Surveillance for hepatocellular carcinoma at the community level: Easier said than done  

作　　者：Paolo Del Poggio Marzio Mazzoleni Sergio Lazzaroni Andrea D'Alessio 

机构地区：[1]Unitàdi Epatologia,Policlinico San Marco Zingonia GSD University and Research Hospital UnitàEpatologia,Osio Sotto 24040,Bergamo,Italy [2]Primary Care Physician,ASST Bergamo,Osio Sotto 24040,Bergamo,Italy [3]Department of Medicine,Policlinico San Marco Zingonia,GSD University and Research Hospital,Osio Sotto 24040,Bergamo,Italy

出　　处：《World Journal of Gastroenterology》2021年第37期6180-6190,共11页世界胃肠病学杂志（英文版）

摘　　要：Surveillance for hepatocellular carcinoma(HCC)in high-risk patients with semiannual ultrasound examinations is advocated by all international guidelines.However,as long as the identification of the population to be screened and the surveillance programs are not well implemented,the real-life impact of HCC surveillance in reducing mortality for HCC cannot be known.We propose a new approach that promotes the identification of cirrhotic patients by primary care physicians(PCPs)and referral of patients to the hepatologist for surveillance.Surveillance should be incorporated,when feasible,in a hub and spoke model of comprehensive hepatology care.Training PCPs to identify cirrhotic patients and performing surveillance in a subspecialist setting are equally important to improve the effectiveness of real-life surveillance and to decrease HCC mortality over time.

关 键 词：Hepatocellular carcinoma CIRRHOSIS Ultrasound surveillance Primary health care 

分 类 号：R735.7[医药卫生—肿瘤]