CTC yekuongorora cancer yegomarara isingadhure kana ichidzoserwa pamwero wakafanana necolonoscopy
CTC yekuongorora cancer yegomarara isingadhure kana ichidzoserwa pamwero wakafanana necolonoscopy
Anonim

Computed tomographic colonography, inozivikanwawo seyechokwadi colonoscopy, haina mari-inoshanda kana ikadzoserwa pamwero wakafanana necolonoscopy, maererano neongororo yakaburitswa online Chikunguru 27 muThe Journal yeNational Cancer Institute.

Gomarara remudumbu nderimwe regomarara rinonyanya kuitika muvanhu vane makore anopfuura makumi matanhatu nemashanu, uye kune nzira dzakawanda dzekuongorora dzinoshandiswa kuti vaone. Nemaitiro anowanzo shandiswa, colonoscopy, kamera diki pachubhu inopinzwa kuburikidza ne anus kubvisa polyps inoisa njodzi yegomarara remukati uye biopsy maronda ekufungira cancer. Computed tomographic colonograpy (CTC) imhando yeCT scan inoburitsa mifananidzo ine mativi matatu emukati mecolon. Kana maronda anofungirwa akaonekwa pa scan, munhu wacho anotumirwa kufollow-up colonoscopy kuti maronda iwayo abviswe kana kuti biopsied.

Kuongorora kana CTC yekuongorora makore mashanu ega ega inogona kuve yakadhura kana ichienzaniswa neyakadzoserwa colorectal screening bvunzo, vaongorori vakashandisa mamodheru ekufananidza kudzidza boka risina kuvharwa revanobatsirwa neMedicare.

Amy B. Knudsen, Ph.D., weInstitute for Technology Assessment paMassachusetts General Hospital, uye vaaishanda navo, vakashandisa mienzaniso mitatu yakasiyana-siyana yekuenzanisa kuverengera mutengo weupenyu hwese uye tarisiro yehupenyu inosanganisirwa nemaitiro gumi nemashanu ekuongorora, kusanganisira kusavheneka, CTC kuongorora zvese. makore mashanu, gore negore fecal occult blood test (FOBT), flexible sigmoidoscopy makore ose mashanu, sigmoidoscopy inoshanduka makore mashanu oga oga pamwe chete neFOBT yegore negore, uye colonoscopy makore gumi oga oga. Vakaongorora mazano aya kune vanhu vasati vamboongororwa veMedicare vanobatsirwa, kutanga pazera remakore makumi matanhatu nemashanu.

Vatsvakurudzi vakawana kuti "nhamba yemakore ehupenyu yakawanikwa kubva kuCTC ye5-gore yaingova yakaderera zvishoma pane nhamba yakawanikwa kubva pamakore gumi emakore colonoscopy screening. Zvisinei, vakaona kuti kana CTC yakadzoserwa pa $ 488, iyo inenge chiyero chakafanana. se colonoscopy, zvino mari yeupenyu hwose inoenderana neCTC screening inodarika iya yecolonoscopy.Zvisinei, vakawanawo kuti "kana kuwanikwa kweCTC kwakakwezva 25% yevamwe vanhu vasina kuvhenekwa kuti vaongororwe, CTC ingadai isingadhuri" pamutengo wekubhadhara uyu. Iyo Centers for Medicare neMedicaid Services haisati yadzorera CTC kuongororwa, uye hazvizivikanwe kana vanhu vazhinji vangatora kuongororwa cancer kana vapihwa CTC.

Mukupedzisa, vanyori vanonyora kuti, "Kana CTC yekuongorora ichidzoserwa pamwero wakafanana necolonoscopy, mutengo, unoenderana nerubatsiro rwunobva uye nekuwanikwa uye mutengo weimwe colorectal screening bvunzo, yakakwira zvakanyanya kuti ive mutengo. -effective screening strategy."

Vatsvakurudzi vakaona kuti iyo yekubhadhara yaizove inodhura-inoshanda ingave $ 108-205 per scan.

Chidzidzo ichi zvakare "chinoratidza kuti kuenzanisa kwekuita tsvakiridzo, uye mutengo-unoshanda ongororo kunyanya, unogona zvakare kushandiswa kuzivisa mazinga ekubhadhara," vanyori vanonyora.

Muchinyorwa chinoperekedza, Russell Harris, M.D, MPH, weCecil G. Sheps Center for Health Services Research paYunivhesiti yeNorth Carolina, inomutsa kusava nechokwadi pamusoro pekuchengetedzwa uye kushanda kwezvose zviri zviviri CTC uye colonoscopy. CTC inowanzo tsvaga zvisizvo kunze kwekoloni - munzvimbo dzakadai seitsvo kana adrenal glands - izvo zvinotungamira kune kumwe kuedzwa uye maitiro asi pamwe kwete kurefu hupenyu. Colonoscopy inowanzo tungamira mukubviswa kwepolyps madiki zvisina basa, dzimwe nguva zvichitungamira kumatambudziko akadai sekubuda ropa, Harris anonyora, achiwedzera:

"Hazvinganakidze here kana tikaguma, makore mashoma kubva zvino, tisina CT colonography kana optical colonoscopy seyekutanga kuongorora bvunzo asi pane yakagadziridzwa bvunzo yefecal se'yedu yegoridhe chiyero'?"

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