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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Role of community pharmacies in a population-based colorectal cancer screening program
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Role of community pharmacies in a population-based colorectal cancer screening program

机译：社区药房在基于人群的结肠直肠癌筛查计划中的作用

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In Catalonia (Spain), population-based colorectal cancer (CRC) screening offers biennial fecal occult blood testing to men and women aged 50?69 years old. The program is organized in screening hubs, most of which use a pharmacy-based model to distribute and collect fecal immunochemical test (FIT) kits The comprehensive evaluation of CRC screening programs, which include the role and implications of pharmacy involvement, is essential to ensure program quality and identify areas for further improvement. The present study aimed to assess the adherence of community pharmacies to the CRC screening program and to analyze data on FIT kit distribution and collection in the Metropolitan area of Barcelona (Catalonia, Spain). Time to FIT completion was assessed by Kaplan-Meier estimation, and with the log-rank test. A Cox regression model was used to adjust for other variables associated with the completion of FIT such as sex, age, deprivation score index and previous screening behavior. Overall, 82.4% of pharmacies adhered with CRC screening program. Out of 82,902 FIT kits distributed to screening invitees 77,524 completed FIT kits were returned to pharmacies (93.5%) with a participation of 39.8% among the 193,766 invitees. From those who completed a FIT, the median time to return the kit was 3 days. FIT completion time was significantly lower among women, older age, high deprivation score index and previous CRC screening (p < 0.005). Our findings highlight the large involvement of community pharmacists with CRC screening program as well as a high quality in the process of FIT distribution and collection.
机译：在加泰罗尼亚（西班牙），基于人群的结直肠癌（CRC）筛查为50岁的男性和女性提供两年一次的粪便隐血检测？69岁。该项目由筛查中心组织，其中大多数使用基于药房的模式分发和收集粪便免疫化学检测（FIT）试剂盒。对CRC筛查项目的综合评估，包括药房参与的作用和影响，对于确保项目质量和确定进一步改进的领域至关重要。本研究旨在评估社区药房对CRC筛查计划的依从性，并分析巴塞罗那大都会区（西班牙加泰罗尼亚）的FIT药盒分发和收集数据。通过Kaplan-Meier估计和对数秩检验评估适合完成的时间。Cox回归模型用于调整与匹配完成相关的其他变量，如性别、年龄、剥夺评分指数和之前的筛查行为。总的来说，82.4%的药店坚持CRC筛查计划。在分发给筛查受邀者的82902套FIT试剂盒中，77524套完整的FIT试剂盒被退回药房（93.5%），193766名受邀者中有39.8%的人参与。对于那些完成测试的人来说，归还试剂盒的平均时间是3天。女性、老年人、高剥夺评分指数和既往CRC筛查者的适应完成时间显著较低（p<0.005）。我们的研究结果突出了社区药剂师对CRC筛查项目的大量参与，以及FIT分发和收集过程中的高质量。

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