医学
结直肠癌
结肠镜检查
模式
结直肠癌筛查
金标准(测试)
入射(几何)
流行病学
标准化
重症监护医学
癌症
内科学
社会科学
物理
社会学
政治学
法学
光学
作者
Yong Yang,Zhaoya Gao,An Huang,Jingyi Shi,Zhuang Sun,Haopeng Hong,Gu J
出处
期刊:Chinese Journal of Cancer Research
[Chinese Journal of Cancer Research]
日期:2023-01-01
卷期号:35 (6): 606-617
被引量:1
标识
DOI:10.21147/j.issn.1000-9604.2023.06.05
摘要
China ranks the first worldwide in the number of new colorectal cancer (CRC) cases and CRC-related deaths. The increasing incidence of early-onset CRC in recent years highlights the challenges related to CRC screening and prevention. High-quality colonoscopy is the universally used gold standard for CRC screening. Risk assessment combined with a two-step screening strategy based on colonoscopy and non-invasive examinations was proven to be highly effective. However, systematic use of well-established risk factors associated with CRC, beyond age, could better identify those who might harbor advanced colorectal neoplasia, improve the diagnostic yield of current screening modalities, and optimize the selection of individuals who might benefit most from preventive strategies. “Personalization” and “Standardization” are the future development directions of CRC screening, from the initiation of screening in those at high risk for CRC to follow-up after treatment, which are the key to ensure the screening efficiency.
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