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Prediction models for advanced neoplasia: risky business.

机译:晚期瘤形成的预测模型:有风险的业务。

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摘要

Physicians have long valued the ability to predict die future. Hippocrates suggested that physicians be judged, in part, on the basis of this ability. As our clinical armamentarium has grown, some would argue that the physician's ability to "see the future" is even more valuable. Specifically, knowledge of risk for future disease allows us the opportunity to reduce that risk by interrupting its natural course.Colorectal cancer (CRC) is an obvious target for such preventive intervention. The disease is common and potentially deadly; thus, affecting die course of even a small percentage of patients destined for CRC may translate into significant benefit. Furthermore, CRC takes years to develop and allows physicians the opportunity to identify early neoplasia (in the form of polyps) and remove it entirely before it can put a patient at risk of death.
机译:医师长期以来一直对预测未来的能力感到重视。希波克拉底建议部分地基于这种能力来判断医师。随着我们的临床武器库的发展,有人会认为医师“看到未来”的能力更加宝贵。具体而言,了解未来疾病的风险使我们有机会通过中断其自然病程来降低风险。大肠癌(CRC)是此类预防性干预的明显目标。这种疾病很普遍,可能致命。因此,即使是一小部分目的地为CRC的患者,其病程也可能转化为重大收益。此外,CRC需要花费数年的开发时间,并使医生有机会发现早期肿瘤(息肉形式)并在将其置于可能导致死亡的风险之前将其彻底清除。

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