在人口中针对风险量身定制的癌症查的实施考虑:范围审查
Kate L A Dunlop1, Nehal Singh2, Hilary A Robbins3
1The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia; Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
Preventive medicine
|February 20, 2024
概括
根据风险量身定制的癌症查是可以接受的,但面临实施挑战,特别是对于低风险个体的查减少. 战略必须涉及交付,教育和公平,以便成功地在人口层面采用.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 根据风险量身定制的查通过个性化时间表来优化癌症查的好处与危害.
- 当前的人口查使用一种适合所有人的方法,这可能不是最佳的.
- 实施风险量身定制的查需要多层次的实践变化.
研究的目的:
- 综合对人口层面风险量身定制的癌症查的实施考虑.
- 识别障碍,促进者和实施结果.
- 为未来的战略制定提供信息.
主要方法:
- 在2023年2月之前,对相关研究进行了范围审查.
- 证据综合遵循了Tierney等人. (2020) 的指导方针.
- 分析使用了多层框架.
主要成果:
- 74项研究符合纳入标准;大多数研究侧重于可接受性,可行性和适当性.
- 根据风险量身定制的查通常是可以接受的,但减少对低风险个体的查面临文化障碍.
- 除了乳腺癌之外,癌症类型的研究也有限.
结论:
- 实施策略必须考虑其他交付模式和卫生专业教育.
- 公众沟通和解决低风险查选项至关重要.
- 策略需要减轻不同癌症类型的潜在不平等.
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