Ninewells Hospital and Medical School, Dundee, United Kingdom.
Endoscopy. 2012 Sep;44 Suppl 3:SE140-50. doi: 10.1055/s-0032-1309802. Epub 2012 Sep 25.
Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of 10 chapters and over 250 recommendations, graded according to the strength of the recommendation and the supporting evidence. The 450-page guidelines and the extensive evidence base have been published by the European Commission. The chapter on management of lesions detected in colorectal cancer screening includes 32 graded recommendations. The content of the chapter is presented here to promote international discussion and collaboration by making the principles and standards recommended in the new EU Guidelines known to a wider professional and scientific community. Following these recommendations has the potential to enhance the control of colorectal cancer through improvement in the quality and effectiveness of the screening process, including multi-disciplinary diagnosis and management of the disease.
国际癌症研究机构协调的一个项目由专家制定了多学科、基于证据的结直肠癌筛查和诊断质量保证指南。该完整指南文件涵盖了基于人群的筛查的整个过程。它由 10 个章节和 250 多项建议组成,根据建议的强度和证据的支持程度进行分级。欧洲委员会出版了这本 450 页的指南和广泛的证据基础。关于在结直肠癌筛查中检测到的病变的管理的章节包括 32 项分级建议。本章的内容在此呈现,旨在通过向更广泛的专业和科学界宣传新的欧盟指南中推荐的原则和标准,促进国际讨论和合作。遵循这些建议有可能通过提高筛查过程的质量和效果,包括多学科诊断和疾病管理,来控制结直肠癌。