75岁以后的癌症查:全国人口基趋势
Frerik Smit1,2, Axelle Braggion1,2, Stéphane Cullati1,2,3,4
1Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland.
Journal of medical screening
|October 31, 2025
概括
癌症查在75岁以上的成年人中仍然很常见,尽管缺乏指导方针建议. 这一趋势凸显出需要评估老年人群癌症查的有效性和风险.
科学领域:
- 老年医学 老年医学
- 预防性瘤学预防性瘤学
- 公共卫生政策 公共卫生政策
背景情况:
- 基于证据的指导方针一般不建议对75岁以上的人进行癌症查.
- 尽管如此,癌症查在这个年龄段仍然很普遍.
- 了解查趋势对于评估医疗保健资源分配和患者结果至关重要.
研究的目的:
- 分析75岁及以上的瑞士成年人中前列腺,宫,乳腺和结直肠癌查趋势.
- 描述不同时间点在这个人口群体中癌症查的流行率.
主要方法:
- 利用了瑞士健康调查的四个浪潮 (2007,2012,2017,2022) 的数据,这是一个全国性的基于人口的研究.
- 根据性别和年龄分层,对75岁以上的个人在过去12个月内进行的癌症查的计算加权比例.
- 专注于预防,非症状目的的查.
主要成果:
- 大约四分之一的75岁以上的成年人每年接受癌症查.
- 男性的查率始终高于女性,并且随着年龄的增长而下降.
- 前列腺癌查显示,从2007年的26.0%下降到2022年的21.0%,而其他查类型保持稳定.
结论:
- 75岁以上的人群的癌症查率与建议相反,随着时间的推移而保持频繁和稳定.
- 这种持续的使用强调了对查在这个特定人群中的益处和危害进行更多研究的必要性.
- 需要进一步调查,以使临床实践与老年人基于证据的指导方针保持一致.
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