摘要
AIM: To find out whether there are differences in attitudes about colorectal cancer (CRC) screening among gastrointestinal (GI) specialists and general practitioners (GPs) and which method is preferred in a national screening program METHODS: Four hundred and twenty Dutch GI specialists in the Netherlands and 400 GPs in Amsterdam were questioned in 2004. Questions included demographics, affiliation, attitude towards screening both for the general population and themselves, methods of screening, family history and individual risk. RESULTS: Eighty-four percent of the GI specialists returned the questionnaire in comparison to 32% of the GPs (P〈0.001). Among the GI specialists, 92% favoured population screening whereas 51% of GPs supported population screening (P〈0.001). Of the GI specialists 95% planned to be screened themselves, while 30% of GPs intended to do so (P〈0.001). Regarding the general population, 72% of the GI specialists preferred colonoscopy as the screening method compared to 27% of the GPs (P〈0.001). The method preferred for personal screening was colonoscopy in 97% of the GI specialists, while 29% of the GPs favoured colonoscopy (P〈0.001). CONCLUSION: Screening for CRC is strongly supported by Dutch GI specialists and less by GPs. The major health issue is possibly misjudged by GPs. Since GPs play a crucial role in a successful national screening program, CRC awareness should be realized by increasing knowledge about the incidence and mortality, thus increasing awareness of the need for screening among GPs.
瞄准:发现是否在关于颜色的态度有差别屏蔽在之中的表面的癌症(CRC ) 胃肠(官方补给) 专家和全科医生(GP ) 并且它方法在一个国家屏蔽节目被比较喜欢。方法:在荷兰的 420 位荷兰的官方补给的专家和在阿姆斯特丹的 400 GP 在 2004 被询问。问题包括了人口分布,联营,对为一般人口和自己屏蔽两个的态度,屏蔽的方法,家庭历史和单个风险。结果:百分之 84 位官方补给的专家与 32% GP 相比归还了问询表(P < 0.001 ) 。在官方补给的专家之中,而 51% GP 支持了人口屏蔽, 92% 赞成了人口屏蔽(P < 0.001 ) 。官方补给的专家, 95% 计划自己被屏蔽,当 30% GP 打算那么做时(P < 0.001 ) 。关于一般人口, 72% 官方补给的专家与 27% GP 相比作为屏蔽方法比较喜欢结肠镜检查(P < 0.001 ) 。为个人屏蔽比较喜欢的方法是在 97% 官方补给的专家的结肠镜检查,当 29% GP 赞成了结肠镜检查时(P < 0.001 ) 。结论:为 CRC 屏蔽被 GP 被荷兰的官方补给的专家和更少强烈支持。主要健康问题被 GP 可能判断错。因为 GP 在一个成功的国家屏蔽节目起一个关键作用, CRC 了解应该被关于发生和死亡增加知识认识到,对在 GP 之中屏蔽的需要的因此增加的了解。