Colorectal cancer screening: a global overview of existing programmes
Colorectal cancer screening: a global overview of existing programmes
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DOI：
10.1136/gutjnl-2014-309086
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发表时间：
2015-10-01
期刊：
影响因子：
24.5
通讯作者：
Kuipers, Ernst J.
中科院分区：
文献类型：
--
作者：
Schreuders, Eline H.;Ruco, Arlinda;Kuipers, Ernst J.
结直肠癌(CRC)在全世界最常见的癌症中排名第三，在世界各地的发病率和死亡率存在很大的地域差异。尽管有证据表明筛查可以降低结直肠癌的发病率和死亡率，但全世界只向一小部分目标人群提供结直肠癌筛查。在世界各地，CRC筛查的实施状况和战略存在着广泛的差异。差异可以归因于结直肠癌发病率、经济资源、医疗保健结构和支持筛查的基础设施的地理差异，例如识别高危目标人群的能力和癌症登记的可用性。本审查突出了在实施儿童权利公约筛查方案时需要考虑的问题，并对儿童权利公约负担和筛查方案的现状进行了世界范围的概述，重点是国际差异。
Colorectal cancer (CRC) ranks third among the most commonly diagnosed cancers worldwide, with wide geographical variation in incidence and mortality across the world. Despite proof that screening can decrease CRC incidence and mortality, CRC screening is only offered to a small proportion of the target population worldwide. Throughout the world there are widespread differences in CRC screening implementation status and strategy. Differences can be attributed to geographical variation in CRC incidence, economic resources, healthcare structure and infrastructure to support screening such as the ability to identify the target population at risk and cancer registry availability. This review highlights issues to consider when implementing a CRC screening programme and gives a worldwide overview of CRC burden and the current status of screening programmes, with focus on international differences.