programas cribado cancer

Nota bibliográfica cribado miscelánea 2014-09

Zapka JM, Edwards HM, Chollette V, Taplin SH. Follow-up to Abnormal Cancer Screening Tests: Considering the Multilevel Context of Care. Cancer Epidemiol Biomarkers Prev. 2014; Available from: doi: 10.1158/1055-9965.EPI-14-0454.

 The call for multilevel interventions to improve the quality of follow-up to abnormal cancer screening has been out for a decade, but published work emphasizes individual approaches, and conceptualizations differ regarding the definition of levels. To investigate the scope and methods being undertaken in this focused area of follow-up to abnormal tests (breast, colon, cervical), we reviewed recent literature and grants (2007–2012) funded by the National Cancer Institute. A structured search yielded 16 grants with varying definitions of “follow-up” (e.g., completion of recommended tests, time to diagnosis); most included minority racial/ethnic group participants. Ten grants concentrated on measurement/intervention development and 13 piloted or tested interventions (categories not mutually exclusive). All studies considered patient-level factors and effects. Although some directed interventions at provider levels, few measured group characteristics and effects of interventions on the providers or levels other than the patient. Multilevel interventions are being proposed, but clarity about endpoints, definition of levels, and measures is needed. The differences in the conceptualization of levels and factors that affect practice need empirical exploration, and we need to measure their salient characteristics to advance our understanding of how context affects cancer care delivery in a changing practice and policy environment. Cancer Epidemiol Biomarkers Prev; 23(10); 1–9. ©2014 AACR.

Van Agt HME, Korfage IJ, Essink-Bot M-L. Interventions to enhance informed choices among invitees of screening programmes—a systematic review. Eur J Public Health. 2014;24(5):789–801. Available from: doi: 10.1093/eurpub/ckt205.

Conclusion: The empirical evidence regarding interventions to improve informed decision making in screening is limited. It is unknown which strategies to enhance informed decision making are most effective, although DAs are promising. Systematic development of interventions to enhance informed choices in screening deserves priority, especially in disadvantaged groups
web desarrollada y mantenida por :