Qui souhaite quoi et comment pour prévenir le cancer colorectal ? Une enquête prospective parmi les gastroentérologues en 2014 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-12

AUTHORS

D. Heresbach, J. -C. Letard, I. Ingrand, P. Bulois, R. Benamouzig, J. Lapuelle, V. Costil, P. -A. Dalbies, J. -M. Canard, E. Vaillant, P. Pienkowski, P. Ingrand

ABSTRACT

Des arguments actuels en études observationnelles, de cohortes ou cas-témoins montrent que la coloscopie réduit de 70 % non seulement la mortalité, mais aussi l’incidence du cancer colorectal (CCR). Les études en population suggèrent que l’efficacité ultime des stratégies de dépistage « en deux temps » après Hémoccult® ou rectosigmoïdoscopie positive est directement liée au taux de recours à la coloscopie parmi la population cible et qu’un taux de coloscopie d’environ 20 % est nécessaire pour obtenir une réduction durable de la mortalité et de l’incidence du CCR dans la population considérée. Alors qu’il n’existe pas d’argument publié sur l’efficacité du test immunologique et que les pays ayant proposé une attitude multimodale au dépistage enregistrent des résultats encourageants, il est important de savoir si les discours des gastroentérologues sont en accord avec leurs actes. Ainsi, 65 % souhaitent ou ont fait une coloscopie de dépistage et 72 % sont en faveur d’une stratégie et d’une offre multimodale. More... »

PAGES

280-284

Journal

TITLE

Acta Endoscopica

ISSUE

6

VOLUME

45

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-015-0507-4

DOI

http://dx.doi.org/10.1007/s10190-015-0507-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1014128189


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33 schema:description Des arguments actuels en études observationnelles, de cohortes ou cas-témoins montrent que la coloscopie réduit de 70 % non seulement la mortalité, mais aussi l’incidence du cancer colorectal (CCR). Les études en population suggèrent que l’efficacité ultime des stratégies de dépistage « en deux temps » après Hémoccult® ou rectosigmoïdoscopie positive est directement liée au taux de recours à la coloscopie parmi la population cible et qu’un taux de coloscopie d’environ 20 % est nécessaire pour obtenir une réduction durable de la mortalité et de l’incidence du CCR dans la population considérée. Alors qu’il n’existe pas d’argument publié sur l’efficacité du test immunologique et que les pays ayant proposé une attitude multimodale au dépistage enregistrent des résultats encourageants, il est important de savoir si les discours des gastroentérologues sont en accord avec leurs actes. Ainsi, 65 % souhaitent ou ont fait une coloscopie de dépistage et 72 % sont en faveur d’une stratégie et d’une offre multimodale.
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