Informed decision-making in colorectal cancer screening using colonoscopy or CT-colonography

被引：15
|
作者：
de Haan, Margriet C. [1 ]
de Wijkerslooth, Thomas R. [2 ]
Stoop, Esther [3 ]
Bossuyt, Patrick [4 ,5 ]
Fockens, Paul [2 ]
Thomeer, Maarten
Kuipers, Ernst J. [3 ,6 ]
Essink-Bot, Marie-Louise [7 ]
van Leerdam, Monique E. [3 ]
Dekker, Evelien [2 ]
Stoker, Jaap [1 ]
机构：
[1] Acad Med Ctr, Dept Radiol, NL-1100 DE Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Gastroenterol & Hepatol, NL-1105 AZ Amsterdam, Netherlands
[3] Erasmus Univ, Med Ctr, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands
[4] Univ Amsterdam, Acad Med Ctr, Dept Clin Epidemiol Biostat & Bioinformat, NL-1105 AZ Amsterdam, Netherlands
[5] Erasmus Univ, Med Ctr, Dept Radiol, Rotterdam, Netherlands
[6] Erasmus Univ, Med Ctr, Dept Internal Med, Rotterdam, Netherlands
[7] Univ Amsterdam, Acad Med Ctr, Dept Publ Hlth, NL-1105 AZ Amsterdam, Netherlands
来源：
PATIENT EDUCATION AND COUNSELING | 2013年 / 91卷 / 03期
关键词：
Colorectal cancer; Screening; Colonoscopy; CT Colonography; Informed decision making; RANDOMIZED CONTROLLED-TRIAL; CHOICE; INFORMATION; POPULATION; PARTICIPATION; STATISTICS; MORTALITY;
D O I：
10.1016/j.pec.2013.01.004
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective: To evaluate the level of informed decision making in a randomized controlled trial comparing colonoscopy and CT-colonography for colorectal cancer screening. Methods: 8844 citizens aged 50-75 were randomly invited to colonoscopy (n = 5924) or CT-colonography (n = 2920) screening. All invitees received an information leaflet. Screenees received a questionnaire within 4 weeks before the planned examination, non-screenees 4 weeks after the invitation. A decision was categorized as informed when characterized by sufficient decision-relevant knowledge and consistent with personal attitudes toward participation in screening. Results: Knowledge and attitude items were completed by 1032/1276 colonoscopy screenees (81%), by 698/4648 colonoscopy non-screenees (15%), by 824/982 CT-colonography screenees (84%) and by 192/1938 CT-colonography non-screenees (10%). 1027 colonoscopy screenees (>99%) and 815 CT-colonography screenees (99%) had adequate knowledge; 915 (89%) and 742 (90%) had a positive attitude. 675 non-screenees invited to colonoscopy (97%) and 182 invited to CT-colonography (95%) had adequate knowledge; 344 (49%) and 94 (49%) expressed a negative attitude. Conclusion: A large majority of screenees made an informed decision on participation. Almost half of responding. non-screenees, made an uninformed decision, suggesting additional barriers to participation. Practice implications: Efforts to understand the additional barriers will create opportunities to facilitate informed participation to colorectal cancer screening. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：318 / 325
页数：8
相关论文
共 50 条
  • [1] Informed Decision-Making in Colorectal Cancer Screening Using Colonoscopy or CT-Colonography
    de Haan, Margriet C.
    de Wijkerslooth, Thomas R.
    Stoop, Esther M.
    Bossuyt, Patrick M.
    Fockens, Paul
    Thomeer, Maarten
    Kuipers, Ernst J.
    Essink-Bot, Marie-Louise
    van Leerdam, Monique
    Dekker, Evelien
    Stoker, Jaap
    [J]. GASTROENTEROLOGY, 2011, 140 (05) : S409 - S409
  • [2] Colorectal Cancer Screening by Colonoscopy, CT-Colonography, or Fecal Immunochemical Test
    Kuipers, Ernst J.
    Spaander, Manon C. W.
    [J]. JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2016, 108 (02)
  • [3] Individuals Time Invested in Participating in Colorectal Cancer Screening With Colonoscopy or CT-Colonography
    van Dam, Leonie
    de Haan, Margriet C.
    de Wijkerslooth, Thomas R.
    Stoop, Esther M.
    Bossuyt, Patrick M.
    Fockens, Paul
    Thomeer, Maarten
    Kuipers, Ernst J.
    van Leerdam, Monique
    van Ballegooijen, Marjolein
    Stoker, Jaap
    Dekker, Evelien
    Steyerberg, Ewout W.
    [J]. GASTROENTEROLOGY, 2011, 140 (05) : S407 - S407
  • [4] Colonoscopy or CT colonography for colorectal cancer screening in 2006?
    Subhas Banerjee
    Jacques Van Dam
    [J]. Nature Clinical Practice Gastroenterology & Hepatology, 2006, 3 : 296 - 297
  • [5] Colonoscopy or CT colonography for colorectal cancer screening in 2006?
    Banerjee, S
    Van Dam, J
    [J]. NATURE CLINICAL PRACTICE GASTROENTEROLOGY & HEPATOLOGY, 2006, 3 (06): : 296 - 297
  • [6] A Randomized Controlled Trial Comparing Participation and Diagnostic Yield in Colonoscopy and CT-Colonography for Population Based Colorectal Cancer Screening
    Stoop, Esther M.
    de Haan, Margriet C.
    de Wijkerslooth, Thomas R.
    Bossuyt, Patrick M.
    van Ballegooijen, Marjolein
    Nio, Chung Y.
    van de Vijver, Marc J.
    Biermann, Katharina
    Thomeer, Maarten
    van Leerdam, Monique
    Fockens, Paul
    Stoker, Jaap
    Kuipers, Ernst J.
    Dekker, Evelien
    [J]. GASTROENTEROLOGY, 2011, 140 (05) : S74 - S74
  • [7] Burden of colonoscopy compared to non-cathartic CT-colonography in a colorectal cancer screening programme: randomised controlled trial
    de Wijkerslooth, Thomas R.
    de Haan, Margriet C.
    Stoop, Esther M.
    Bossuyt, Patrick M.
    Thomeer, Maarten
    Essink-Bot, Marie-Louise
    van Leerdam, Monique E.
    Fockens, Paul
    Kuipers, Ernst J.
    Stoker, Jaap
    Dekker, Evelien
    [J]. GUT, 2012, 61 (11) : 1552 - 1559
  • [8] Efficacy of CT colonography versus colonoscopy in screening for colorectal cancer
    Martin-Lopez, J. E.
    Carlos-Gil, A. M.
    Luque-Romero, L.
    Flores-Moreno, S.
    [J]. RADIOLOGIA, 2011, 53 (04): : 355 - 363
  • [9] CT colonography (‘virtual colonoscopy’): Is it ready for colorectal cancer screening?
    Jay P. Heiken
    [J]. Cancer Imaging, 2003, 3 (2) : 146 - 148
  • [10] Colonoscopy or CT Colonography: Patient Preference for Colorectal Cancer Screening
    Samuel, Joshua
    Agresti, Nicholas
    Munoz, Juan
    Blum-Guzman, Juan
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 2014, 109 : S598 - S598
12345