2011年美国癌症筛查(原版).pdfVIP

Cancer Screening in the U.S., 2011 Cancer Screening in the United States, 2011 A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening 1 2 3 4 Robert A. Smith, PhD ; Vilma Cokkinides, PhD ; Durado Brooks, MD, MPH ; Debbie Saslow, PhD ; Mona Shah, MPH5; Otis W. Brawley, MD6 Abstract Each year the American Cancer Society (ACS) publishes a summary of its recommendations for early cancer detec- tion, a report on data and trends in cancer screening rates, and select issues related to cancer screening. This arti- cle summarizes the current ACS guidelines, describes the anticipated impact of new health care reform legislation on cancer screening, and discusses recent public debates over the comparative effectiveness of different colorectal cancer screening tests. The latest data on the utilization of cancer screening from the National Health Interview Survey is described, as well as several recent reports on the role of health care professionals in adult utilization of C cancer screening. CA Cancer J Clin 2011;61:8–30. V 2011 American Cancer Society. Introduction In 2010, the American Cancer Society (ACS) marked the 30th anniversary of the publication of the organiza- tion’s first formal effort to apply evidence-based methodology to the development of cancer screening guide- lines.1 The process was led by Dr. David Eddy, an early pioneer in systematic evidence rev