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癌症预警信号在全科医疗中的价值。

The value of warning signals of cancer in general practice.

作者信息

Holtedahl K A

机构信息

Kvaløysletta helse og sosialsenter, Kvaløysletta, Norway.

出版信息

Scand J Prim Health Care. 1987 Sep;5(3):140-3. doi: 10.3109/02813438709013994.

DOI:10.3109/02813438709013994
PMID:3671915
Abstract

Seven warning signals of cancer are poor diagnostic indicators of cancer, but for some patients awareness of warning signals may help reducing diagnostic delay. The usefulness of warning signals recorded by general practitioners at consultation is evaluated for a group of 80 patients who developed cancer 0-18 months after the consultation. Warning signals of cancer were recorded at the consultations in 20 cancer patients and in 13 matched control patients. For three cancer patients the warning signal was considered not related to the cancer. Recognition of warning signals related to the cancer disease was considered useful for nine out of 17 patients, somewhat useful for five and hardly useful at all for three patients.

摘要

癌症的七个警示信号对癌症诊断的指示作用不佳,但对一些患者而言,对警示信号的认知可能有助于减少诊断延迟。对于一组在会诊后0至18个月患癌的80名患者,评估了全科医生在会诊时记录的警示信号的作用。在会诊时,20名癌症患者和13名匹配的对照患者记录了癌症警示信号。对于三名癌症患者,该警示信号被认为与癌症无关。在17名患者中,有九名患者认为与癌症相关的警示信号的识别是有用的,五名患者认为有点用,三名患者认为几乎没有用。

相似文献

1
The value of warning signals of cancer in general practice.癌症预警信号在全科医疗中的价值。
Scand J Prim Health Care. 1987 Sep;5(3):140-3. doi: 10.3109/02813438709013994.
2
Inter-observer variation on registration of signals of cancer.癌症信号记录过程中的观察者间差异。
Scand J Prim Health Care. 1987 Sep;5(3):133-9. doi: 10.3109/02813438709013993.
3
[Cancer diagnosis in general practice IV. Recording of interviews on cancer warning signals. Patients in general practice and in the general population].[全科医疗中的癌症诊断IV. 关于癌症警示信号访谈的记录。全科医疗中的患者与普通人群]
Tidsskr Nor Laegeforen. 1984 Apr 30;104(12):800-3.
4
[Cancer diagnosis in general practice V. Patients with and without cancer. Who consults the physician for the 7 warning cancer signals?].[全科医疗中的癌症诊断。V. 患癌与未患癌患者。哪些人因癌症七大警示信号就医?]
Tidsskr Nor Laegeforen. 1984 Apr 30;104(12):804-6.
5
[Cancer diagnosis in general practice II. The general practitioner's recording of cancer warning signals in their patients].[全科医疗中的癌症诊断II. 全科医生对患者癌症警示信号的记录]
Tidsskr Nor Laegeforen. 1984 Apr 30;104(12):799-800.
6
[Cancer diagnosis in general practice VI. The content of the warning signals. Is persistent pain relevant as a warning signal?].[全科医疗中的癌症诊断 VI. 警示信号的内容。持续性疼痛作为警示信号是否相关?]
Tidsskr Nor Laegeforen. 1984 Apr 30;104(12):806-8.
7
Symptoms, signs, and tests: The general practitioner's comprehensive approach towards a cancer diagnosis.症状、体征与检查:全科医生对癌症诊断的综合方法
Scand J Prim Health Care. 2015;33(3):170-7. doi: 10.3109/02813432.2015.1067512. Epub 2015 Sep 16.
8
Frequency of 'warning signs of cancer' in Norwegian general practice, with prospective recording of subsequent cancer.挪威普通科医生中“癌症预警信号”的出现频率,以及对随后癌症的前瞻性记录。
Fam Pract. 2013 Apr;30(2):153-60. doi: 10.1093/fampra/cms065. Epub 2012 Oct 23.
9
[Cancer diagnosis in general practice VII. Alarm bell symptoms, alarm bell data and pitfalls. Some useful reminders for the general practitioner's work in cancer diagnosis].[全科医疗中的癌症诊断VII. 警示症状、警示数据及陷阱。给全科医生癌症诊断工作的一些有用提示]
Tidsskr Nor Laegeforen. 1984 Apr 30;104(12):808-12.
10
Increased consultation frequency in primary care, a risk marker for cancer: a case-control study.基层医疗中会诊频率增加——癌症的一个风险标志物:一项病例对照研究。
Scand J Prim Health Care. 2016 Jun;34(2):205-12. doi: 10.1080/02813432.2016.1183692. Epub 2016 May 18.

引用本文的文献

1
Abdominal symptoms and cancer in the abdomen: prospective cohort study in European primary care.腹部症状与腹部癌症:欧洲初级保健的前瞻性队列研究。
Br J Gen Pract. 2018 May;68(670):e301-e310. doi: 10.3399/bjgp18X695777. Epub 2018 Apr 9.
2
Abdominal symptoms in general practice: Frequency, cancer suspicions raised, and actions taken by GPs in six European countries. Cohort study with prospective registration of cancer.全科医疗中的腹部症状:六个欧洲国家的症状频率、引发的癌症怀疑以及全科医生采取的行动。一项对癌症进行前瞻性登记的队列研究。
Heliyon. 2017 Jun 22;3(6):e00328. doi: 10.1016/j.heliyon.2017.e00328. eCollection 2017 Jun.
3
Increased consultation frequency in primary care, a risk marker for cancer: a case-control study.
基层医疗中会诊频率增加——癌症的一个风险标志物:一项病例对照研究。
Scand J Prim Health Care. 2016 Jun;34(2):205-12. doi: 10.1080/02813432.2016.1183692. Epub 2016 May 18.
4
General practitioners' role in cancer care: a French-Norwegian study.全科医生在癌症护理中的作用:一项法国-挪威研究。
BMC Res Notes. 2009 Sep 29;2:200. doi: 10.1186/1756-0500-2-200.