scholarly journals The role of the family doctor in the early diagnosis of colorectal cancer

2021 ◽  
Vol 16 (3) ◽  
pp. 307-313
Author(s):  
Mihaela Adela IANCU ◽  
◽  
Gabriela GANEA ◽  
Ramona Dorotea CĂLIN ◽  
Irina Anca EREMIA ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Family History ◽  
Early Detection ◽  
Treatment Options ◽  
Family Doctor ◽  
Tobacco Consumption ◽  
Individual Risk ◽  
The Family

The incidence of colorectal cancer is increasing. It is currently the third most common cancer, after lung and breast cancer. Despite the increased incidence, recent advances in early detection, performing the screening according to the recommendations and treatment options have reduced colorectal cancer mortality. The role of the family doctor is to advise and to identify non-modifiable risk factors (age, male sex, race, family history, inflammatory bowel disease) as well as modifiable ones (tobacco consumption, low-fiber, high-fat and high carbohydrate diet, a sedentary lifestyle, obesity), in order to avoid these risk factors by developing a personalized plan for the prevention and early detection of colorectal cancer depending on the individual risk. Genetic testing and a more comprehensive family history documentation by the family doctor can enable those with a hereditary predisposition for the colorectal cancer to take preventive measures. Applying evidence-based prevention strategies reduces the prognosis of colorectal cancer and reduces mortality. Colorectal cancer has an increased survival rate if diagnosed early and treated properly.

scholarly journals CONTEMPORARY PREVENTION AREAS OF DIABETES AND ITS COMPLICATIONS: THE ROLE OF THE FAMILY PHYSICIAN

2016 ◽  
Vol 57 (3) ◽  
pp. 60-68
Author(s):  
O. M. Korzh
Keyword(s):  
Risk Factors ◽  
Healthcare Professionals ◽  
Preventive Measures ◽  
Early Recognition ◽  
New Technology ◽  
Family Doctor ◽  
Education Of Patients ◽  
The Family ◽  
Assessment And Treatment

The article discusses the features of the activities of the family doctor in the conduct of preventive measures against the development of diabetes and its complications. It is shown that the basis of therapeutic and preventive activities determined by a complex effect on the risk factors and implementation of optimal pharmacotherapy. The identification and modification of risk factors for cardiovascular disease is a major challenge facing the general practitioners, family medicine. The family doctor should take a proactive stance in relation to early recognition of risk factors. New technology to physicians and patients could help in the formation, monitoring and improving results. Essential is a multi-modal education of patients and healthcare professionals in the understanding of diseases, risk assessment and treatment.

scholarly journals The role of the family doctor in endothelial dysfunction and metabolic syndrome comorbidities

2016 ◽  
Vol 11 (1) ◽  
pp. 41-44
Author(s):  
Adriana TICĂRĂU ◽  
◽  
Dumitru MATEI ◽  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Endothelial Dysfunction ◽  
Polycystic Ovary ◽  
Family Doctor ◽  
Population Register ◽  
Ovary Syndrome ◽  
Alcoholic Fatty Liver ◽  
The Family

The prevalence of metabolic syndrome in the population register percent growth, which is why the role of the family doctor in preventive medicine becomes essential, one of its main objectives being the early detection of patients exposed to risk factors in order to prevent cardiovascular diseases. Closely linked to metabolic syndrome is endothelial dysfunction, as a result of its evaluation, it can be selected patients with metabolic syndrome, and patients who associated comorbidities: non-alcoholic fatty liver, hyperuricemia, polycystic ovary syndrome, sleep apnea.

scholarly journals Risk factors of deforming osteoarthritis in the family doctor practice

2021 ◽  
Vol 25 (3 (99)) ◽  
pp. 48-51
Author(s):  
A. Lehkun ◽  
L. Sydorchuk ◽  
A. Zaremska
Keyword(s):  
Risk Factors ◽  
General Structure ◽  
Family Doctor ◽  
Additional Risk ◽  
Occupational Factors ◽  
American College Of Rheumatology ◽  
Joint Pathology ◽  
The Family ◽  
Age Over 60

Osteoarthritis (OA) is the most common bone and joint pathology, affecting, according to the American College of Rheumatology ACR (2019), about 302 million people worldwide and is the leading cause of disability in the elderly.Objective. To investigate the role of additional risk factors in patients with OA in the practice of family physicians for secondary prevention.Material and methods. A retrospective analysis of 50 outpatient records and electronic medical records (EMC) of patients with OA for 2019-2020 was performed: 30 women, 20 men; aged 35-75 years. Concomitant risk factors were studied by epidemiological analysis: obesity / overweight, burdensome family history, traumatic factor, occupational exposure.Results. The respiratory and circulatory systems diseases dominate in the structure of the primary morbidity of the Northern Bukovina inhabitants in 2020. The incidence of bone and joint is 4.04% in the general structure, which does not differ significantly from the European average. The structure of the primary morbidity of the bone and joint sphere is dominated by arthrosis and deforming OA (DOA). The injuries and occupational factors dominated in structure of DOA risk factors at the age under 50, but after 50 years – obesity and burdened heredity prevailed, with a significant impact of the occupational factor. Absence of injuries in the anamnesis and occupational factors reduce the risk of DOA 8 and 3.5 times, respectively (p<0.05). Age over 60 years increases the relative risk of DOA 2.5 times as much (p=0.013), especially in women to almost 4 times.Conclusions. Additional risk factors should be considered in patients with DOA for secondary prevention.

scholarly journals Risk factors and the role of the family doctor in the small bowel neoplasm

2016 ◽  
Vol 11 (1) ◽  
pp. 37-40
Author(s):  
Dorotea Ramona CADAR ◽  
◽  
Dumitru MATEI ◽  
◽  
Keyword(s):  
Risk Factors ◽  
Small Bowel ◽  
Statistical Data ◽  
Family Doctor ◽  
Considerable Research ◽  
Small Bowel Neoplasm ◽  
The Family ◽  
Peutz Jeghers Syndrome ◽  
Bowel Neoplasm

Small bowel neoplasm is extremely rare, a reason for which it has a limited knowledge and understanding. Very few things are known about its etiology. Yet a high risk to develop a small bowel cancer was noted for patients with Crohn’s disease, celiac disease, familial adenomatous polyposis, and Peutz-Jeghers syndrome. A few modifiable risk factors were incriminated, such as the consumption of smoked meat, saturated fats, obesity and smoking, which also increase the incidence of small bowel neoplasm. Thus, it was observed that more considerable research is required, as well as more consistent statistical data, to understand better the etiology and biology of this type of cancer. We need to mention that a higher commitment from the family doctor is needed in the prevention and dispensarization of this pathology.

scholarly journals Update on the role of pembrolizumab in patients with unresectable or metastatic colorectal cancer

2021 ◽  
Vol 14 ◽  
pp. 175628482110244
Author(s):  
Vanessa Wookey ◽  
Axel Grothey
Keyword(s):  
Colorectal Cancer ◽  
Immune Checkpoint ◽  
Checkpoint Inhibitors ◽  
Treatment Options ◽  
Standard Of Care ◽  
Cancer Type ◽  
Cancer Therapies ◽  
Multiple Cancer ◽  
Multiple Treatment

Colorectal cancer (CRC) is the third most common cancer type in both men and women in the USA. Most patients with CRC are diagnosed as local or regional disease. However, the survival rate for those diagnosed with metastatic disease remains disappointing, despite multiple treatment options. Cancer therapies for patients with unresectable or metastatic CRC are increasingly being driven by particular biomarkers. The development of various immune checkpoint inhibitors has revolutionized cancer therapy over the last decade by harnessing the immune system in the treatment of cancer, and the role of immunotherapy continues to expand and evolve. Pembrolizumab is an anti-programmed cell death protein 1 immune checkpoint inhibitor and has become an essential part of the standard of care in the treatment regimens for multiple cancer types. This paper reviews the increasing evidence supporting and defining the role of pembrolizumab in the treatment of patients with unresectable or metastatic CRC.

OC.04.6 EARLY DETECTION OF METACHRONOUS COLORECTAL CANCER: THE ROLE OF FATTY ACID SYNTHASE (FASN)

2016 ◽  
Vol 48 ◽  
pp. e85
Author(s):  
C. Riga ◽  
E. Corazziari ◽  
R. Murari ◽  
G. Pedullà ◽  
A. Pronio ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Fatty Acid ◽  
Early Detection ◽  
Fatty Acid Synthase ◽  
Metachronous Colorectal Cancer

scholarly journals Nutrition and Dietary Habits Associated with Risk of Colorectal Cancer in the Population of Omsk region: Case-Control Study

2019 ◽  
Vol 18 (1) ◽  
pp. 67-73
Author(s):  
N. G. Shirlina ◽  
V. L. Stasenko ◽  
D. V. Turchaninov ◽  
I. A. Sohoshko
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Food Habits ◽  
Dietary Habits ◽  
Eating Habits ◽  
Case Control ◽  
Red Meat ◽  
Biological Factor ◽  
Individual Risk ◽  
Malignant Neoplasms

 Relevance.Nutrition is the most important biological factor on which the functioning of the human body depends. The link between the development of colorectal cancer and nutrition and eating habits is well known: excessive consumption of red meat, fats, alcohol, lack of dietary fiber, obesity. Objective: To assess the prevalence and significance of factors related to nutrition and food habits in the development of colorectal cancer (CRC) in the population of the Omsk region.Materials and methods.An epidemiological analytical study (case-control) was conducted, in which 609 people took part - residents of the Omsk Region aged 30 to 85 years (average age 51.2 years; 95% CI 48.1 – 54.3). The study examined 23 factors characterizing the diet and eating habits of study participants.Result and discussion.Of the 23 risk factors for CRC associated with nutrition and food habits, only six confirmed their importance to the residents of the Omsk region: a body mass index of more than 25, alcohol consumption more than twice a month with a predominance of strong, the frequency of red meat consumed more than 10 times a month, the amount of fresh fruit consumed is less than 100 grams at a time, the preference for fatty foods.Findings.The implementation of preventive measures, taking into account the prevalence of risk factors for CRC, including factors related to nutrition and eating habits, reduces the population and individual risk of this pathology in the population of the region, as well as health losses due to malignant neoplasms of the colon and colon.

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