结肠直肠癌查:临床应用
Judith M E Walsh1, Jonathan P Terdiman
1Division of General Internal Medicine, Department of Medicine, Women's Health Clinical Research Center, University of California San Francisco, Campus Box 1793, 1635 Divisadero Suite 600, San Francisco, CA 94115, USA. Jwalsh@medicine.ucsf.edu
JAMA
|March 14, 2003
概括
结肠直肠癌查显著降低了50岁以上成年人死亡率. 尽管有可用的测试,但由于患者和医生的障碍,查率很低. 讨论了改善遵守的策略.
科学领域:
- 胃肠病学 胃肠病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌查可降低50岁及以上的个体的死亡率.
- 推的查测试包括便隐性血液测试,西格莫视镜,双对比性气囊和结肠镜.
- 尽管有建议,但结直肠癌查率仍然很低.
研究的目的:
- 为了解决有关各种结直肠癌查测试证据质量的问题.
- 评估对高风险个体的修改,测试可用性和成本效益.
- 确定患者和医生对结直肠癌查的障碍,并提出提高合规性的策略.
主要方法:
- 审查当前的专业组织对结直肠癌查的建议.
- 对不同查方式的证据质量分析.
- 识别和讨论查遵守障碍的障碍.
- 建议策略,以加强选合规性.
主要成果:
- 有多种查测试可用和推,但它们的证据质量各不相同.
- 与患者相关的因素和与医生相关的因素对查构成重大障碍.
- 成本效益和可用性是广泛采用的关键考虑因素.
结论:
- 改善结肠直肠癌查率需要解决已确定的患者和医生障碍.
- 必须考虑证据的质量,风险分层,可用性和成本效益.
- 实施有针对性的策略至关重要,以提高坚持和减少结直肠癌死亡率.
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