美国使用结直肠癌查方式 (2017-2023):国家多支付人索赔数据库分析
Mallik Greene1, Shrey Gohil1, Brad Stieber1
1Exact Sciences Corporation, Madison, WI, USA.
Current medical research and opinion
|September 24, 2025
概括
结肠直肠癌查的利用在2017年至2023年之间发生了显著的转变. 结肠镜和多目标便DNA (mt-sDNA) 测试的使用增加,而便免疫化学测试/便隐性血液测试 (FIT/FOBT) 的使用减少.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大肠直肠癌 (CRC) 是美国癌症死亡的主要原因.
- 评估CRC查方式使用趋势对于公共卫生倡议至关重要.
研究的目的:
- 从2017年到2023年分析各种结直肠癌查方式的利用趋势.
- 识别不同年龄组查偏好的变化.
主要方法:
- 国家多付款人索赔数据库 (2017-2023) 的回顾性,横截面分析.
- 纳入标准:年龄在45-75岁的平均风险患者,连续保险24个月.
- 使用描述性统计和千平方测试,评估结肠镜,多目标便DNA (mt-sDNA) 和便免疫化学测试/便隐性血液测试 (FIT/FOBT) 的年度比例.
主要成果:
- 结肠镜仍然是主要的查方法,从53.0%增加到58.7%.
- 观察到mt-sDNA测试利用率的显著增长 (2.4%至20.4%),与FIT/FOBT (44%至20.4%) 的下降形成对比.
- 年龄特定的分析显示了转变,特别是在45-49岁年龄组,偏好结肠镜和mt-sDNA而不是FIT/FOBT.
结论:
- 从2017年到2023年,结肠直肠癌查利用模式发生了显著的变化.
- 结肠镜和mt-sDNA的使用增加,以及FIT/FOBT的减少,表明查行为正在发生变化.
- 持续的监测对于确保公平获得有效的CRC查选项至关重要.
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