通过修改的德尔菲共识为罗马尼亚医疗保健提供公平的结肠直肠癌查实施框架
1Carol Davila University of Medicine and Pharmacy Bucharest, Clinical Emergency Hospital of Bucharest, No 8 Floreasca Street, Sector 1, 014461, Bucharest, Romania. ionut.negoi@umfcd.ro.
Scientific reports
|November 28, 2025
概括
在罗马尼亚实施量身定制的结肠直肠癌 (CRC) 查计划可以降低死亡率. 该研究建议参与初级保健,从45岁开始查,并以患者为中心的策略来提高遵守.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因.
- 通过查及早发现可显著降低CRC发病率和死亡率.
- 由于医疗保健资源和计划实施差异,查的普及率不一致.
研究的目的:
- 评估在罗马尼亚实施有效CRC查计划的战略.
- 考虑到国家人口结构和资源,加强查遵守.
- 开发一个可行和适当的CRC查框架,以适应罗马尼亚的医疗保健环境.
主要方法:
- 一个经过修改的Delphi过程,涉及来自19个国家的多学科小组.
- 进行了两轮调查和一个共识会议.
- 为平均风险人群制定了建议,考虑了国际投入和罗马尼亚背景.
主要成果:
- 初级保健医生应该领导CRC风险评估和患者参与.
- 建议在45至75岁开始查,适合人群可延长至85岁.
- 建议采用特定区域的策略,多种查方式和集中式跟踪系统,以提高遵守率.
结论:
- 一个针对罗马尼亚医疗保健基础设施的协调CRC查框架可以提高查遵守率.
- 为有效的查提供多种模式的以患者为中心的方法至关重要.
- 实施这种可扩展模型对于通过早期检测来降低CRC死亡率至关重要.
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