一个移动应用程序,以改善对结肠直肠癌查和多角切除术后监测指南的遵守
María A Casas1, Francisco Schlottmann2, Leandro Steinberg3
1Department of Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, Buenos Aires, C1118AAT, Argentina. macasas@hospitalaleman.com.
BMC gastroenterology
|March 28, 2025
概括
一个新的移动应用程序有效地指导医疗保健专业人员进行结肠直肠癌 (CRC) 查和监测,优化遵守更新的指南,减少不必要的结肠镜检查.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 仍然是一个重大的全球卫生挑战,尽管检测方面取得了进展,但死亡率很高.
- 对查指南的不一致遵守和缺乏知识阻碍了有效的CRC预防计划.
研究的目的:
- 评估一款用于结直肠癌 (CRC) 查和监测的移动应用程序的实施和实际影响.
- 该应用程序集成更新的指导方针,以优化患者管理.
主要方法:
- 一个专家开发的带有人体工程学算法的移动应用程序被加泰罗尼亚的医疗保健专业人员使用.
- 在2023年2月至2024年5月期间,分析了12481次咨询 (查和多眼术后监测) 的数据.
主要成果:
- 该应用程序在用户中显示了高采用率和保留率 (72%).
- 它指导了适当的风险分层,为平均风险查和选择监测病例推了不那么侵入性的便隐性血液测试 (FOBT).
- 该应用程序确定了需要标准 (34.1%) 和密集 (7.9%) 结肠镜监测的患者.
结论:
- 该移动应用程序在医疗保健专业人员中获得了显著的接受和使用.
- 通过应用程序实施更新的指导方针可以减少不必要的结肠镜检查,并改善用于密集监测的高风险患者的识别.
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