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The Guide to Clinical Preventive Services 2008 - part 3

không có sẵn, tỷ lệ tử vong do biến chứng từ can thiệp phẫu thuật ở bệnh nhân có triệu chứng báo cáo dao động từ 1,3% đến 11,6%, tỷ lệ mắc bệnh khoảng từ 8,8% đến 44%, với tỷ lệ cao hơn liên quan với resections lớn hơn. lo lắng và quan tâm như là một kết quả xét nghiệm dương tính giả | Lung Cancer Screening not available mortality rates due to complications from surgical interventions in symptomatic patients reportedly range from 1.3 to 11.6 morbidity rates range from 8.8 to 44 with higher rates associated with larger resections. Other potential harms of screening are potential anxiety and concern as a result of false-positive tests as well as possible false reassurance because of falsenegative results. However these harms have not been adequately studied. This USPSTF recommendation was first published in Ann Intern Med. 2004 140 738-739. 39 Screening for Oral Cancer Summary of Recommendation The U.S. Preventive Services Task Force USPSTF concludes that the evidence is insufficient to recommend for or against routinely screening adults for oral cancer. Grade I Statement. Clinical Considerations Direct inspection and palpation of the oral cavity is the most commonly recommended method of screening for oral cancer although there are little data on the sensitivity and specificity of this method. Screening techniques other than inspection and palpation are being evaluated but are still experimental. Tobacco use in all forms is the biggest risk factor for oral cancer. Alcohol abuse combined with tobacco use increases risk. Clinicians should be alert to the possibility of oral cancer when treating patients who use tobacco or alcohol. Patients should be encouraged to not use tobacco and to limit alcohol use in order to decrease their risk for oral cancer as well as heart disease stroke lung cancer and cirrhosis. This USPSTF recommendation was first published by Agency for Healthcare Research and Quality Rockville MD. February 2004. http www.preventiveservices.ahrq.gov. 40 Screening for Ovarian Cancer Summary of Recommendation The U.S. Preventive Services Task Force USPSTF recommends against routine screening for ovarian cancer. Grade D Recommendation. Clinical Considerations There is no existing evidence that any screening test including CA-125 .