在一般实践中将非特异性症状归因于癌症:范围审查
Gladys Langue1,2, India Pinker1, Valerie Moran3,4
1Ageing, Cancer and Disparities Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg.
PloS one
|June 23, 2025
概括
一般医生 (GPs) 面临的挑战是归因于非特异性癌症症状. 有限的研究存在,特别是对于和新发糖尿病等症状,强调需要进一步调查诊断推理.
科学领域:
- 在瘤学瘤学.
- 一般实践一般实践
- 诊断推理 诊断推理
背景情况:
- 非特异性癌症症状在初级保健中构成诊断挑战,可能延迟诊断并恶化患者的结果.
- 将模糊的症状归因于癌症是复杂的,因为有许多差异诊断.
研究的目的:
- 审查现有的关于在一般实践中将非特异性症状归因于癌症的文献.
- 确定这个研究领域的知识差距.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA指南进行了范围审查.
- 对多个数据库的系统搜索发现了相关研究.
- 一个人工智能工具ResearchRabbit有助于识别其他论文.
主要成果:
- 包括八项研究,重点关注疲劳,感染,白,减肥和深静脉血栓等症状.
- 一般医生认为减肥和DVT是癌症特异性的.
- 归因受患者病史,症状表现,GP直觉,患者关注和访问频率的影响.
结论:
- 在一般实践中,关于将非特异性症状归因于癌症的研究有限.
- 在这种情况下,和新发糖尿病等症状仍未得到充分研究.
- 需要进一步研究全科医生对非特异性癌症症状的诊断推理.
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