查詢結果分析
相關文獻
- 大腸直腸癌篩檢於老年人之應用
- Spinal Fusion and Pedicle Screw Instrumentation in the Treatment of Spondylolisthesis Over the Age of 60
- Surgical Treatment of Intracranial Meningiomas in Geriatric Patients
- Analysis of Referral Source, Severity, and Return Among the Elderly in Rural Primary Care
- 中老年人之運動保健
- 回憶療法於老年護理之運用
- An Analysis of Referral Initiative, Severity, and the Return of Older Population in a Tertiary Teaching Hospital
- 老年人的長期營養照顧
- 如何改善老年人氣喘病的療效
- 描繪一幅長期照護的願景
頁籤選單縮合
題名 | 大腸直腸癌篩檢於老年人之應用=Colorectal Cancer Screening in Older Adults |
---|---|
作 者 | 王智瑩; 陸鳳屏; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 13:1 2018.02[民107.02] |
頁次 | 頁13-27 |
分類號 | 417.8244 |
關鍵詞 | 大腸直腸癌篩檢; 老年人; 篩檢效益; Colorectal cancer screening; Elderly; |
語文 | 中文(Chinese) |
中文摘要 | 大腸直腸癌的高盛行率和高發生率對台灣老年族群的人口健康影響甚鉅。目前有充份的實證顯示,針對50歲以上的族群進行大腸直腸癌篩檢,可有效降低大腸直腸癌的發生率及癌症相關死亡率,也因此我國國民健康署針對50歲至75歲的民眾,免費提供每2年1次的大腸直腸癌癌篩。然而,愈來愈多證據顯示,癌症的篩檢效益隨著年齡的增加和共病的增加而下降。此外,老年族群進行大腸直腸癌篩檢可能有更高的篩檢風險與併發症。再者,老年族群即使早期診斷,其治療預後仍較差。最後,老年人對於癌症篩檢常缺乏全面性的了解。本篇以老年族群為探討對象,回顧分析目前大腸直腸癌的篩檢工具和臨床指引,探討老年人接受大腸直腸癌篩檢之效益和風險。建議臨床醫師在推廣大腸直腸癌篩檢的同時,應全面性地評估長者的健康情形、平均餘命及篩檢利弊,個別化地協助長者選擇適當的篩檢工具,以及討論何時應該停止癌症篩檢。 |
英文摘要 | Colorectal cancer (CRC) is the third most common cancer in the world. CRC is common in the elderly, and the prevalence and incidence increase with aging. Studies supported CRC screening may prevent CRC and CRC-related death. Among current guidelines, there is substantial consensus on beginning colorectal cancer screening at the age of 50; however, there are no clear screening recommendations for older adults. More and more evidences suggested the benefit of screening may be reduced with increasing age and disease burden. We reviewed updated guidelines and addressed a number of the challenges and controversies surrounding CRC screening in older adults. The aim is to provide clinicians more consideration as promoting colorectal cancer screening in the elderly. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。