实施有组织的大肠癌筛查计划:两年一次的坚持和参与模式

IF 1.5 Q3 GASTROENTEROLOGY & HEPATOLOGY Revista de Gastroenterologia de Mexico Pub Date : 2024-07-01 DOI:10.1016/j.rgmx.2023.08.009
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引用次数: 0

摘要

导言和目的坚持进行大肠癌(CRC)筛查对筛查计划的有效性至关重要。尽管有组织的筛查计划可以提高筛查过程的质量和依从性,但仍有一些挑战需要克服。在本研究中,我们实施了一项两年一次的有组织 CRC 筛查计划,目的是描述坚持筛查和参与筛查的模式。材料和方法 我们开展了一项纵向描述性研究,由经过培训的患者导航员组成的团队利用粪便免疫化学检验(FIT)对符合 CRC 筛查条件的 301 名受试者进行干预和提醒。所有随访对象都收到了 FIT 套件。在最初的群组中,126 名受试者通过 FIT 完成了两年一次的筛查过程,这表明我们项目的坚持率为 41.8%。参与模式如下结论总之,我们的研究强调了有组织的筛查计划对早期发现 CRC 的重要性。通过提醒和培训患者导航员来实施随访干预措施可以提高依从性,但还需要研究新的策略,以克服通过手机进行沟通的障碍。
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Implementación de un programa de tamizaje organizado para cáncer colorrectal: Adherencia bienal y patrones de participación

Introduction and aim

Adherence to colorectal cancer (CRC) screening is essential for the effectiveness of screening programs. Even though organized screening programs can improve the quality of the process and adherence, there are still challenges to overcome. The aim of the present study, in which we implemented a biennial organized screening program for CRC, was to describe adherence and participation patterns.

Materials and methods

A longitudinal, descriptive study was conducted, in which a team of trained patient navigators carried out interventions, with reminders via cellphone communication, to follow a cohort of 301 subjects eligible for CRC screening, utilizing a fecal immunochemical test (FIT). All the follow-up subjects received a FIT kit.

Results

A total of 747 cellphone calls were made and divided into three interventions. From the initial cohort, 126 subjects completed their biennial screening process through the FIT, indicating a consistent adherence rate of 41.8% to our program. The participation patterns were: 126 consistent participants (41.8%), 160 inconsistent participants (53.2%), and 15 participants that were never contacted (5%).

Conclusions

In conclusion, our study underlines the importance of organized screening programs in the early detection of CRC. The implementation of follow-up interventions, through reminders and the training of patient navigators, can improve adherence, but there is a need for examining new strategies, to overcome barriers to communication via cellphone.

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来源期刊
Revista de Gastroenterologia de Mexico
Revista de Gastroenterologia de Mexico GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.60
自引率
12.50%
发文量
102
审稿时长
12 weeks
期刊介绍: La Revista de Gastroenterología de México es el órgano oficial de la Asociación Mexicana de Gastroenterología. Sus espacios están abiertos a los miembros de la Asociación como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos, cumpliendo con las políticas editoriales que a continuación se mencionan. El objetivo principal de la Revista de Gastroenterología de México, es publicar trabajos originales del amplio campo de la gastroenterología, así como proporcionar información actualizada y relevante para el área de la especialidad y áreas afines. Los trabajos científicos incluyen las áreas de Gastroenterología clínica, endoscópica, quirúrgica y pediátrica.
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