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无意减肥的诊断评估的最佳实践
Goutham Rao1, Kelsey Ufholz, Sarah Koopman-Gonzalez
1Department of Family Medicine and Community Health, University Hospitals of Cleveland and Case Western Reserve University, Cleveland, OH.
概括
医生对无意减肥 (UWL) 的认识很低. 常规的诊断测试和程序对于评估UWL并不有用,这表明需要采取保守的方法.
科学领域:
- 老年医学 老年医学
- 内部医学 内部医学
- 诊断评估 诊断评估 诊断评估
背景情况:
- 目前缺乏基于证据的指导方针来评估无意减肥 (UWL).
- 医生经常错过诊断UWL,只有38%的病例被认可.
研究的目的:
- 确定用于UWL的常见诊断测试.
- 为了确定这些测试在确定UWL的原因时的有用性.
- 为UWL评估制定一种保守的方法.
主要方法:
- 对1471名已认可的UWL患者的电子健康记录数据的分析.
- 具有和没有UWL的患者之间的诊断测试异常率的比较.
- 审查内镜和成像报告.
- 与利益相关方小组一起开发一种保守的方法.
主要成果:
- 没有测试过的实验室测试 (例如,TSH,CBC,PSA) 在患有UWL的患者中更异常.
- 内镜检查和成像检查对确定UWL的原因没有帮助.
- 不建议对UWL进行常规诊断评估.
结论:
- 建议对无意减肥采取保守的方法.
- 患者应每周监测体重,并遵守常规癌症查.
- 可能需要进一步的研究来建立最佳的UWL诊断策略.
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