延迟诊断,疾病和二次预防,特别是在患有结直肠癌的年轻患者中
1Faculty of Health Sciences, Collegium Medicum, Andrzej Frycz Modrzewski Krakow University, Poland.
Polski przeglad chirurgiczny
|October 28, 2024
概括
定期进行结肠镜显著降低结肠直肠癌 (CRC) 的发生率. 通过查及早检测和及时治疗对于更好的患者结果至关重要,尽管经常出现延迟.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 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.
- 查和早期检测策略有助于降低CRC率.
- 在50岁以下的个体中,早期发病CRC (EOCRC) 的发病率越来越高.
研究的目的:
- 为了调查结肠镜检查和CRC发病率之间的关联.
- 检查家族史与CRC之间的关系.
- 分析症状发作,诊断和治疗开始时间之间的相关性.
主要方法:
- 对手术CRC患者记录 (1995-2005) 的回顾性分析.
- 诊断调查方法. 诊断调查方法.
- 对结肠镜检查表现和CRC发病率的统计分析.
主要成果:
- 在结肠镜检查和CRC发病率之间发现了统计学意义上的反向关系 (P<0.001).
- 癌症和癌症或其他肠道疾病的家族史之间没有显著的相关性.
- 在症状发作和治疗开始之间观察到显著的延迟,通常超过六个月.
结论:
- 预防性结肠镜检查与CRC发病率最低相关.
- 公共教育对识别症状和接受查至关重要.
- 诊断和开始治疗的延迟会对CRC患者的预后产生负面影响.
相关概念视频
Preventive Healthcare Services
973
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
973
Levels of Health Promotion and Illness Prevention
12.5K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.5K
Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
Barrett Esophagus-I: Introduction
70
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
70
Endoscopic Procedures II: Colonoscopy
58
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
58
Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K


