| 查看: 539 | 回复: 1 | ||
withoutsun铜虫 (小有名气)
|
[求助]
医学文献，重金求翻译摘要！在线等，急
|
|
Effect of Physician Notification Regarding Nonadherence to Colorectal Cancer Screening on Patient Participation in Fecal Immunochemical Test Cancer Screening A Randomized Clinical Trial IMPORTANCE Increasing participation in fecal screening tests is a major challenge in countries that have implemented colorectal cancer (CRC) screening programs. OBJECTIVE To determine whether providing general practitioners (GPs) a list of patients who are nonadherent to CRC screening enhances patient participation in fecal immunochemical testing (FIT). DESIGN, SETTING, AND PARTICIPANTS A 3-group, cluster-randomized studywas conducted from July 14, 2015, to July 14, 2016, on the west coast of France, with GPs in 801 practices participating and involving adult patients (50-74 years) who were at average risk of CRC and not up-to-date with CRC screening. The final follow-up date was July 14, 2016. INTERVENTIONS General practitioners were randomly assigned to 1 of 3 groups: 496 received a list of patients who had not undergone CRC screening (patient-specific reminders group, 10 476 patients), 495 received a letter describing region-specific CRC screening adherence rates (generic reminders group, 10 606 patients), and 455 did not receive any reminders (usual care group, 10 147 patients). MAIN OUTCOMES AND MEASURES The primary end pointwas patient participation in CRC screening 1 year after the intervention. RESULTS Among 1482 randomized GPs (mean age, 53.4 years; 576 women [38.9%]), 1446 participated; of the 33 044 patients of these GPs (mean age, 59.7 years; 17 949 women [54.3%]), follow-up at 1 year was available for 31 229 (94.5%). At 1 year, 24.8%(95%CI, 23.4%-26.2%) of patients in the specific reminders group, 21.7%(95%CI, 20.5%-22.8%) in the generic reminders group, and 20.6%(95%CI, 19.3%-21.8%) in the usual care group participated in the FIT screening. The between-group differences were 3.1% (95%CI, 1.3%-5.0%) for the patient-specific reminders group vs the generic reminders group, 4.2% (95%CI, 2.3%-6.2%) for the patient-specific reminders group vs the usual care group, and 1.1% (95%CI, −0.6%to 2.8%) for generic reminders group vs the usual care group. CONCLUSIONS AND RELEVANCE Providing French GPs caring for adults at average risk of CRC with a list of their patients who were not up-to-date with their CRC screening resulted in a small but significant increase in patient participation in FIT screening at 1 year compared with patients who received usual care. Providing GPs with generic reminders about regional rates of CRC screening did not increase screening rates compared with usual care. |
回复此楼» 猜你喜欢
294求调剂
已经有8人回复
-
324求调剂
已经有14人回复
-
285求调剂
已经有6人回复
-
一志愿上海大学生物学346
已经有3人回复
-
322求调剂：一志愿湖南大学 材料与化工（085600），已过六级。
已经有16人回复
-
调剂
已经有10人回复
-
283求调剂
已经有7人回复
-
0703调剂
已经有6人回复
-
288环境专硕,求调材料方向
已经有6人回复
-
求调剂
已经有5人回复
huchangxu
新虫 (初入文坛)
- 应助: 0 (幼儿园)
- 金币: 23
- 帖子: 37
- 在线: 56.2小时
- 虫号: 1468472
- 注册: 2011-10-31
- 性别: GG
- 专业: 应用高分子化学与物理
2楼2017-09-09 15:20:50
