Use of Screening Tests for Colorectal Cancer Among Gynecologists in Puerto Rico.

Boletin de la Asociacion Medica de Puerto Rico Pub Date : 2015-04-01

J Romaguera, S Seymour, V Cabrera, J Medina, E De Jesus, A P Ortiz

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Abstract

Objective: To determine the use of screening tests for colorectal cancer (CRC) among Gynecologists in Puerto Rico. This study evaluates the screening practices used by Gynecologists in PR to diagnose CRC and adherence to screening guidelines.

Methods: A self-administered anonymous questionnaire was mailed to 440 practicing gynecologists through the College of Physicians and Surgeons of PR. The questionnaire included general and specific questions.

Results: Response rate was 23.2% (102/440). Of this group of gynecologists, 77.5% referred screening patients, while 22.5% did not. The majority (28.4%) use Fecal Occult Blood Test (FOBT) as a first screening test, while 27.5% use Colonoscopy. Screening is started by 49% at age 50. Only 7% stop screening at 75 years and 31% never stop screening. CRC Screening performed by participants were: 35% screen annually, 6% screen 2-3 years, 10% screen every 5 years, 6% screen every 10 years and 6% screen 5-10 years. Data for CRC Screening reveals 7% gynecologists comply with all the guidelines; 49% comply with the recommendations regarding the start screening age and 7% stop screening as per guidelines.

Conclusion: The recommendations are not followed by most of the gynecologists in PR that participated in the study, Further research should be directed towards the reasons for not complying and how to educatethemedical population to achieve adequate screening in the PR female population.

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波多黎各妇科医生使用结直肠癌筛查试验

目的:了解波多黎各妇科医生结直肠癌(CRC)筛查试验的使用情况。本研究评估了PR妇科医生用于诊断结直肠癌的筛查方法以及对筛查指南的遵守情况。方法:通过美国妇产科医师学会向440名执业妇科医生邮寄一份自我填写的匿名问卷，问卷内容包括一般问题和特殊问题。结果:有效率为23.2%(102/440)。在这组妇科医生中，77.5%的人推荐了筛查患者，而22.5%的人没有。大多数(28.4%)使用粪便隐血试验(FOBT)作为第一次筛查试验，而27.5%使用结肠镜检查。49%的人在50岁时开始筛查。只有7%的人在75岁时停止筛查，31%的人从未停止筛查。参与者进行的CRC筛查为:每年筛查35%，2-3年筛查6%，每5年筛查10%，每10年筛查6%，5-10年筛查6%。CRC筛查数据显示，7%的妇科医生遵守所有指南;49%的人遵守有关开始筛查年龄的建议，7%的人根据指南停止筛查。结论:参与研究的PR妇科医生大多不遵守建议，应进一步研究不遵守的原因，以及如何教育医疗人群在PR女性人群中实现充分的筛查。

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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Boletin de la Asociacion Medica de Puerto Rico

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