结直肠癌筛查的最佳方法。
Optimal Approach to Colorectal Cancer Screening.
作者信息
Wang Christina, Shaukat Aasma
机构信息
Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Division of Gastroenterology, Department of Medicine, New York University Grossman School of Medicine and the VA New York Harbor Health Care, New York, New York.
出版信息
Gastroenterol Hepatol (N Y). 2025 Mar;21(3):163-171.
Abstract
Rates of colorectal cancer (CRC) screening in the United States continue to fall short of guideline-recommended benchmarks. Challenges to increasing CRC screening include racial disparities, barriers at multiple levels of the health care system, and inadequate completion of 2-step screening. With new options for CRC screening and employment of programmatic strategies for screening by physicians, patients will have more opportunities to initiate and complete testing, which can ultimately improve CRC detection and prevention. This article highlights the current state of and optimal approach to CRC screening.
摘要
美国结直肠癌（CRC）筛查率仍未达到指南推荐的基准。提高CRC筛查率面临的挑战包括种族差异、医疗保健系统多个层面的障碍以及两步筛查未充分完成。随着CRC筛查新选项的出现以及医生采用筛查的程序化策略，患者将有更多机会开始并完成检测，这最终可改善CRC的检测和预防。本文重点介绍了CRC筛查的现状和最佳方法。
相似文献
1
Optimal Approach to Colorectal Cancer Screening.结直肠癌筛查的最佳方法。
Gastroenterol Hepatol (N Y). 2025 Mar;21(3):163-171.
2
Optimal Stopping Ages for Colorectal Cancer Screening.结直肠癌筛查的最佳停止年龄。
JAMA Netw Open. 2024 Dec 2;7(12):e2451715. doi: 10.1001/jamanetworkopen.2024.51715.
3
Masculinity and colorectal cancer screening: a cross-sectional study of men attending state fairs in Minnesota and Wisconsin.男性气质与结直肠癌筛查：一项对参加明尼苏达州和威斯康星州州际集市的男性的横断面研究。
Ann Behav Med. 2025 Jan 4;59(1). doi: 10.1093/abm/kaaf040.
4
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。
Cochrane Database Syst Rev. 2022 Jun 6;6(6):CD009276. doi: 10.1002/14651858.CD009276.pub2.
5
Improving animated instructional videos for colorectal cancer screening: An application of learner verification and revision.改进结直肠癌筛查的动画教学视频：学习者验证与修订的应用
Transl Behav Med. 2025 Jan 16;15(1). doi: 10.1093/tbm/ibaf020.
6
Cracking the Code of Colorectal Cancer Screening: An Overview With a Focus on Current and Emerging Screening Methods.破解结直肠癌筛查密码：聚焦当前及新兴筛查方法的概述
Cureus. 2025 May 24;17(5):e84724. doi: 10.7759/cureus.84724. eCollection 2025 May.
7
Barriers and Facilitators in Diagnostic Pathways That Align Universal Tumor Screening and Mainstream Genetic Testing for Lynch Syndrome in Colorectal Cancer: Protocol for a Scoping Review With a Narrative Synthesis.将通用肿瘤筛查与结直肠癌林奇综合征主流基因检测相结合的诊断途径中的障碍与促进因素：一项采用叙述性综合分析的范围综述方案
JMIR Res Protoc. 2025 Jun 10;14:e70831. doi: 10.2196/70831.
8
Centralized Colorectal Cancer Screening Outreach in Federally Qualified Health Centers: A Randomized Clinical Trial.在联邦合格健康中心开展集中结直肠癌筛查外展活动：一项随机临床试验。
JAMA Netw Open. 2024 Nov 4;7(11):e2446693. doi: 10.1001/jamanetworkopen.2024.46693.
9
Effectiveness of a community health advisor colorectal cancer screening educational intervention on stool test completion in an African American primary care patient population: a pragmatic randomized controlled trial.社区健康顾问结直肠癌筛查教育干预对非裔美国初级保健患者群体粪便检测完成情况的有效性：一项实用随机对照试验
BMC Glob Public Health. 2025 Jun 1;3(1):47. doi: 10.1186/s44263-025-00168-4.
10
Stress-Testing US Colorectal Cancer Screening Guidelines: Decennial Colonoscopy from Age 45 is Robust to Natural History Uncertainty and Colonoscopy Sensitivity Assumptions.对美国结直肠癌筛查指南进行压力测试：从45岁开始每十年进行一次结肠镜检查对自然病史的不确定性和结肠镜检查敏感性假设具有稳健性。
Med Decis Making. 2025 Jul;45(5):557-568. doi: 10.1177/0272989X251334373. Epub 2025 Apr 29.
本文引用的文献
1
Type 2 Diabetes and Risk of Early-Onset Colorectal Cancer.2型糖尿病与早发性结直肠癌风险
Gastro Hep Adv. 2022 Feb 3;1(2):186-193. doi: 10.1016/j.gastha.2021.10.009. eCollection 2022.
2
Insights Into Colorectal Cancer Screening: A Multidatabase Cohort Study of Over 1.5 Million Taiwanese.结直肠癌筛查洞察：一项涉及超过 150 万台湾人的多数据库队列研究。
Am J Prev Med. 2024 Sep;67(3):339-349. doi: 10.1016/j.amepre.2024.04.012. Epub 2024 Apr 30.
3
Effectiveness and Cost-Effectiveness of Colorectal Cancer Screening With a Blood Test That Meets the Centers for Medicare & Medicaid Services Coverage Decision.基于满足医疗保险和医疗补助服务中心覆盖范围决策的血液检测进行结直肠癌筛查的效果和成本效益。
Gastroenterology. 2024 Jul;167(2):368-377. doi: 10.1053/j.gastro.2024.02.012. Epub 2024 Mar 26.
4
Comparative Effectiveness and Cost-Effectiveness of Colorectal Cancer Screening With Blood-Based Biomarkers (Liquid Biopsy) vs Fecal Tests or Colonoscopy.基于血液生物标志物（液体活检）的结直肠癌筛查与粪便检测或结肠镜检查的比较有效性和成本效益。
Gastroenterology. 2024 Jul;167(2):378-391. doi: 10.1053/j.gastro.2024.03.011. Epub 2024 Mar 26.
5
Disparities in Colorectal Cancer Screening Among Asian American Populations and Strategies to Address These Disparities.亚裔美国人结直肠癌筛查的差异及解决这些差异的策略。
Clin Gastroenterol Hepatol. 2024 Apr;22(4):679-683. doi: 10.1016/j.cgh.2024.01.001.
6
Next-Generation Multitarget Stool DNA Test for Colorectal Cancer Screening.用于结直肠癌筛查的下一代多靶点粪便 DNA 检测。
N Engl J Med. 2024 Mar 14;390(11):984-993. doi: 10.1056/NEJMoa2310336.
7
A Cell-free DNA Blood-Based Test for Colorectal Cancer Screening.基于无细胞游离 DNA 的血液检测用于结直肠癌筛查。
N Engl J Med. 2024 Mar 14;390(11):973-983. doi: 10.1056/NEJMoa2304714.
8
The Impact of the Gut Microbiome, Environment, and Diet in Early-Onset Colorectal Cancer Development.肠道微生物群、环境和饮食对早发性结直肠癌发生发展的影响
Cancers (Basel). 2024 Feb 5;16(3):676. doi: 10.3390/cancers16030676.
9
Use of a Novel Artificial Intelligence System Leads to the Detection of Significantly Higher Number of Adenomas During Screening and Surveillance Colonoscopy: Results From a Large, Prospective, US Multicenter, Randomized Clinical Trial.使用新型人工智能系统可显著提高筛查和监测结肠镜检查中的腺瘤检出率：来自一项大型、前瞻性、美国多中心、随机临床试验的结果。
Am J Gastroenterol. 2024 Jul 1;119(7):1383-1391. doi: 10.14309/ajg.0000000000002664. Epub 2024 Jan 18.
10
Cancer statistics, 2024.2024年癌症统计数据。
CA Cancer J Clin. 2024 Jan-Feb;74(1):12-49. doi: 10.3322/caac.21820. Epub 2024 Jan 17.
Zotero 插件