了解基于人口的前列腺癌早期检测计划的障碍:PRAISE-U BEST调查
Katharina Beyer1, Renée C A Leenen1, Lionne D F Venderbos1
1Department of Urology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, 3015 Rotterdam, The Netherlands.
Journal of personalized medicine
|July 27, 2024
概括
欧洲专家支持以人口为基础的前列腺癌 (PCa) 查,但实施面临障碍. 克服挑战需要政治意愿,资源,以及为有效的早期检测计划制定明确的准则.
科学领域:
- 泌尿病学和公共卫生
- 癌症查实施实施方案
- 卫生政策和管理卫生政策和管理
背景情况:
- 欧盟委员会建议在2022年探索基于人口的前列腺癌 (PCa) 查.
- PRAISE-U项目调查了欧盟成员国 (MSs) 早期检测实践,障碍和PCa查解决方案.
研究的目的:
- 评估目前在欧盟成员国中对PCa的早期检测做法.
- 识别阻碍实施基于人口的PCa查计划的障碍.
- 提出解决方案,以克服已识别的障碍.
主要方法:
- 为PCa环境调整和翻译了"有效选工具障碍" (BEST) 调查.
- 通过使用雪球方法,向欧盟各地的各个利益相关者传播调查.
- 收集了来自55个国家的410个回复,其中301个来自欧盟成员国.
主要成果:
- 大多数受访者 (69%) 报告没有基于人口的PCa查计划,理由是资源有限和缺乏支持.
- 机会性查很常见 (69%),对以人口为基础的计划有强烈的支持 (70%),特别是来自泌尿科医生和患者.
- 主要障碍包括缺乏政治支持,资源不足和参与不足;解决方案包括宣传活动,政治游说和欧洲指导方针.
结论:
- 需要注意的是机会性查,泌尿科医生和患者代表对基于人口的PCa查有显著的支持.
- 成功实施需要政治和医疗社会的支持,足够的资源,宣传举措和建立的协议/指南.
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