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Estimated Lifetime Gained With Cancer Screening Tests: A Meta-Analysis of Randomized Clinical Trials.癌症筛查试验带来的预期寿命获益:一项随机临床试验的荟萃分析。
JAMA Intern Med. 2023 Nov 1;183(11):1196-1203. doi: 10.1001/jamainternmed.2023.3798.
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Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians (Version 2).美国医师学院无症状一般风险成人结直肠癌筛查指南(2023 年版)
Ann Intern Med. 2023 Aug;176(8):1092-1100. doi: 10.7326/M23-0779. Epub 2023 Aug 1.
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Effectiveness of Colorectal Cancer (CRC) Screening on All-Cause and CRC-Specific Mortality Reduction: A Systematic Review and Meta-Analysis.结直肠癌(CRC)筛查对降低全因死亡率和CRC特异性死亡率的有效性:一项系统评价和荟萃分析
Cancers (Basel). 2023 Mar 24;15(7):1948. doi: 10.3390/cancers15071948.
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Randomized Trial of Facilitated Adherence to Screening Colonoscopy vs Sequential Fecal-Based Blood Test.随机试验:促进筛查结肠镜与基于粪便的连续血液检测的依从性比较。
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15-Year Benefits of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality : A Pooled Analysis of Randomized Trials.15 年乙状结肠镜筛查对结直肠癌发病率和死亡率的获益:随机试验的汇总分析。
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Guaiac-based faecal occult blood tests versus faecal immunochemical tests for colorectal cancer screening in average-risk individuals.基于愈创木脂的粪便潜血试验与粪便免疫化学试验用于一般风险人群结直肠癌筛查。
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结直肠癌的筛查:方法与策略

Screening of colorectal cancer: Methods and strategies.

作者信息

Liao Zhen, Guo Jin-Tao, Yang Fan, Wang Shu-Peng, Sun Si-Yu

机构信息

Department of Gastroenterology, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

出版信息

World J Clin Oncol. 2024 Jul 24;15(7):799-805. doi: 10.5306/wjco.v15.i7.799.

DOI:10.5306/wjco.v15.i7.799
PMID:39071460
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271723/
Abstract

Colorectal cancer (CRC) has high incidence and mortality rates, and the emergence and application of CRC screening have helped us effectively control the occurrence and development of CRC. Currently, common international screening methods include tests based on feces and blood, and examination methods that allow for visualization, such as sigmoidoscopy and colonoscopy. Some methods have been widely used, whereas others such as multi-target stool RNA test are still being explored and developed, and are expected to become front-line screening methods for CRC in the future. The choice of screening method is affected by external conditions and the patients' situation, and the clinician must choose an appropriate strategy according to the actual situation and the patient's wishes. This article introduces various CRC screening methods and analyzes the factors relevant to the screening strategy.

摘要

结直肠癌(CRC)的发病率和死亡率都很高,CRC筛查的出现和应用有助于我们有效控制CRC的发生和发展。目前,国际上常见的筛查方法包括基于粪便和血液的检测,以及允许可视化的检查方法,如乙状结肠镜检查和结肠镜检查。一些方法已被广泛使用,而其他方法如多靶点粪便RNA检测仍在探索和开发中,有望在未来成为CRC的一线筛查方法。筛查方法的选择受外部条件和患者情况的影响,临床医生必须根据实际情况和患者意愿选择合适的策略。本文介绍了各种CRC筛查方法,并分析了与筛查策略相关的因素。