Introduction: Despite the high prevalence and high rates of mortality of colorectal cancer, it is likely to be a secondary prevention disease due to the presentation of characteristics that are ideal for a successful screening program, with a proven positive impact on its outcome. Objective: To describe the knowledge and practice of physicians concerning screening tests for the prevention of colorectal cancer. Methods: Cross-sectional study carried out between November 2011 and February 2012, through a questionnaire administered to 83 physicians who assist adult patients at the University Hospital of Universidade Luterana do Brasil and at basic health units of Canoas, Rio Grande do Sul, Brazil. Results: From the number of physicians participating in the survey, only 35 (42.0%) reported prescribing tests for colorectal cancer screening. Out of these, only 21 used the screening on patients aged 50 years old or more, as recommended by the guidelines. Only 65.0% of the physicians reported investigating family history of colorectal cancer, and surgical experts were the ones who least investigated this risk factor (p=0.005), when compared with clinical and gynecology specialties. Conclusions: The number of physicians who reported ordering tests for the prevention of colorectal cancer is still low, and their knowledge regarding the recommendations of the guidelines is very limited. The results indicate the immediate need for investment in professional formation and medical staff training concerning preventive measures for colorectal cancer.
Introduction: Pain is a symptom of difficult assessment and management, especially in the pediatric population. The use of PROMs tools (measures of results reported by patients) have been shown to be a significant resource in the evaluation of this symptom and its impact on the quality of life of these patients. From the PROMs concept, the Patient-Reported Outcome Measurement System (PROMIS), a multidimensional instrument that assesses the interference of pain in the daily activities of children and adolescents, was developed. Objective: To translate and adapt cross-culturally to the Portuguese language the pediatric "Pain Interference" item bank. Methods: The scale translation was performed using the Functional Assessment of Chronic Illness Therapy (FACIT) methodology, which complies with the international standards for translation and adaptation of questionnaires and the recommendations of the PROMIS statistical center. A pre-test version was obtained from the transcultural translation and adaptation processes and applied to nine children followed in an outpatient clinic of pediatric specialties. Considering data obtained from a cognitive interview with the participants and from the observations about the comprehensibility of the scale during its application, a final version of the Portuguese language version was formulated. Results: Fron the thirteen items that make up the scale, eight items were readjusted so that the semantic, conceptual and cultural equivalence was achieved. Overall, items were easily read and understood by study participants. Expressions and grammatical particulars were revised and subtly altered so that a version for Portuguese language was guaranteed. Conclusion: Transcultural translation and adaptation ensured that the semantic, conceptual and cultural equivalence of the translated version was achieved. In this way, the pediatric "Pain Interference" bank of the Pediatric PROMIS can undergo validation and psychometric calibration studies so that its Portuguese version can be used in research and clinical trials that evaluate the interference of pain in children and adolescents.
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