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结直肠癌、筛查和初级保健:小型文献综述。

Colorectal cancer, screening and primary care: A mini literature review.

机构信息

Primary Health Care Centre of Kissamos, Chania, 73400 Crete, Greece.

Private Family Practice Unit in Chania, 73133 Crete, Greece.

出版信息

World J Gastroenterol. 2017 Sep 7;23(33):6049-6058. doi: 10.3748/wjg.v23.i33.6049.

Abstract

Colorectal cancer (CRC) is a common health problem, representing the third most commonly diagnosed cancer worldwide and causing a significant burden in terms of morbidity and mortality, with annual deaths estimated at 700000. The western way of life, that is being rapidly adopted in many regions of the world, is a well discussed risk factor for CRC and could be targeted in terms of primary prevention. Furthermore, the relatively slow development of this cancer permits drastic reduction of incidence and mortality through secondary prevention. These facts underlie primary care physicians (PCPs) being assigned a key role in health strategies that enhance prevention and prompt diagnosis. Herein, we review the main topics of CRC in the current literature, in order to better understand its pathogenesis, risk and protective factors, as well as screening techniques. Furthermore, we discuss preventive and screening policies to combat CRC and the crucial role served by PCPs in their successful implementation. Relevant articles were identified through electronic searches of MEDLINE and through manual searches of reference lists.

摘要

结直肠癌(CRC)是一个常见的健康问题,代表着全球第三大常见的癌症,并且在发病率和死亡率方面造成了巨大的负担,每年估计有 70 万人死亡。西方的生活方式正在被世界上许多地区迅速采用,这是 CRC 的一个备受讨论的风险因素,可以针对其进行一级预防。此外,由于这种癌症的发展相对缓慢,因此通过二级预防可以极大地降低发病率和死亡率。这些事实使得初级保健医生(PCP)在增强预防和及时诊断的健康策略中被赋予了关键角色。在此,我们回顾了当前文献中 CRC 的主要主题,以便更好地了解其发病机制、风险和保护因素以及筛查技术。此外,我们还讨论了预防和筛查 CRC 的政策,以及 PCP 在成功实施这些政策方面的关键作用。通过 MEDLINE 的电子搜索和参考文献列表的手动搜索确定了相关文章。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eafb/5597496/be550d6c3c93/WJG-23-6049-g001.jpg

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