癌症史和心血管疾病:对结直肠和乳腺癌查的影响
Elinita Pollard1, Avirup Guha2,3, Ryan A Harris4
1Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of medical screening
|October 22, 2025
概括
癌症幸存者更有可能接受结直肠癌查. 然而,心血管疾病与乳房扫描摄取率较低有关,这表明需要针对性的干预措施.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 癌症幸存者和患有心血管疾病的人面临患新癌症的风险增加,包括结肠直肠癌和乳腺癌.
- 通过及时进行结肠直肠癌查和乳房造影,早期检测对于改善患者的治疗结果至关重要.
- 预先存在的癌症病史和心血管疾病对遵守这些查指南的影响仍未得到充分研究.
研究的目的:
- 调查癌症史和心血管疾病与结直肠癌查和乳房镜摄取之间的关联.
- 在这些患者群体中识别查遵守方面的差异.
主要方法:
- 采用2019年,2021年和2023年的国家健康访谈调查数据进行横截面分析.
- 检查了结直肠癌查和乳房镜摄取作为结果.
- 评估癌症史和心血管疾病作为暴露,调整社会人口统计学因素和医疗保健准入.
主要成果:
- 癌症史与最新结直肠癌查的几率增加有显著的关联 (OR, 1.74).
- 患有心血管疾病但没有癌症史的个体显示乳房扫描摄取率降低 (OR:0.79).
- 观察到高水平的最新查率:73.1%的结直肠癌和77.8%的乳房图.
结论:
- 癌症史与结直肠癌查的坚持有积极的相关性.
- 心血管疾病与乳房扫描摄入量减少有关,这凸显了针对性干预的必要性.
- 医疗保健提供者应鼓励遵循指导方针的查,特别注意心血管病患者进行乳房镜检查.
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