中国全科医学2024,Vol.27Issue(14) :1661-1665.DOI:10.12114/j.issn.1007-9572.2023.0875

美国预防临床服务指南工作组《慢性阻塞性肺疾病筛查推荐意见》更新与解读

Interpretation of the Recommendation Statement by the USPSTF on the Screening for Chronic Obstructive Pulmonary Disease

杨梓钰 张瑞 廖晓阳 雷弋 贾禹 杨荣 李东泽
中国全科医学2024,Vol.27Issue(14) :1661-1665.DOI:10.12114/j.issn.1007-9572.2023.0875

美国预防临床服务指南工作组《慢性阻塞性肺疾病筛查推荐意见》更新与解读

Interpretation of the Recommendation Statement by the USPSTF on the Screening for Chronic Obstructive Pulmonary Disease

杨梓钰 1张瑞 1廖晓阳 1雷弋 1贾禹 1杨荣 1李东泽1
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作者信息

  • 1. 610041 四川省成都市,四川大学华西医院全科医学中心/全科医学研究室
  • 折叠

摘要

慢性阻塞性肺疾病(COPD)是严重危害人类健康的常见病,亦是导致死亡的重要病因,且极大部分诊断不足.COPD筛查是否可以实现疾病早期诊断并改善患者预后?2022 年美国预防临床服务指南工作组(U.S.Preventive Services Task Force,USPSTF)针对无症状成年人,通过评估最新研究证据并分析COPD筛查的获益和危害,更新发布了《慢性阻塞性肺疾病筛查推荐意见》(以下简称推荐).基于有限的证据,USPSTF提出了D级推荐(中度确定筛查没有净获益),不推荐对无症状成年人进行COPD筛查,该推荐与 2016 版一致.本文将总结分析该推荐的核心要点及其对我国全科医生的指导意义.

Abstract

Chronic obstructive pulmonary disease(COPD)is a common disease that seriously harms human health,and it is also a leading cause of death,with a large number of cases being underdiagnosed.Can COPD screening enable early diagnosis of the disease and improve patient outcomes?In 2022,the U.S.Preventive Services Task Force(USPSTF)updated its"Chronic Obstructive Pulmonary Disease Screening Recommendation Statement"(hereinafter referred to as the"Recommendation")for asymptomatic adults by evaluating the latest research evidence regarding the benefits and harms of COPD screening.Based on limited evidence,the USPSTF issused a'D'statement(there is moderate certainty that the screening has no net benefit)and recommends against COPD screening for asymptomatic adults,which is consistent with the 2016 version.The current article interprets the principles of this Recommendation in the context of Chinese general practice.

关键词

肺疾病,慢性阻塞性/美国预防临床服务指南工作组/筛查/推荐/解读

Key words

Pulmonary disease,chronic obstructive/U.S.Preventive Services Task Force/Screening/Recommendation/Interpretation

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基金项目

国家临床重点专科建设项目(川卫医政函[2023]87号)

出版年

2024
中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
参考文献量15
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