在印度进行结肠直肠癌查:现实世界情景,陷和解决方案
Mansi Agrawal1, Adwaith Krishna Surendran2, Karthik Kanna Venkatesh2
1Medical Student, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India.
South Asian journal of cancer
|March 10, 2025
概括
结肠直肠癌 (CRC) 查结肠镜的吸收率很低,即使在医疗专业人员中也是如此. 非侵入性血液和便检测可以识别高风险个体,增加结肠镜检查的使用,并可能挽救生命.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
背景情况:
- 非侵入性结肠直肠癌 (CRC) 查生物标志物可以改善早期检测.
- 全球和印度采用CRC查仍然是一个公共卫生挑战.
- 查结肠镜检测是全球CRC检测指南建议的.
研究的目的:
- 评估查结肠镜检查在现实世界中的实用性.
- 评估符合条件的个人中查结肠镜的采用率.
- 识别CRC查和潜在解决方案的障碍.
主要方法:
- 根据美国医学协会 (AMA) 的指导方针设计了一项调查,将45岁以上作为结肠镜查的截止年龄.
- 一个谷歌表格通过社交媒体分发给医疗保健专业人员.
- 在30天内收集了自愿回复以进行数据分析.
主要成果:
- 分析了2,199个人的数据.
- 1374人有资格接受查结肠镜检查.
- 只有7.14% (98/1,374) 符合条件的个人接受了该程序.
结论:
- 查结肠镜的利用率低于最佳,即使是在受过高等教育的医学界.
- 这些障碍包括侵袭性质,肠道准备,操作员依赖以及与结肠镜相关的风险.
- 非侵入性血液和便检测可以识别高风险人群,可能增加查结肠镜检查的使用并挽救生命.
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