A new study reported at the European Digestive Disease Week (UEG) shows that regardless of family history, colorectal cancer screening has doubled since the age of 45 rather than 50. (UEG 2017)
Tadqiqotchilarning ta'kidlashicha, kolonoskopiya skrining dasturining umumiy aholisi 50 yoshdan oshgan odamlar uchun skriningni tavsiya qiladi, ammo 50 yoshgacha bo'lgan kolorektal saraton kasalligi ko'paygan.
Ushbu istiqbolli tadqiqot 6027 ta kolonoskopiya holatini baholadi. Poliplar, adenomalar, yirik poliplar va saratonni aniqlash darajasi mos ravishda 34.0%, 32.0%, 8.0% va 3.6% ni tashkil etdi. Ushbu tadqiqotning eng muhim topilmalaridan biri shundaki, adenoma va saratonni aniqlash xavfi turli yosh guruhlari tomonidan tahlil qilinganda, 30 yoshgacha bo'lgan odamlarning aniqlash darajasi juda past, 45 yoshdan oldin esa nisbatan past bo'ladi. Juda sezilarli o'sish bor.
4438 yoshdan oshgan 50 nafar bemorda polipni aniqlashning o‘rtacha darajasi 35 foizdan, saraton kasalligini aniqlash darajasi esa 5 foizdan oshdi. 515-45 yoshli 49 nafar bemorda poliplarni aniqlashning o‘rtacha darajasi 26 foizni, saraton kasalligini aniqlash darajasi esa qariyb 4 foizni tashkil etdi. ≤1076 yoshli 44 sub'ektni aniqlash darajasi juda past edi. Oilaviy tarixga ega bo'lgan yuqori xavfli populyatsiyalarni hisobga olmaganda ham, 45 yoshdan 49 yoshgacha bo'lgan odamlarda polip yoki saratonni aniqlash darajasi yuqori bo'lgan.
The researchers believe that the research population is a real practice population, so the research conclusions are applicable to the general screening population. 50-year-old should not be used as the starting age for screening, and kolorektal saraton screening should be started from 45-year-old to better prevent colorectal cancer. The results of the study suggest that, even if there is no family history, the risk of disease will increase greatly after the age of 45, which is more critical.
