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Surveillance of patients following surgery with curative intent for colorectal cancer

机译:具有治愈意图的结直肠癌手术后患者的监测

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摘要

Surveillance after resection of colorectal cancer with curative intent is an important component of postoperative care. Clinical review, imaging, colonoscopy, and cost to the community are among significant issues to consider in planning a surveillance regime. This review aims to identify the available evidence for the use of surveillance and its individual components. The literature pertaining to follow-up of patients following potentially curative surgery for colorectal cancer was reviewed in order to formulate a summary of the wide range of clinical practice. There is evidence of improved survival of patients undergoing more intense follow-up compared with those having minimal surveillance, with an estimated overall 5-year gain of up to 10%. The efficacy of individual components of follow-up regimes remains unclear, but an overall package of 'intensive' follow-up including clinical review, liver imaging, and colonoscopy appears to be of benefit. It is cost-effective and can be specialist or community-based.
机译:具有治愈意图的结直肠癌切除术后的监测是术后护理的重要组成部分。临床检查,影像检查,结肠镜检查和社区成本是计划监测方案时要考虑的重要问题。此次审查旨在确定使用监视及其各个组成部分的可用证据。为了对广泛的临床实践进行总结,综述了有关可能进行结直肠癌手术后患者随访的文献。有证据表明,与仅进行最低程度监视的患者相比,接受更深入随访的患者的生存率得到了改善,估计5年总体获益高达10%。随访方案的各个组成部分的功效尚不清楚,但是包括临床检查,肝脏成像和结肠镜检查在内的一整套“强化”随访似乎是有益的。它具有成本效益,可以是专家或基于社区的。

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