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中美两国头颈部肿瘤规范化诊疗差异浅析
引用本文:张莹莹,Jun Li Luo. 中美两国头颈部肿瘤规范化诊疗差异浅析[J]. 中国耳鼻咽喉颅底外科杂志, 2019, 25(1): 1-9
作者姓名:张莹莹  Jun Li Luo
作者单位:1.中南大学湘雅医院 肿瘤科,湖南长沙410008; 2.Department of Cancer Biology, The Scripps Research Institute, Jupiter, Florida 33458, USA.
基金项目:湖南省科技厅重点研发计划应用基础研究重点项目(2016JC2073)
摘    要:通过从中美两国头颈部肿瘤诊疗指南入手,对比中美头颈部肿瘤发病原因、多学科团队构成、诊断原则、证据级别和推荐级别、常见头颈肿瘤治疗原则及随访要求等方面差异,并探讨形成差异的原因和对我国肿瘤专业临床医师的启示。未来肿瘤治疗的方向强调个体化治疗和精准治疗,任何指南均不能作为临床诊疗的唯一标准。美国NCCN指南给我们提供了很好的循证医学范例,参考NCCN指南对于规范我国肿瘤治疗能起到积极作用。同时,我国仍属于发展中国家,地区经济、医疗发展不均衡,我们在强调肿瘤诊疗规范化的同时,也需要根据地区经济条件、医疗水平以及患者个人综合情况进行精准施治。

关 键 词:头颈部肿瘤|诊疗指南

Comparative study on clinical practice guidelines of head and neck cancer between China and the United States
ZHANG Ying ying,Jun Li Luo. Comparative study on clinical practice guidelines of head and neck cancer between China and the United States[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2019, 25(1): 1-9
Authors:ZHANG Ying ying  Jun Li Luo
Abstract:Based on the latest clinical practice guidelines of China and the United States, which were named the Chinese Society of Clinical Oncology (CSCO) guideline by CSCO and the National Comprehensive Cancer Network(NCCN) guideline by NCCN, we compared the differences of multidisciplinary team constitutive requirement, the levels of evidence and recommendation, the diagnostic principles, the treatment principles of common head and neck tumors and follow up requirements, and explored the causes of the differences and their implications for Chinese oncologists. The NCCN guideline provides us a good example of evidence based medicine, and plays an impressive role in regulating cancer treatment in China. At the same time, China is still a developing country with unbalanced regional economic and medical development, individualized and precise treatment should be recommended according to the regional economic environment, medical condition and the individual situation of patients while standardization was emphasized.
Keywords:Head and neck neoplasm| Clinical practice guideline
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