中进行，乙状结肠镜检查在26％的患者中进行。 53％的患者接受了某种类型的结肠癌筛查。在多变量分析中，预测粪便潜血测试的患者因素包括年龄（每5年的比值比（OR）1.05; 95％的置信区间1.04、1.06），亚洲种族（OR 1.23; 1.08、1.41），学习期间（OR 1.05; 1.04，1.06），上次就诊的回访率（OR 1.03; 1.02，1.04），并有私人保险（OR 1.65; 1.04，2.62）。乙状结肠镜检查的预测指标相似，不同之处在于具有结肠癌家族史的患者和有管理保险的患者也更有可能接受乙状结肠镜检查。与医师患者相比，护士医师患者接受粪便潜血测试的可能性较小（OR 0.78; 0.65、0.93）。居民患者接受乙状结肠镜检查的可能性比教师患者低（OR 0.79; 0.66，0.94）。结论：在初级保健实践中看到的患者中，结肠癌筛查率仍然很低，特别是在年轻的患者中，较少见的患者，没有保险或没有管理过护理保险的患者。未来的研究应探索这些差异，并应着重于增加所有患者群体的筛查，尤其是那些筛查不足的患者。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号