https://scholars.lib.ntu.edu.tw/handle/123456789/632664
標題: | Joint Asian Pacific Association of Gastroenterology (APAGE)-Asian Pacific Society of Digestive Endoscopy (APSDE) clinical practice guidelines on the use of non-invasive biomarkers for diagnosis of colorectal neoplasia | 作者: | Chan, Francis K L Wong, Martin C S Chan, Andrew T East, James E HAN-MO CHIU Makharia, Govind K Weller, David Ooi, Choon Jin Limsrivilai, Julajak Saito, Yutaka Hang, Dao V Emery, Jon D Makmun, Dadang Wu, Kaichun Ali, Raja Affendi Raja Ng, Siew C |
關鍵字: | clinical decision making; colorectal cancer; screening; tumour markers | 公開日期: | 七月-2023 | 出版社: | BMJ PUBLISHING GROUP | 卷: | 72 | 期: | 7 | 起(迄)頁: | 1240 | 來源出版物: | Gut | 摘要: | Screening for colorectal cancer (CRC) is effective in reducing CRC related mortality. Current screening methods include endoscopy based and biomarker based approaches. This guideline is a joint official statement of the Asian Pacific Association of Gastroenterology (APAGE) and the Asian Pacific Society of Digestive Endoscopy (APSDE), developed in response to the increasing use of, and accumulating supportive evidence for the role of, non-invasive biomarkers for the diagnosis of CRC and its precursor lesions. A systematic review of 678 publications and a two stage Delphi consensus process involving 16 clinicians in various disciplines was undertaken to develop 32 evidence based and expert opinion based recommendations for the use of faecal immunochemical tests, faecal based tumour biomarkers or microbial biomarkers, and blood based tumour biomarkers for the detection of CRC and adenoma. Comprehensive up-to-date guidance is provided on indications, patient selection and strengths and limitations of each screening tool. Future research to inform clinical applications are discussed alongside objective measurement of research priorities. This joint APAGE-APSDE practice guideline is intended to provide an up-to-date guide to assist clinicians worldwide in utilising non-invasive biomarkers for CRC screening; it has particular salience for clinicians in the Asia-Pacific region. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/632664 | ISSN: | 0017-5749 | DOI: | 10.1136/gutjnl-2023-329429 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。