密码性中风中的恶性病变:对加拿大中风和血栓形成专家的调查
Laurence Poirier1, Deborah M Siegal1, Dominick Bossé1
1Department of Medicine, University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, Canada.
Neurology. Clinical practice
|May 7, 2025
概括
加拿大医生在加密性中风患者的癌症查方面展示了各种方法. 许多人推迟查或不进行检查,强调需要基于证据的指导方针来检测中风后的隐性癌症.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 密码性中风诊断涉及由于中风风险增加而调查隐性癌症.
- 目前的指导方针缺乏针对加密性中风后癌症查的具体建议.
- 在密码性中风中隐性恶性瘤的最佳诊断工作仍然未定义.
研究的目的:
- 调查加拿大中风和血栓形成病的医生,了解他们目前在密码性中风患者中进行隐性癌症查的做法.
- 确定在这个人群中检测癌症的首选诊断测试和工作策略.
主要方法:
- 一个匿名在线调查被分发给加拿大医生管理密码性中风.
- 用了四种不同患者人口统计学的临床场景来评估测试建议.
- 受访者表示他们更喜欢用于癌症查的实验室,成像和程序调查.
主要成果:
- 138名医生做出了回应,揭示了癌症查方法的显著异质性.
- 全血细胞计 (79%),肌素 (63%) 和腹部/骨盆CT (39%) 是常见的调查.
- 许多专家将治疗推迟到初级保健 (大约. 50%) 或没有进行查 (12%).
结论:
- 加拿大专家对加密性中风患者隐性癌症查的做法不一致.
- 很大一部分专家要么不进行癌症查,要么把这个责任委托给别人.
- 显然需要基于证据的指导方针来规范加密性中风的癌症查.
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