对结肠直肠癌的查
Swati G Patel1, Jason A Dominitz2
1Division of Gastroenterology and Hepatology, University of Colorado Anschutz School of Medicine, and Division of Gastroenterology and Hepatology, Rocky Mountain Regional Veterans Affairs Medical Center, Aurora, Colorado (S.G.P.).
结肠直肠癌 (CRC) 查显著降低了癌症发病率和死亡率. 提供多种查选择或替代测试可以促进参与,帮助早期检测和预防工作.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因.
- 通过查及早检测对于降低CRC发病率和死亡率至关重要.
- 有各种各样的CRC查测试存在,每个都有不同的好处,缺点和证据支持.
研究的目的:
- 审查目前关于结直肠癌查的证据和建议.
- 讨论在平均风险人群中启动CRC查的最佳年龄和标准.
- 探索提高患者遵守推查方案的策略.
主要方法:
- 对有关CRC查疗效和指导方针的现有文献进行系统审查.
- 对平均风险人群的年龄相关建议的分析.
- 评估改善查采用率和完成率的方法.
主要成果:
- 癌症查已被证明是有效的减少癌症发病率和死亡率.
- 目前的指导方针建议对50至75岁的平均风险人群进行查,有争议的建议是从45岁开始.
- 查可能有利于选择老年人 (76-85岁) 根据健康状况和病史.
- 提供测试选择或替代选择可以增加查参与率.
结论:
- 始终坚持CRC查指南对于公共卫生至关重要.
- 考虑年龄和个体因素的个性化查方法是必不可少的.
- 提高查可访问性和患者参与度的策略对于最大限度地提高CRC查的好处至关重要.
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