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首页> 外文期刊>Clinical and Translational Gastroenterology >Colorectal Cancer Screening Participation Among Asian Americans Overall and Subgroups in an Integrated Health Care Setting with Organized Screening
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Colorectal Cancer Screening Participation Among Asian Americans Overall and Subgroups in an Integrated Health Care Setting with Organized Screening

机译:在有组织筛查的综合医疗机构中,亚裔美国人整体和亚组的大肠癌筛查参与

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Background Screening reduces colorectal cancer deaths, but?<50% of Asian Americans are screening up-to-date according to surveys, with variability across Asian subgroups. We examined colorectal cancer screening participation among Asian Americans overall and Asian subgroups in a large integrated health care system with organized screening. Methods Data were electronically accessed to characterize screening in 2016 for Asians overall and subgroups relative to the National Colorectal Cancer Roundtable target of ≥80% screening and compared with non-Hispanic whites. Screening up-to-date was defined as a colonoscopy with 10 years, a sigmoidoscopy within 5 years, or a fecal immunochemical test (FIT) completed in 2016. Results Among 436,398 patients, 69,826 (16.0%) were Asian, of whom 79.8% were screening up-to-date vs. 77.6% of non-Hispanic whites ( p ?
机译:背景筛查可减少结直肠癌的死亡,但根据调查,<50%的亚裔美国人正在进行最新筛查,亚裔人群之间存在差异。我们研究了亚裔美国人整体人群和亚洲亚组人群在一个有组织筛查的大型综合医疗体系中的结肠直肠癌筛查参与情况。方法以电子方式获取数据,以表征2016年相对于全国大肠癌圆桌会议筛查≥80%的亚裔人群的整体和亚组筛查,并与非西班牙裔白人进行比较。最新的筛查定义为10年的结肠镜检查,5年内的乙状结肠镜检查或2016年完成的粪便免疫化学测试(FIT)。结果在436,398例患者中,有69,826例(16.0%)来自亚洲,其中79.8%与非西班牙裔白人中的77.6%进行了最新筛查(p 0.001)。几乎所有亚组都达到了80%的目标:中国人(83.3%),越南人(82.4%),韩国人(82.1%),其他亚洲人(80.3%),菲律宾人(78.7%),亚洲印度人(79.6%)和日本人( 79.0%)。在亚洲人的整体和非西班牙裔白人中,有50.6%和48.4%的成员通过结肠镜检查是最新的,而通过FIT进行更新的成员分别为28.0%和28.2%。在亚洲各亚组中,结肠镜检查最常进行最新筛查(范围:47.4–59.7%),其次是FIT(范围:21.6–31.5%)。结论在有组织的筛查环境中,尽管语言偏好存在差异,亚洲亚组的筛查参与差异很小,几乎都达到了80%的筛查目标。跨亚组筛查测试类型的差异表明筛查方式可能存在偏好,这可以为将来针对定制教育或外展研究提供信息。

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