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Impacto De Una Intervención De Atención Primaria En El Programa De Detección Precoz De Cáncer Colorrectal

Francisco Jose Luque Mellado, Lidia Paino Pardal,Isabel Condomines Feliu,Isabel Tora-Rocamora,Merce Cuadras Rofastes, Elvira Romero Diaz,Maribel Pacheco Ortiz,Juan Carlos Camunez Bravo,Marta Aldea,Jaume Grau Cano, Rafael Abos-Herrandiz, Eva Abril, Cristina Alvarez, Marco Antonio Alvarez, Montserrat Andreu, Isis Araujo, Josep M. Auge, Anna Aymar, Guillermo Bagaria, Francesc Balaguer, Xavier Bessa, Montserrat Bonilla, Andrea Buron, Sabela Carballal, Antoni Castells, Xavier Castells, Merce Comas, Rosa Costa, Miriam Cuatrecasas, Josep M. Dedeu, Maria Estrada, Imma Garrell, Jordi Gordillo, Rafael Guayta, Cristina Hernandez, Mar Iglesias, Laura Llovet, Maria Lopez-Ceron, Francesc Macia, Leticia Moreira, Laura Moreno, M. Francisca Murciano, Gemma Navarro, Teresa Ocana, Maria Pellise, Merce Pintanell, Angels Pozo, Teresa Puig, Faust Riu, Liseth Rivero-Sanchez, Cristina Rodriguez, Maria Sala, Ariadna Sanchez, Agustin Seoane, Anna Serradesanferm, Judit Sivilla, Antoni Trilla

Gastroenterología y hepatología(2019)

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摘要
Aim: To assess the effectiveness of a telephonic interview performed by primary care professionals among non-participants in the first round of the colorectal cancer early detection programme in the basic urban health area Guineueta in Barcelona, Spain. Patients and methods: The Primary Healthcare Team of La Guineueta contacted people who did not respond to the invitation to the first round of the colorectal cancer early detection programme using a standardised telephone call protocol. We analysed the impact of the intervention based on participation and diagnosed disease. Results: We made 3,327 phone calls to 2,343 people. After the intervention the participation rate was 54.9%, which meant an increase of 5.7% with respect to the participation in the usual protocol for the programme (49.2%). The intervention allowed 5 cancers, 2 high-risk neoplasms and 8 low- and intermediate-risk lesions to be diagnosed. An average of 9 phone calls was necessary to achieve the participation of one additional person. Discussion: The telephonic intervention performed by primary care professionals has significantly increased the population participation rate and the detection of neoplasms with respect to the usual colorectal cancer early detection programme protocol. (C) 2019 Elsevier Espana, S.L.U. All rights reserved.
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关键词
Colorectal cancer,Cancer screening,Population participation,Primary Care,Secondary prevention
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