Cancer Prevention and Early Detection Department, Center for Cancer Screening, American Cancer Society, 250 Williams Street, Northwest, Suite 600, Atlanta, GA 30303, USA.
Center for Onco-Primary Care, Supportive Care and Survivorship Center, Duke Cancer Institute, Duke University School of Medicine, 2424 Erwin Drive, Suite 601, Durham, NC 27705, USA.
Med Clin North Am. 2020 Nov;104(6):919-938. doi: 10.1016/j.mcna.2020.08.008. Epub 2020 Sep 16.
The burden of cancer in the United States is substantial, providing important opportunity and obligation for primary care clinicians to promote cancer prevention and early detection. Without a system of organized screening to support reminders and follow-up of cancer screening, primary care clinicians face challenges in addressing risk assessment, informed/shared decision making, reminders for screening, and tracking adherence to screening recommendations. Tools exist for collecting information about family history, tracking screening adherence, and reminding patients when they are due for screening, and strategies exist for making cancer prevention and early detection an office policy and delegating roles and responsibilities to office staff.
美国癌症负担沉重,为初级保健临床医生提供了促进癌症预防和早期发现的重要机会和义务。如果没有一个有组织的筛查系统来支持癌症筛查的提醒和随访,初级保健临床医生在进行风险评估、知情/共同决策、筛查提醒以及跟踪对筛查建议的依从性方面将面临挑战。目前已有一些工具可用于收集有关家族史的信息、跟踪筛查的依从性以及提醒患者何时需要进行筛查,并且已经制定了将癌症预防和早期发现作为办公政策的策略,并将角色和责任分配给办公人员。