从全国结直肠癌手术病例数据库论述结直肠癌外科诊断与治疗的规范化

中国有全世界最大的结直肠癌患者群体,但鲜见来自中国的国际性结直肠癌诊断与治疗指南,或者来自中国的高等级循证医学研究证据。近年来,中国结直肠外科得到快速发展,无论在临床实践还是临床研究方面都取得长足进步,然而还存在诸多不平衡和欠规范之处。2018年中华医学会外科学分会结直肠外科学组牵头建立全国结直肠癌手术病例数据库,通过回顾性及前瞻性研究收集相关数据,并开展统计学分析发现:中国结直肠癌诊断与治疗过程以及数据管理的规范化都亟待提高,临床科研意识亦有待加强。因此,基于中国结直肠癌手术的数据库建设,如何开展中国结直肠癌手术相关临床研究,并获得高等级循证医学研究证据,是中国结直肠外科面临的最严峻考验。

How to promote the standardization of colorectal cancer surgical practice based upon the data analysis of Chinese Colorectal Cancer Surgery Database

China has the largest group of patients with colorectal cancer in the world,however,there are few international guidelines for the diagnosis and treatment of colorectal cancer from China,or research of high-level evidence in China.In recent years,colorectal surgery has developed rapidly in China,and great progress has been made both in clinical practice and in clinical research.But there are still many imbalances and under-regulations.In 2018,Chinese Society of Colorectal Surgery led the establishment of Chinese Colorectal Cancer Surgery Database(CCCD).The retrospective and prospective data collection coming from CCCD showed that the standardization of colorectal cancer surgery and data management needed to be improved,and the awareness of clinical research needed to be further improved.Therefore,how to carry out good clinical research and obtain high-level evidence based upon CCCD will be the great challenge for colorectal surgery in China.