如何提高结直肠癌筛查的依从性及质量(综述)
创作:szx 审核:szx 2019年12月23日
  • 粪便免疫化学测试(FIT)、结肠镜检查、乙状结肠镜检查是常用的结直肠癌筛查方式;
  • 提高检查依从性的方式包括:提升大众对结直肠癌的意识、引入政府资助的免费项目或将筛查纳入强制保险范围等途径降低筛查费用、主动邀请合格受试者等;
  • 提升结直肠癌筛查的质量也非常重要,包括提高病灶检出率、息肉切除率、息肉切除后的监测、FIT的质量控制等;
  • 研究者们也在评估一些新的结直肠癌筛查方式,包括:CT结肠造影、多靶点DNA检测等。
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szx
结直肠癌筛查可有效降低结直肠癌的发生率及死亡率。来自Gastroenterology上发表的一项最新研究,对不同的结直肠癌筛查方式,详细介绍了提升筛查依从性及质量的潜在方法,并讨论了一些潜在的新筛查方式。
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Gastroenterology [IF:19.233]

Optimizing the Quality of Colorectal Cancer Screening Worldwide

优化世界范围内的结直肠癌筛查质量

10.1053/j.gastro.2019.11.026

2019-11-20, Article

Abstract & Authors:展开

Abstract:收起
Screening, followed by colonoscopic polypectomy (or surgery for malignant lesions), prevents incident colorectal cancer and mortality. However, there are variations in effective application of nearly every aspect of the screening process. Screening is a multistep process, and failure in any of single step could result in unnecessary morbidity and mortality. Awareness of variations in operator- and system-dependent performance has led to detailed, comprehensive recommendations in the United States and Europe on how colonoscopy screening should be performed and measured. Likewise, guidance has been provided on quality assurance for non-primary colonoscopy-based screening programs, including strategies to maximize adherence. Quality improvement is now a validated science, and there is clear evidence that higher quality prevents incident cancer and cancer death. Quality must be addressed at the levels of the system, provider, and individuals, to maximize the benefits of screening for any population. We review the important aspects of measuring and improving the quality of colorectal cancer screening.

First Authors:
Kaminski M F

Correspondence Authors:
Kaminski M F

All Authors:
Kaminski M F,Robertson D J,Senore C,Rex D K

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