胃肠肿瘤过度治疗的成因与对策

尽管现代胃肠肿瘤的治疗效果得到了极大的提高,但过度治疗现象仍普遍存在。临床医生缺乏整体观念,过度关注“瘤体”本身;医患双方“宁左勿右”的心理现象以及经济利益驱动是过度治疗存在的根本原因。外科手术和综合治疗的过度化导致医疗资源的浪费和患者生活质量低下。只有以循证医学的原则指导和规范肿瘤治疗;建立正确的临床决策分析模式;更新观念,坚持个体化综合治疗;加强综合治理,才能使胃肠肿瘤治疗走上健康发展的道路。

Reasons and Countermeasures of "Overtreatment" in Gastric- intestinal Carcinoma

Although the effect of modern clinical treatment of gastric- intestinal carcinoma has been improving greatly, the overtreatment phenomenon is still widespread exist. The doctors lack of the conception of the whole of human body and treat "tumor body" excessively. The patients and doctors would rather accept aggressive treatment than insufficient therapy. Besides these, the economic benefit is also the fundamentally reason for the existence of "overtreatment". The excessive of surgical operation and combination therapy would result the great waste of medicine resource and lowly life quality. Only insisting on the principle of evidence based medicine guide to rule the tumor treatment; making standard mode of clinical decision-making analysis; renewing conception and persisting in individuation combination therapy; enhancing the integrated management can make the gastric- intestinal carcinoma treatment walk on the health road and develop more rapidly.