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基层医疗医生的癌症负担概述。

An overview of the cancer burden for primary care physicians.

作者信息

Thun Michael, Jemal Ahmedin, Desantis Carol, Blackard Bonny, Ward Elizabeth

机构信息

Department of Epidemiology, American Cancer Society, 250 Williams Street, N.W., Atlanta, GA 30303-1002, USA.

出版信息

Prim Care. 2009 Sep;36(3):439-54. doi: 10.1016/j.pop.2009.04.001.

Abstract

Primary care physicians and other caregivers are uniquely positioned to communicate with patients about their real risks of developing or dying from cancer and actions that can reduce these risks. This article discusses the statistics used to measure the cancer burden in a manner intended to help primary caregivers communicate more effectively with patients about cancer. The basic terms used to measure incidence, mortality, and relative survival, and considerations that influence the interpretation of cancer trends are described; opportunities to accelerate progress in reducing cancer incidence and death rates are identified. Although integrating effective prevention measures into standard clinical care will require changes in health care policy and in clinical practice, the combination of these approaches is essential to prevent the massive anticipated increase in the number of cancer cases, due to growth and aging of the population.

摘要

初级保健医生和其他护理人员在与患者沟通其患癌风险或因癌症死亡的实际风险以及可降低这些风险的行动方面具有独特的地位。本文讨论了用于衡量癌症负担的统计数据,旨在帮助初级护理人员更有效地与患者就癌症进行沟通。描述了用于衡量发病率、死亡率和相对生存率的基本术语以及影响癌症趋势解读的因素;确定了加速降低癌症发病率和死亡率进展的机会。尽管将有效的预防措施纳入标准临床护理需要改变医疗保健政策和临床实践,但由于人口增长和老龄化,预计癌症病例数量将大幅增加,因此将这些方法结合起来对于预防这一情况至关重要。

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