Factors Affecting Colorectal Cancer Screening in Primary Care Physician Practices in Ukraine.

IF 3.2 Q2 ONCOLOGY JCO Global Oncology Pub Date : 2024-08-01 DOI:10.1200/GO.24.00053
Ali Dzhemiliev, Darya Kizub, Kerollos Nashat Wanis, Benjamin G Allar, Vadym Vus, Anna Malovanna, Inesa Huivaniuk, Viacheslav Kopetskyi, Andriy Beznosenko, Galyna Shabat, Marta Antoniv, Ulana Suprun, Nelya Melnitchouk
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Abstract

Purpose: This study aims to identify the factors influencing colorectal cancer (CRC) screening practices, along with the barriers and facilitators from the perspective of primary care physicians (PCPs) in Ukraine. Considering health care system challenges, including those posed by the ongoing war, this research seeks to inform improvements in CRC screening and outcomes in Ukraine and other low- and middle-income countries (LMICs).

Methods: A survey was designed and distributed electronically to Ukrainian PCPs, focusing on CRC screening practices, beliefs, and barriers. The survey incorporated questions adapted from established cancer screening surveys and frameworks. Complete responses were collected from 740 PCPs. Sample statistics were computed, and population-level perceptions and associations with CRC screening practices were estimated by standardizing responses to national PCP demographics.

Results: The majority of respondents were women (91%) and specialized in family medicine (84%). Respondents believed in the effectiveness of colonoscopy for reducing CRC mortality (80%), with 75% of PCPs referring patients for this screening modality. Major barriers identified include inadequate training of PCPs in screening and lack of resources. Respondents reported high utilization of fecal occult blood test and colonoscopy for screening when these tests were said to be available in their practices. Self-reported familiarity with CRC screening guidelines and participation in educational workshops were positively associated with screening referrals.

Conclusion: The study highlights the role of access to CRC screening tests and awareness of screening guidelines in enhancing CRC screening practices among Ukrainian PCPs. Addressing training and resource barriers, alongside public health interventions targeting patient-related barriers, is essential. These findings offer valuable insights for LMICs facing similar challenges, emphasizing the need for tailored strategies to improve cancer screening in these health care settings.

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影响乌克兰初级保健医生进行大肠癌筛查的因素。
目的:本研究旨在从乌克兰初级保健医生(PCPs)的角度确定影响结直肠癌(CRC)筛查实践的因素以及障碍和促进因素。考虑到医疗保健系统所面临的挑战,包括正在进行的战争所带来的挑战,本研究旨在为改善乌克兰和其他中低收入国家(LMICs)的结直肠癌筛查和治疗效果提供信息:方法: 我们设计了一份调查问卷,并通过电子方式分发给乌克兰的初级保健医生,调查的重点是儿童癌症筛查的实践、信念和障碍。该调查包含了从已有的癌症筛查调查和框架中改编而来的问题。共收集到 740 名初级保健医生的完整回答。我们计算了样本统计数据,并根据全国初级保健医生的人口统计学特征对答复进行了标准化处理,从而估算出人群对 CRC 筛查做法的看法及其与 CRC 筛查做法之间的关联:大多数受访者为女性(91%),专攻家庭医学(84%)。受访者相信结肠镜检查能有效降低 CRC 死亡率(80%),75% 的初级保健医生会让患者接受这种筛查方式。已发现的主要障碍包括初级保健医生在筛查方面的培训不足和缺乏资源。受访者报告说,当他们的诊所可以提供粪便隐血试验和结肠镜检查时,这些检查的筛查利用率很高。自我报告对 CRC 筛查指南的熟悉程度和参加教育研讨会与筛查转诊呈正相关:这项研究强调了在乌克兰初级保健医生中普及 CRC 筛查测试和提高对筛查指南的认识在加强 CRC 筛查实践中的作用。解决培训和资源障碍以及针对患者相关障碍的公共卫生干预措施至关重要。这些研究结果为面临类似挑战的低收入与中等收入国家提供了宝贵的启示,强调了在这些医疗环境中改善癌症筛查的定制策略的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JCO Global Oncology
JCO Global Oncology Medicine-Oncology
CiteScore
6.70
自引率
6.70%
发文量
310
审稿时长
7 weeks
期刊最新文献
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