American Cancer Society Colorectal Cancer Survivorship Care Guidelines.
American Cancer Society Colorectal Cancer Survivorship Care Guidelines.
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DOI：
10.3322/caac.21286
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发表时间：
2015-11
期刊：
影响因子：
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通讯作者：
Cowens-Alvarado RL
中科院分区：
文献类型：
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作者：
El-Shami K;Oeffinger KC;Erb NL;Willis A;Bretsch JK;Pratt-Chapman ML;Cannady RS;Wong SL;Rose J;Barbour AL;Stein KD;Sharpe KB;Brooks DD;Cowens-Alvarado RL
结直肠癌（CRC）是美国第三大常见恶性疾病。几乎三分之二的 CRC 幸存者在诊断后还能活 5 年。随着早期检测和治疗的进一步进步以及美国人口的老龄化和增长，结直肠癌幸存者的患病率在未来几十年可能会急剧增加。幸存者面临结直肠癌复发、新发原发性结直肠癌、其他癌症以及结直肠癌及其治疗方式的短期和长期不良反应的风险。 CRC 幸存者在治疗后还可能存在心理、生殖、遗传、社会和就业方面的问题。肿瘤科医生和初级保健临床医生之间的沟通和护理协调对于有效和高效地管理 CRC 幸存者的长期护理至关重要。以下指南旨在帮助初级保健临床医生为已完成积极治疗的结直肠癌幸存者提供基于风险的医疗保健。
Colorectal cancer (CRC) is the third most common malignant disease in the United States (U.S.). Almost two-thirds of CRC survivors are living 5 years following diagnosis. The prevalence of CRC survivors is likely to increase dramatically over the coming decades with further advances in early detection and treatment and the aging and growth of the U.S. population. Survivors are at risk for a CRC recurrence, a new primary CRC, other cancers, as well as both short and long-term adverse effects of the CRC and the modalities used to treat it. CRC survivors may also have psychological, reproductive, genetic, social, and employment concerns following treatment. Communication and coordination of care between the treating oncologist and the primary care clinician is critical to effectively and efficiently manage the long-term care of CRC survivors. The following guidelines are intended to assist primary care clinicians in delivering risk-based health care for CRC survivors who have completed active therapy.