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What is the compliance of colorectal cancer screening of special groups?

Colorectal cancer (CRC) is one of the common malignant tumors. In 2016, the US mortality rate ranked fourth and second in the cancer spectrum. May be eliminated.



In 1995, the U.S. prevention service team recommended CRC screening for the first time ≥50 years old. The screening method was the feces dumping blood test (FOBT), sigmoid colonoscopy, or both.

The recommendation was updated in July 2002, including colonoscopy or sturgeon enema and FOBT, sigmoid colonoscopy or both.

The 2008 recommendation in individuals 50-75 years of screening includes:

1. FOBT every year;

2. By -shaped colonoscopy every 5 years, combined with FOBT every 3 years; or

3. Epokenlike examination every 10 years.

Recently, a study specifies the existence of a disability (blindness/amblyopia [BLV], intellectual barriers [ID], spinal cord injury [SCI]), whether the ratio of the age of 50-75 years old accepts the ratio of CRC screening. Three people with disability have been explored. These participants have been inspected whether they have received the recommended CRC screening scheme combination for 10 years, including colonoscopy, sigmoid colonoscopy, and feces.

In order to evaluate the time changes in adults of disability (the specified cruel category are BLV, ID, and SCI), the compliance of CRC screening compliance and post-adjustment advantages ratio, researchers for medical subsidies and medical subsidies and medical treatment for South Carolina from 2000-2009 Data from insurance, state health plans, and hospitals were analyzed during 2013-2015.

Studies have found that, compared with adults (48.48%) without these three kinds of disabled, ID (34.32%) or SCI (44.14%) adults decreased to change the recommendation strategy in compliance with time changes.

Compared with adults who have no disability, all three cases group compliance ARS is significantly reduced (BLV: AOR = 0.88, 95% CI = 0.80, 0.96; ID: AOR = 0.55, 95% CI = 0.52, 0.59; SCI: AOR = 0.88, 95% CI = 0.82, 0.95).

In this study, adults with blindness/amblyopia, intellectual obstacles and spinal cord injuries compared with those adult fever that are not disabled, it is unlikely to accept and recommend it according to CRC screening. During the period of medical subsidies or medical insurance coverage every month, this method must consider compliance levels to thoroughly evaluate CRC screening compliance.

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