Prospects for cancer control: colorectal cancer.

摘要: Aims The study assessed the contribution to control of colorectal cancer achievable from primary prevention, screening, early diagnosis, and treatment in New Zealand. Methods Available estimates attributable risk or protection offered by significantly increasing consumption fruit vegetables were used predict number cases (and deaths from) prevented if these activities effective 1999. potential effect screening was also estimated published results. Estimates improvements diagnosis available cancer-control plans other countries estimate likely impact such Results Primary prevention could potentially prevent 81 men 77 women each year. differed between methods, with 44 35 using faecal occult blood testing 73 53 annually flexible sigmoidoscopy. Improvements surgical practice reorganisation services together improved use radiotherapy chemotherapy about 82 78 Conclusions most immediate appeared be introduction while increased provided longer-term reductions incidence mortality. Cancer requires a systematic coordinated approach reduce burden cancer, improve quality care, life for patients their families. six components which this may achieved are, treatment, rehabilitation, palliative care. 1 any particular involves an evidence-based assessment making up component monitoring outcomes. Over several decades, application new knowledge has reduced mortality, survival some cancers. Moreover, many have identified ways further communities through development implementation specific programmes appropriate organisation health services, sociodemographic cultural characteristics. Zealand followed worldwide initiative developed Control Strategy. 2 Its is being overseen independent Council. This important response rising ageing population