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首页> 外文期刊>Patient education and counseling >Informed decision-making in colorectal cancer screening using colonoscopy or CT-colonography
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Informed decision-making in colorectal cancer screening using colonoscopy or CT-colonography

机译：使用结肠镜检查或CT结肠造影检查筛查大肠癌的明智决策

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Objective: To evaluate the level of informed decision making in a randomized controlled trial comparing colonoscopy and CT-colonography for colorectal cancer screening. Methods: 8844 citizens aged 50-75 were randomly invited to colonoscopy (. n=. 5924) or CT-colonography (. n=. 2920) screening. All invitees received an information leaflet. Screenees received a questionnaire within 4 weeks before the planned examination, non-screenees 4 weeks after the invitation. A decision was categorized as informed when characterized by sufficient decision-relevant knowledge and consistent with personal attitudes toward participation in screening. Results: Knowledge and attitude items were completed by 1032/1276 colonoscopy screenees (81%), by 698/4648 colonoscopy non-screenees (15%), by 824/982 CT-colonography screenees (84%) and by 192/1938 CT-colonography non-screenees (10%). 1027 colonoscopy screenees (>99%) and 815 CT-colonography screenees (99%) had adequate knowledge; 915 (89%) and 742 (90%) had a positive attitude. 675 non-screenees invited to colonoscopy (97%) and 182 invited to CT-colonography (95%) had adequate knowledge; 344 (49%) and 94 (49%) expressed a negative attitude. Conclusion: A large majority of screenees made an informed decision on participation. Almost half of responding non-screenees, made an uninformed decision, suggesting additional barriers to participation. Practice implications: Efforts to understand the additional barriers will create opportunities to facilitate informed participation to colorectal cancer screening.
机译：目的：评估一项随机对照试验的知情决策水平，比较结肠镜检查和CT结肠造影检查筛查大肠癌的可能性。方法：随机邀请8844名50-75岁的公民进行结肠镜检查（.n = .5924）或CT结肠造影（.n = .2920）。所有受邀者都收到了信息传单。被筛选者在计划的考试前4周内收到了问卷，邀请后4周内未接受筛选。当一项决策具有足够的决策相关知识并与个人对参与筛查的态度一致时，便被归类为知情。结果：1032/1276名结肠镜检查者（81％），698/4648名非结肠镜检查者（15％），824/982 CT结肠造影检查者（84％）和192/1938 CT完成知识和态度项目-不接受结肠镜检查的人（10％）。有1027名结肠镜检查筛查者（> 99％）和815位CT结肠镜检查筛查者（99％）具有足够的知识; 915（89％）和742（90％）持积极态度。 675名接受结肠镜检查的非筛查者（占97％）和182例接受CT结肠镜检查的非筛查者（占95％）具有足够的知识; 344（49％）和94（49％）表示反对。结论：绝大多数被筛选者做出了关于参与的知情决定。几乎有一半的非筛选回应者做出了不知情的决定，这暗示了参与的其他障碍。实践意义：努力了解其他障碍将为促进知情参与结肠直肠癌筛查创造机会。

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