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[早期检测项目如何成为男性健康话题?泌尿外科实践调查]

[How can early detection programs become a men's health topic? Survey of urology practices].

作者信息

Mathers M, Reichel R, Nadig U, Roth S

机构信息

PandaMED, Dünkeloh-Klinik Remscheid, Kooperationspraxis der Klinik für Urologie und Kinderurologie, Helios-Klinikum, Universität Witten/Herdecke, Wuppertal, Alleestraße 105-107, 42857 Remscheid, Deutschland.

出版信息

Urologe A. 2011 Dec;50(12):1600-5. doi: 10.1007/s00120-011-2705-5.

DOI:10.1007/s00120-011-2705-5
PMID:22009256
Abstract

BACKGROUND

Various statistics demonstrate the importance of medical prevention in men.

METHOD

As one example, overall survival is increased with the early diagnosis of prostate cancer. In this article information from 212 consecutive patients with an appointment in a urology practice is presented and discussed. Of special interest are factors that motivate men to participate in early detection programs for prostate cancer. The data give an insight into reasoning and motivation for men to participate in such programs and criteria to select a specific urology practice.

RESULTS

The results, which also include diagnostic methods that are not covered by the general German health insurance and have to be paid by the patient himself, can help the urologist promote diagnostic tools and identify areas of deficit. A key role is played by the family physician. Our results show that he is the primary source for health-related questions. He has the best opportunity to draw the attention of the mature and critical patient to measures of precaution and emphasize their importance. This is especially true for the large group of men who so far have not participated in early detection programs since they apparently are not aware of their own personal health risk.

摘要

背景

多项统计数据表明男性医学预防的重要性。

方法

例如,前列腺癌的早期诊断可提高总体生存率。本文展示并讨论了来自212名连续预约泌尿外科门诊患者的信息。特别值得关注的是促使男性参与前列腺癌早期检测项目的因素。这些数据深入洞察了男性参与此类项目的理由和动机以及选择特定泌尿外科门诊的标准。

结果

结果还包括德国一般医疗保险未涵盖且需患者自行付费的诊断方法,这有助于泌尿外科医生推广诊断工具并识别不足之处。家庭医生起着关键作用。我们的结果表明,他是健康相关问题的主要来源。他最有机会引起成熟且审慎的患者对预防措施的关注并强调其重要性。对于迄今尚未参与早期检测项目的大量男性群体而言尤其如此,因为他们显然未意识到自身的个人健康风险。

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本文引用的文献

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[Social gradient of PSA screening? 8 years follow up from the cancer registry of the tumor center in Regensburg].[前列腺特异性抗原(PSA)筛查的社会梯度?来自雷根斯堡肿瘤中心癌症登记处的8年随访]
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Urologe A. 2009 Sep;48(9):997-8, 1000-1. doi: 10.1007/s00120-009-2074-5.
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Cochrane Database Syst Rev. 2006 Oct 18(4):CD001865. doi: 10.1002/14651858.CD001865.pub2.
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Urology. 2004 Nov;64(5):991-7. doi: 10.1016/j.urology.2004.06.055.