Prostate Examination at Time of Colonoscopy: A Survey of Patients, General Practitioners (GPs), and Endoscopists
Notice bibliographique
Résumé
Introduction: Intro: All colonoscopies begin with a digital rectal exam. This may or may not include a digital prostate exam in male patients. Some patients believe their prostates are examined at time of colonoscopy, and hence, they believe they are also being screened for Prostate Cancer. It is unclear whether General Practitioners (GP) alter their Prostate Cancer screening practices if a patient had a recent colonoscopy. The beliefs of Endoscopists with regards to prostate examination during colonoscopy is not known. The present study was undertaken to investigate the perceptions and practices surrounding prostate exams at time of colonoscopy. Methods: Methods: 34 male patients were recruited from the gastroenterology unit at the Health Sciences center via a voluntary confidential survey. 15 General Practitioners (GP’s) from various clinics in St. John’s, NL were recruited via a voluntary confidential survey. 21 Endoscopists (Gastroenterologists and General Surgeons) were recruited via an electronic mailing list via an online voluntary confidential survey. Results: Results: 44% of patients believed that the prostate was examined during colonoscopy. 87% felt that it should be examined during each colonoscopy. 93.3% of GP’s did not reduce their frequency of prostate cancer screening when patients had a recent colonoscopy. 20% GP’s expected the prostate to be examined at time of colonoscopy. 42.8% of Endoscopists reported performing prostate exams at least 75% of the time, and 28.5% performed them during each colonoscopy. 28.5% of Endoscopists believed that patients expect for their prostate to be examined during colonoscopy. 61.9% do not feel confident in recognizing prostate pathology on digital examination. Conclusion: The results of this survey reveal that most endoscopists do not perform prostate exams, even though an overwhelming majority of patients believe that the prostate should be examined during colonoscopy. The majority of GP’s do not alter their prostate cancer screening practices if their patients had a recent colonoscopy. This study highlights a major discrepancy that exists between patient expectation and endoscopist practices in regards to prostate exams during colonoscopy.202_A Figure 1. Characteristics of surveyed groups202_B Figure 2. Male patient wishes regarding prostate exams during colonoscopy202_C Figure 3. Proportion of endoscopists who perform digital prostate exams during colonoscopy
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».