在艾滋病毒感染的退伍军人国家队列中评估门癌症查实践
Austin J Hewitt1, Matthew J Freeman1, Dana M Hayden1
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Diseases of the colon and rectum
|August 6, 2025
概括
只有15%的感染艾滋病毒的退伍军人接受了门癌症查,其中大多数使用细胞学. 2020年以后,查率下降,并且在查和检测方面存在区域差异.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 门癌症查对于早期检测至关重要.
- 门细胞学和组织学是关键的诊断工具.
- 人类免疫缺陷病毒 (HIV) 感染会增加门癌症的风险.
研究的目的:
- 分析艾滋病毒感染的美国退伍军人的门癌症查趋势 (细胞学与组织学).
- 调查癌查和流行率的区域差异.
- 评估查对癌检测率的影响.
主要方法:
- 追溯的队列研究.
- 分析了来自130个退伍军人事务部医疗中心的48368名艾滋病毒感染退伍军人 (1999-2023年).
- 检查了索引评估 (细胞学/组织学),发病率和区域流行/查率的分布.
主要成果:
- 15%的艾滋病毒退伍军人接受了门评估; 63%是初始细胞学查.
- 从2020年开始,观察到评估的下降.
- 鉴定了查比例和门癌症患病率的区域差异,尽管这些差异在所有艾滋病毒感染退伍军人的门癌症总体患病率中没有得到一致的反映.
结论:
- 尽管有指导方针,但在艾滋病毒感染的退伍军人中,门癌症查率仍然很低.
- 在查实践中存在显著的区域差异.
- 查强度与癌症检测之间的关系是复杂的,需要进一步研究.
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