对结直肠癌的查和医生和患者的不断变化的问题:一篇综述
David Lieberman1, Uri Ladabaum2, Marcia Cruz-Correa3
1Division of Gastroenterology and Hepatology, Oregon Health and Science University, Portland.
结肠直肠癌 (CRC) 查可以降低死亡率. 本综述为医生提供了指导患者选择最佳CRC查选项的工具,从而提高了患者的依从性和结果.
科学领域:
- 癌症学
- 预防医学
- 公共卫生
背景情况:
- 结肠直肠癌是美国癌症死亡的主要原因.
- 有有效的CRC查选择,但使患者的决策变得复杂.
- 主要护理医生需要工具来识别高风险患者并促进明智的查选择.
研究的目的:
- 为初级保健医生提供基于证据的工具.
- 帮助识别患有高于平均水平CRC风险的患者.
- 支持有关CRC查选项的知情决策.
主要方法:
- 对基于证据的CRC查工具的审查.
- 分析美国预防服务工作组的建议.
- 评估不同CRC查方式及其有效性.
主要成果:
- 建议从50岁开始对具有平均风险的个体进行多种CRC查.
- 便隐性血液检测和灵活的西格莫镜检查已被证明可以降低死亡率.
- 便免疫化学测试和结肠镜检查是常用的和有效的,尽管坚持多步骤的程序至关重要.
结论:
- 当患者遵守推程序时,CRC查是有效的.
- 没有一个查计划是绝对优于其他计划.
- 有信息的决策工具对于改善CRC查结果至关重要.
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