癌症查的障碍和克服它们的方法:系统文献审查
R Aguiar-Ibáñez1, Ypv Mbous2, Sugandh Sharma3
1Merck Canada Inc., Kirkland, QC, Canada.
Frontiers in oncology
|August 22, 2025
概括
癌症查受到社会经济地位和农村生活等因素的阻碍. 有针对性的教育计划是克服这些障碍和提高早期癌症检测率的关键.
科学领域:
- 癌症学
- 公共卫生
- 医疗服务研究
背景情况:
- 癌症查计划对于早期发现和改善存活率至关重要.
- 癌症查的不一致性是一个重大的公共卫生挑战.
- 多方面的障碍导致癌症查参与的差异.
研究的目的:
- 在各种瘤类型中系统地审查影响癌症查的因素.
- 确定旨在克服癌症查障碍的干预措施.
主要方法:
- 使用Embase和MEDLINE数据库进行了系统文献审查 (SLR).
- 包括2012年5月至2022年5月发表的研究,重点是观察数据.
- 数据提取和叙述报告由两位独立审查员进行.
主要成果:
- 确定了811项研究,其中658项专注于乳腺癌,宫癌,肺癌,结直肠癌,胃癌和前列腺癌.
- 主要障碍包括较低的社会经济地位,农村居住和缺乏保险.
- 促进因素包括年龄,先前查史,感知风险和医生的建议.
- 针对性的教育计划被确定为主要干预策略.
结论:
- 癌症查障碍是复杂的,包括人口,社会经济和医疗保健准入因素.
- 解决这些障碍需要多层次的战略,整合通用和癌症特定的方法.
- 干预和政策可以加强查参与,从而提前诊断和减少结果差异.
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