结肠直肠癌查 - 方法,证据和未来的方向
Lise M Helsingen1,2, Mette Kalager1,2
1Clinical Effectiveness Research Group, Institute of Health and Society, University of Oslo, Oslo.
NEJM evidence
|February 6, 2024
概括
结肠直肠癌查在全球范围内是有效的,但建议各不相同. 本综述审查了不同选方法的证据,并提出了未来项目评估的框架.
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) 查是癌症控制的基石.
- 现有的查计划在减少CRC发病率和死亡率方面取得了成功.
- 在CRC查建议和实施方面存在显著的全球差异.
研究的目的:
- 审查目前支持各种结直肠癌查方式的证据.
- 分析国际查计划建议中的差异.
- 提出一个全面的框架来评估未来的CRC查计划.
主要方法:
- 对有关结直肠癌查现有文献的系统审查.
- 对国际指导方针和计划成果进行比较分析.
- 为查举措制定拟议的评估框架.
主要成果:
- 证据支持结直肠癌查的多种有效方法.
- 查协议的变化会影响计划的有效性和可访问性.
- 需要一个结构化的框架来持续评估和优化选计划.
结论:
- 标准化的评估标准对于推进结直肠癌查至关重要.
- 优化查策略需要持续的基于证据的评估.
- 协调全球建议可以提高CRC查工作的影响.
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