查结肠直肠癌的机遇和挑战
Lesley-Ann Miller Wilson1, Sara Browne2, Jake Barnes2
1Exact Sciences Corporation, Madison, Wisconsin, USA.
Population health management
|July 27, 2023
概括
结肠直肠癌 (CRC) 查率从2015年到2019年在肯塔基州显著改善,多目标便DNA测试显示增加了40倍. 尽管有所改善,但CRC查对于平均风险个体仍然不理想.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 结肠直肠癌 (CRC) 是美国死亡的一个重要原因.
- 通过查进行早期检测,可以大大改善患者的治疗结果.
- 目前的CRC查率低于推水平,尽管有可用的测试.
研究的目的:
- 分析CRC查率和测试利用率的时间趋势.
- 检查50-75岁的平均风险人群中的查模式.
- 评估2015年至2019年圣伊丽莎白医疗保健系统中的变化.
主要方法:
- 以后对无人身份的电子健康记录进行回顾性分析.
- 专注于特定医疗保健系统中的50-75岁患者.
- 在5年的时间内评估CRC查率和特定测试使用情况.
主要成果:
- 癌症查率从26% (2015) 增加到49% (2019).
- 对于符合条件的患者和所有患者,整体查测试发生率显著上升.
- 多目标便DNA (mt-sDNA) 测试的使用量增加了40倍.
结论:
- 在50-75岁的平均风险人群中,CRC查率和坚持显著改善.
- 尽管有所改善,但未达到最佳查率仍然存在.
- 越来越多地采用mt-sDNA可能与查率的上升有关.
更多相关视频
03:44Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
37
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
相关概念视频
Endoscopic Procedures II: Colonoscopy
133
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
133
Serum Laboratory Studies, Stool Test, Breath Test
382
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
382
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
109
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
109
Assessment of the Rectum and Anus
278
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
278
