Cornuz Jacques, Jacot-Sadowski Isabelle, Nanchen David, Auer Reto, Senn Nicolas, Lazor Romain, Guessous Idris
Rev Med Suisse. 2014 Jan 22;10(414):177-8, 180-5.
This article provides an update on the recommendations for the routine check-up and the primary and secondary prevention of cancer and cardiovascular disease. Changes for cancer screening affect mainly colorectal, lung and prostate cancers. In the area of cardiovascular disease prevention, screening for carotid artery stenosis is still not recommended. The current evidence is insufficient to recommend screening for coronary heart disease or peripheral artery disease in asymptomatic patients. Shared information and decision making between physician and patient is recommended when there is uncertainty regarding the effectiveness of an intervention.
本文提供了关于癌症和心血管疾病常规检查以及一级和二级预防建议的最新情况。癌症筛查的变化主要影响结直肠癌、肺癌和前列腺癌。在心血管疾病预防领域,仍不建议对颈动脉狭窄进行筛查。目前的证据不足以推荐对无症状患者进行冠心病或外周动脉疾病的筛查。当干预措施的有效性存在不确定性时,建议医生与患者共享信息并共同做出决策。