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Dutch individuals’ views of screening for oesophageal cancer: a focus group study

OBJECTIVE: Screening for early oesophageal adenocarcinoma (OAC), including its precursor Barrett’s oesophagus (BO), can potentially reduce OAC-related morbidity and mortality. This study explores Dutch at-risk individuals’ views of screening an at-risk population for BO/OAC. DESIGN: We invited 372 i...

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Autores principales: Sijben, Jasmijn, Peters, Yonne, Bas, Sharell, Siersema, Peter, Rainey, Linda, Broeders, Mireille
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254588/
https://www.ncbi.nlm.nih.gov/pubmed/37257920
http://dx.doi.org/10.1136/bmjgast-2023-001136
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author Sijben, Jasmijn
Peters, Yonne
Bas, Sharell
Siersema, Peter
Rainey, Linda
Broeders, Mireille
author_facet Sijben, Jasmijn
Peters, Yonne
Bas, Sharell
Siersema, Peter
Rainey, Linda
Broeders, Mireille
author_sort Sijben, Jasmijn
collection PubMed
description OBJECTIVE: Screening for early oesophageal adenocarcinoma (OAC), including its precursor Barrett’s oesophagus (BO), can potentially reduce OAC-related morbidity and mortality. This study explores Dutch at-risk individuals’ views of screening an at-risk population for BO/OAC. DESIGN: We invited 372 individuals with risk factors for OAC from primary care practices, 73 individuals with surveillance experience, and 221 participants of previous studies (BO/OAC screening trial or survey) to participate in focus groups. Transcripts were inductively and thematically analysed by two independent researchers. RESULTS: A total of 50 individuals (42% with gastro-oesophageal reflux symptoms) of 50–75 years participated. Themes that were raised included: theme 1 ‘screening intentions’ describing participants’ motivation to be screened (eg, early diagnosis, potential reassurance, physician recommendation, and knowing someone with cancer) or decline screening (eg, anticipated discomfort or suboptimal accuracy of the test); theme 2 ‘risk-based eligibility’ describing the tension between effectiveness (eg, targeting high-risk individuals) and inclusivity (eg, making screening available for everyone); theme 3 ‘distributive justice’, in which the pressure of a potential new screening programme on healthcare resources was discussed; and theme 4 ‘information needs’ describing the perceived lack of information access and individuals’ preference to discuss screening with their general practitioner. CONCLUSION: Individuals not only expressed high willingness to be screened but also voiced the concern that a new screening programme may pressure limited healthcare resources. If implemented, it is crucial to develop educational materials that meet the public’s information needs and explain the test procedures and eligibility criteria while avoiding stigmatising language.
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spelling pubmed-102545882023-06-10 Dutch individuals’ views of screening for oesophageal cancer: a focus group study Sijben, Jasmijn Peters, Yonne Bas, Sharell Siersema, Peter Rainey, Linda Broeders, Mireille BMJ Open Gastroenterol Oesophageal Cancer OBJECTIVE: Screening for early oesophageal adenocarcinoma (OAC), including its precursor Barrett’s oesophagus (BO), can potentially reduce OAC-related morbidity and mortality. This study explores Dutch at-risk individuals’ views of screening an at-risk population for BO/OAC. DESIGN: We invited 372 individuals with risk factors for OAC from primary care practices, 73 individuals with surveillance experience, and 221 participants of previous studies (BO/OAC screening trial or survey) to participate in focus groups. Transcripts were inductively and thematically analysed by two independent researchers. RESULTS: A total of 50 individuals (42% with gastro-oesophageal reflux symptoms) of 50–75 years participated. Themes that were raised included: theme 1 ‘screening intentions’ describing participants’ motivation to be screened (eg, early diagnosis, potential reassurance, physician recommendation, and knowing someone with cancer) or decline screening (eg, anticipated discomfort or suboptimal accuracy of the test); theme 2 ‘risk-based eligibility’ describing the tension between effectiveness (eg, targeting high-risk individuals) and inclusivity (eg, making screening available for everyone); theme 3 ‘distributive justice’, in which the pressure of a potential new screening programme on healthcare resources was discussed; and theme 4 ‘information needs’ describing the perceived lack of information access and individuals’ preference to discuss screening with their general practitioner. CONCLUSION: Individuals not only expressed high willingness to be screened but also voiced the concern that a new screening programme may pressure limited healthcare resources. If implemented, it is crucial to develop educational materials that meet the public’s information needs and explain the test procedures and eligibility criteria while avoiding stigmatising language. BMJ Publishing Group 2023-05-31 /pmc/articles/PMC10254588/ /pubmed/37257920 http://dx.doi.org/10.1136/bmjgast-2023-001136 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Oesophageal Cancer
Sijben, Jasmijn
Peters, Yonne
Bas, Sharell
Siersema, Peter
Rainey, Linda
Broeders, Mireille
Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title_full Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title_fullStr Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title_full_unstemmed Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title_short Dutch individuals’ views of screening for oesophageal cancer: a focus group study
title_sort dutch individuals’ views of screening for oesophageal cancer: a focus group study
topic Oesophageal Cancer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254588/
https://www.ncbi.nlm.nih.gov/pubmed/37257920
http://dx.doi.org/10.1136/bmjgast-2023-001136
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