最大限度地利用稀缺的结肠镜资源:便测试的关键作用
Gloria D Coronado1,2, Leslie Bienen3, Andrea Burnett-Hartman4
1Kaiser Permanente Northwest, Center for Health Research, Portland, OR, USA.
随着COVID-19的流行,结肠直肠癌 (CRC) 查也受到影响. 一个便测试第一的策略,使用在家的测试,然后通过结肠镜检查异常结果,可以提高CRC查效率和患者的结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19大流行,包括联邦资格卫生中心在内的卫生系统内的结直肠癌 (CRC) 查显著受到干扰.
- 国家指导方针建议增加在家便测试的使用,为高危人群或急性症状患者预留面对面的结肠镜检查.
研究的目的:
- 评估便测试-第一策略对结直肠癌 (CRC) 查和监测的潜力.
- 倡导优化现有技术的使用,如便检测,以提高CRC查效率和可访问性,特别是在资源有限的环境中.
主要方法:
- 这项研究回顾了当前的做法,并建议改变结肠直肠癌 (CRC) 查方案.
- 它强调了家庭便测试作为主要查工具的实用性,随后对异常结果的个人进行结肠镜检查.
- 该策略还考虑在低风险腺瘤患者的监测中使用.
主要成果:
- 结肠镜可能被过度利用,作为低风险和中等风险成年人的一线查方法,以及作为小腺瘤的监测工具.
- 同时,获得必要的结肠镜仍然是许多人面临的挑战.
- 由于结肠镜资源有限,COVID-19大流行表明了增加便测试的可行性.
结论:
- 实施便测试第一方法可以通过尽量减少患者的不便和程序风险来提高结直肠癌 (CRC) 查的效率.
- 优化目前可用的,低成本的便检测的使用对于加强医疗保健系统和改善CRC预防至关重要.
- 调整查策略以适应资源限制而不会损害患者健康,尤其是在联邦资格医疗中心,应该是未来研究的优先事项.
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