Lai C Ky, Igarashi A, Lau N My, Yu C Tk
School of Nursing, The Hong Kong Polytechnic University, Hunghom, Hong Kong.
School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hong Kong Med J. 2017 Oct;23(5):503-16. doi: 10.12809/hkmj166154. Epub 2017 Sep 1.
In this scoping review, the evidence of the benefits of screening older people for the five most common types of cancer in Hong Kong, namely colorectal, lung, breast, liver, and prostate cancers, is discussed. Although cancer treatments can be extensive and a good prognosis is less likely if cancer is diagnosed at a late stage, screening programmes for older people in primary care remain a matter of contention. The general recommendation for the screening of older people is to adopt an individualised approach that takes account of not only age but also co-morbidity, life expectancy, harms and benefits, and patient's preference.
在这项范围综述中，讨论了在香港对老年人进行五种最常见癌症（即结直肠癌、肺癌、乳腺癌、肝癌和前列腺癌）筛查的益处的证据。尽管癌症治疗可能范围广泛，而且如果癌症在晚期被诊断出来，预后良好的可能性较小，但基层医疗中针对老年人的筛查计划仍然存在争议。对老年人筛查的一般建议是采用个体化方法，不仅要考虑年龄，还要考虑合并症、预期寿命、危害和益处以及患者的偏好。
