在欧洲遵守治疗上皮前癌症和胃病变的临床实践指南
Filipa Fontes1,2, Noa E A Kapteijn3, Cesare Hassan4
1Precancerous Lesions and Early Cancer Management Group, Research Center of IPO Porto (CI-IPOP)/CI-IPOP@RISE (Health Research Group), Portuguese Institute of Oncology of Porto (IPO Porto)/Porto Comprehensive Cancer Center (Porto.CCC), Porto, Portugal.
Endoscopy
|September 3, 2025
概括
欧洲各个中心对胃前形状管理指南 (MAPS) 的遵守有所改善. 然而,虚拟染色体和评分仍然存在挑战,需要针对性实施策略来改善监测.
科学领域:
- 胃肠病学
- 内镜检查
- 癌症学
背景情况:
- 胃前新生病管理指南 (MAPS) 于2012年推出 (MAPS I),并于2019年更新 (MAPS II).
- 评估是否遵守这些国际指导方针对于有效预防胃癌至关重要.
研究的目的:
- 在引入MAPS I和II之前和之后评估欧洲中心对MAPS指南的遵守情况.
- 确定改善的领域和持续的空白在管理的胃疾病.
主要方法:
- 一项回顾性研究,涉及7个欧洲国家的9个内镜诊所的2,426名患者.
- 在三个时期收集的数据:MAPS I前 (2010/2011年),MAPS I后 (2017/2018年) 和MAPS II后 (2022/2023年).
- 对9项MAPS建议的遵守情况的评估,包括活检实践,H. pylori治疗和内镜监测.
主要成果:
- 大多数中心 (57%) 在9个建议中改善了7个.
- 在体和身体的活检实践中发现了显著的改善.
- 虚拟染色内镜,有针对性的活检和内镜/组织病理评分系统的使用仍然存在差距.
结论:
- 欧洲中心的MAPS指导方针的遵守情况普遍有所改善.
- 特定的诊断和分期工具的持续挑战可能会影响监测协议的有效性.
- 需要采取量身定制的方法来加强MAPS指导方针的实施,以实现最佳的患者管理.
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