Lieberman David
Division of Gastroenterology, Oregon Health and Science University, Portland Veterans Affairs Medical Center P3-GI, 1037 Southwest Veterans Hospital Road, Portland, OR 97239, USA.
Gastrointest Endosc Clin N Am. 2008 Jul;18(3):595-605, xi. doi: 10.1016/j.giec.2008.05.004.
Colon cancer screening can be effective, but only with a high-quality program that assures adherence to all elements of the program. There is evidence in the United States of greater acceptance of screening and decreased incidence and mortality of colorectal cancer. Patient education is a key element of any effective screening program. It is hoped that future screening will develop better risk-stratification tools and enable targeting of screening to high-risk individuals.
结肠癌筛查可能是有效的,但前提是要有一个高质量的项目,确保对该项目的所有要素都能严格遵守。在美国,有证据表明对筛查的接受度更高,结直肠癌的发病率和死亡率有所下降。患者教育是任何有效筛查项目的关键要素。希望未来的筛查能开发出更好的风险分层工具,并能够针对高危个体进行筛查。