{"id":21299,"date":"2019-01-16T09:30:32","date_gmt":"2019-01-16T09:30:32","guid":{"rendered":"https:\/\/f55.01f.myftpupload.com\/obtaining-a-second-opinion-is-a-neglected-source-of-healthcare-inequalities\/"},"modified":"2025-01-07T17:40:06","modified_gmt":"2025-01-07T17:40:06","slug":"obtaining-a-second-opinion-is-a-neglected-source-of-healthcare-inequalities","status":"publish","type":"post","link":"https:\/\/mdvisitclinic.com\/vi\/obtaining-a-second-opinion-is-a-neglected-source-of-healthcare-inequalities\/","title":{"rendered":"C\u00f3 \u0111\u01b0\u1ee3c \u00fd ki\u1ebfn th\u1ee9 hai l\u00e0 m\u1ed9t ngu\u1ed3n b\u1ea5t b\u00ecnh \u0111\u1eb3ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u1ecb b\u1ecf qu\u00ean."},"content":{"rendered":"\t\t
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Tr\u1eebu t\u01b0\u1ee3ng<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u00e3 ph\u00e1t hi\u1ec7n ra s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai chuy\u00ean gia phi\u00ean d\u1ecbch c\u1ee7a nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc. H\u01a1n n\u1eefa, trong m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 b\u1ec7nh nh\u00e2n, \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ed9c l\u1eadp kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi \u00fd ki\u1ebfn th\u1ee9 nh\u1ea5t. Do \u0111\u00f3, ng\u01b0\u1eddi ta ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai v\u00e0, trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 \u00fd ki\u1ebfn kh\u00e1c nhau, c\u00e2n nh\u1eafc v\u00e0 l\u1ef1a ch\u1ecdn t\u00f9y ch\u1ecdn m\u00e0 h\u1ecd tin l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi ho\u00e0n c\u1ea3nh c\u00e1 nh\u00e2n c\u1ee7a h\u1ecd. Tuy nhi\u00ean, c\u00e1c b\u00e1c s\u0129 \u00edt c\u00f3 kh\u1ea3 n\u0103ng th\u00f4ng b\u00e1o cho b\u1ec7nh nh\u00e2n gi\u00e0 v\u00e0 tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n k\u00e9m v\u1ec1 kh\u1ea3 n\u0103ng t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 b\u1ea5t b\u00ecnh \u0111\u1eb3ng v\u1ec1 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. Do \u0111\u00f3, t\u1ea7m quan tr\u1ecdng c\u1ee7a (a) th\u00fac \u0111\u1ea9y s\u1ef1 t\u1ef1 nh\u1eadn th\u1ee9c c\u1ee7a b\u00e1c s\u0129 v\u1ec1 xu h\u01b0\u1edbng c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed v\u1edbi b\u1ec7nh nh\u00e2n gi\u00e0 v\u00e0 tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n th\u1ea5p, v\u00e0 (b) t\u1ea1o ra c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh trong h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai, \u0111\u1ec1 xu\u1ea5t c\u00e1c chuy\u00ean gia v\u1ec1 v\u1ea5n \u0111\u1ec1 c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 cung c\u1ea5p c\u00e1c c\u00f4ng c\u1ee5 \u0111\u1ec3 h\u00f2a gi\u1ea3i gi\u1eefa c\u00e1c \u00fd ki\u1ebfn kh\u00e1c nhau. <\/p>\n

Yerushalmy [1] \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean b\u00e1o c\u00e1o r\u1eb1ng m\u1ed9t b\u00e1c s\u0129 X quang c\u00f3 th\u1ea9m quy\u1ec1n b\u1ecf l\u1ee1 t\u1edbi 32% t\u1ed5n th\u01b0\u01a1ng tr\u00ean m\u1ed9t l\u1ea7n \u0111\u1ecdc X-quang ng\u1ef1c v\u00e0 kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi ch\u00ednh m\u00ecnh trong kho\u1ea3ng m\u1ed9t ph\u1ea7n n\u0103m c\u1ee7a hai l\u1ea7n \u0111\u1ecdc c\u00f9ng m\u1ed9t tia X. K\u1ec3 t\u1eeb \u0111\u00f3, \u0111\u00e3 c\u00f3 nhi\u1ec1u b\u00e1o c\u00e1o v\u1ec1 s\u1ef1 kh\u00e1c bi\u1ec7t trong vi\u1ec7c gi\u1ea3i th\u00edch c\u00e1c nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc, c\u0169ng nh\u01b0 gi\u1eefa c\u00e1c \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng. Cu\u1ed1i n\u0103m 2015-2018, s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai phi\u00ean d\u1ecbch vi\u00ean chuy\u00ean gia \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong 22-57% nghi\u00ean c\u1ee9u [2\u201310] h\u00ecnh \u1ea3nh v\u00e0 trong 25-37% nghi\u00ean c\u1ee9u [11\u201314]m\u00f4 b\u1ec7nh h\u1ecdc . S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o trong 20% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 [15]v\u00fa, \u1edf 35% b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb [16]ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng v\u00e0 \u1edf 20 \u0111\u1ebfn 38% b\u1ec7nh nh\u00e2n ung th\u01b0 [17]tuy\u1ebfn t\u1ee5y. <\/p>\n

Do \u0111\u00f3, khuy\u1ebfn ngh\u1ecb c\u1ee7a Yerushalmy v\u00e0o nh\u1eefng n\u0103m 1950 r\u1eb1ng \u0111\u1ecdc k\u00e9p c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n ch\u1ee5p X quang l\u00e0 ph\u00f9 h\u1ee3p cho nh\u1eefng n\u0103m 2010 v\u00e0 kh\u00f4ng ch\u1ec9 cho ch\u1ee5p X quang. Ng\u00e0y nay, ng\u01b0\u1eddi ta \u0111\u1ed3ng \u00fd r\u1ed9ng r\u00e3i r\u1eb1ng, tr\u1eeb khi n\u00f3 c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n can thi\u1ec7p c\u1ee9u s\u1ed1ng, b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn [18]th\u1ee9 hai \u0111\u1ed9c l\u1eadp v\u00e0 \u00fd ki\u1ebfn th\u1ee9 hai c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m chi ph\u00ed ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe trong khi gi\u1ea3m c\u1ea3 \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c v\u00e0 d\u01b0\u1edbi m\u1ee9c . [19] M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u00e3 khuy\u1ebfn ngh\u1ecb t\u1ea1o ra c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh trong h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai, \u0111\u1ec1 xu\u1ea5t c\u00e1c chuy\u00ean gia cho v\u1ea5n \u0111\u1ec1 c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 cung c\u1ea5p c\u00e1c c\u00f4ng c\u1ee5 \u0111\u1ec3 h\u00f2a gi\u1ea3i c\u00e1c [20]\u00fd ki\u1ebfn kh\u00e1c bi\u1ec7t . Tuy nhi\u00ean, cho \u0111\u1ebfn nay c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh nh\u01b0 v\u1eady l\u00e0 r\u1ea5t hi\u1ebfm, v\u00e0 vi\u1ec7c l\u1ea5y \u00fd ki\u1ebfn th\u1ee9 hai ch\u1ee7 y\u1ebfu do b\u1ec7nh nh\u00e2n kh\u1edfi x\u01b0\u1edbng.
Trong b\u00e0i b\u00e1o n\u0103m 2017 c\u1ee7a h\u1ecd tr\u00ean IJHPR, Shmueli et al. [21] Tham gia khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai. C\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 kh\u1ea3o s\u00e1t m\u1ed9t m\u1eabu \u0111\u1ea1i di\u1ec7n c\u1ee7a d\u00e2n s\u1ed1 Israel v\u00e0 th\u1ea5y r\u1eb1ng 41% \u0111\u00e3 t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai v\u00ec nghi ng\u1edd v\u1ec1 ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb (38%), t\u00ecm ki\u1ebfm m\u1ed9t chuy\u00ean gia chuy\u00ean khoa ph\u1ee5 (19%) v\u00e0 kh\u00f4ng h\u00e0i l\u00f2ng v\u1edbi \u00fd ki\u1ebfn \u0111\u1ea7u ti\u00ean (19%). C\u00f3 t\u1edbi 56% b\u00e1o c\u00e1o s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai \u00fd ki\u1ebfn v\u00e0 91% trong s\u1ed1 h\u1ecd th\u00edch \u00fd ki\u1ebfn th\u1ee9 hai. <\/p>\n

Nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng b\u00e1o c\u00e1o c\u1ee7a nh\u1eefng ng\u01b0\u1eddi kh\u00e1c. C\u00e1c \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng c\u1ee7a c\u00e1c t\u00e0i li\u1ec7u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng vi\u1ec7c t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai \u1edf c\u00e1c qu\u1ea7n th\u1ec3 b\u1ec7nh nh\u00e2n kh\u00e1c nhau r\u1ea5t kh\u00e1c nhau gi\u1eefa 7 v\u00e0 36%[20] v\u00e0 t\u1eeb 1 \u0111\u1ebfn 88% [22]. B\u1ec7nh nh\u00e2n \u0111\u00e3 t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ec3 x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c c\u00f3 \u0111\u01b0\u1ee3c th\u00f4ng tin v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng ho\u1eb7c bi\u1ebfn ch\u1ee9ng [22\u201324]\u0111i\u1ec1u tr\u1ecb . \u0110\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng c\u0169ng ch\u1ec9 ra r\u1eb1ng \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u00e3 x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u trong 43\u201382% tr\u01b0\u1eddng h\u1ee3p [20]v\u00e0 mang l\u1ea1i s\u1ef1 thay \u0111\u1ed5i trong ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ti\u00ean l\u01b0\u1ee3ng trong 12\u201369%, [20]10\u201362% [23]v\u00e0 2\u201351% [22]. Quan t\u00e2m \u0111\u1eb7c bi\u1ec7t l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh (Best Doctors, Inc.) cho ph\u00e9p ng\u01b0\u1eddi th\u1ee5 h\u01b0\u1edfng nh\u00e2n vi\u00ean y\u00eau c\u1ea7u \u00fd ki\u1ebfn th\u1ee9 hai mi\u1ec5n ph\u00ed v\u00e0 c\u00f3 c\u00e1c b\u00e1c s\u0129 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o t\u00f3m t\u1eaft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, x\u00e1c \u0111\u1ecbnh c\u00e1c c\u00e2u h\u1ecfi l\u00e2m s\u00e0ng ch\u01b0a \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft v\u00e0 chuy\u1ec3n c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn c\u00e1c chuy\u00ean gia \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 khuy\u1ebfn ngh\u1ecb \u0111\u1ed9c l\u1eadp. N\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y r\u1eb1ng m\u1ed9t \u00fd ki\u1ebfn th\u1ee9 hai d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i trong ch\u1ea9n \u0111o\u00e1n (15%), \u0111i\u1ec1u tr\u1ecb (37%) ho\u1eb7c c\u1ea3 hai (11%). T\u00e1c \u0111\u1ed9ng l\u00e2m s\u00e0ng c\u1ee7a \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh l\u00e0 trung b\u00ecnh\/n\u1eb7ng \u1edf 21% tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n v\u00e0 31% tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n (95%) h\u00e0i l\u00f2ng v\u1edbi tr\u1ea3i nghi\u1ec7m n\u00e0y, nh\u01b0ng \u00edt h\u01a1n (61%) c\u00f3 k\u1ebf ho\u1ea1ch l\u00e0m theo c\u00e1c khuy\u1ebfn ngh\u1ecb [24]. <\/p>\n

T\u00f3m l\u1ea1i, ph\u00e1t hi\u1ec7n ch\u00ednh c\u1ee7a c\u00e1c cu\u1ed9c kh\u1ea3o s\u00e1t n\u00e0y l\u00e0 \u00fd ki\u1ebfn th\u1ee9 hai kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi \u00fd ki\u1ebfn \u0111\u1ea7u ti\u00ean trong m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 b\u1ec7nh nh\u00e2n [20\u201323]. H\u1ea1n ch\u1ebf ch\u00ednh c\u1ee7a c\u00e1c cu\u1ed9c kh\u1ea3o s\u00e1t n\u00e0y l\u00e0 kh\u00f4ng c\u00f3 ti\u00eau chu\u1ea9n v\u00e0ng x\u00e1c \u0111\u1ecbnh c\u00e1c \u00fd ki\u1ebfn “ch\u00ednh x\u00e1c”. Tuy nhi\u00ean, ng\u01b0\u1eddi ta \u0111\u1ed3ng \u00fd r\u1ed9ng r\u00e3i r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ed9c l\u1eadp v\u00e0, trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 \u00fd ki\u1ebfn kh\u00e1c nhau, c\u00e2n nh\u1eafc v\u00e0 ch\u1ecdn t\u00f9y ch\u1ecdn m\u00e0 h\u1ecd tin l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi s\u1edf th\u00edch c\u00e1 nh\u00e2n c\u1ee7a h\u1ecd. <\/p>\n

Ch\u00fang ta n\u00ean \u0111i \u0111\u00e2u t\u1eeb \u0111\u00e2y? T\u00f4i tin r\u1eb1ng c\u00e1c cu\u1ed9c kh\u1ea3o s\u00e1t s\u00e2u h\u01a1n nh\u1eb1m x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai v\u00e0 l\u00fd do c\u1ee7a h\u1ecd \u0111\u1ec3 l\u00e0m \u0111i\u1ec1u \u0111\u00f3 l\u00e0 kh\u00f4ng ch\u00ednh \u0111\u00e1ng. Tuy nhi\u00ean, nh\u1eefng ph\u00e1t hi\u1ec7n r\u1eb1ng b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng kinh t\u1ebf x\u00e3 h\u1ed9i v\u00e0 tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n th\u1ea5p h\u01a1n \u00edt c\u00f3 kh\u1ea3 n\u0103ng t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai [22, 25, 26] v\u00e0 c\u00e1c b\u00e1c s\u0129 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng th\u00f4ng b\u00e1o cho b\u1ec7nh nh\u00e2n tr\u1ebb v\u00e0 c\u00f3 h\u1ecdc th\u1ee9c v\u1ec1 kh\u1ea3 n\u0103ng t\u00ecm ki\u1ebfm n\u00f3 [27] l\u00e0 r\u1ea5t \u0111\u00e1ng lo ng\u1ea1i. Nh\u1eefng ph\u00e1t hi\u1ec7n n\u00e0y x\u00e1c \u0111\u1ecbnh th\u00eam m\u1ed9t ngu\u1ed3n b\u1ea5t b\u00ecnh \u0111\u1eb3ng v\u1ec1 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. <\/p>\n

Ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 d\u1ef1 t\u00ednh c\u00e1c can thi\u1ec7p h\u00e0nh ch\u00ednh s\u1ebd l\u00e0m gi\u1ea3m nh\u1eefng b\u1ea5t b\u00ecnh \u0111\u1eb3ng n\u00e0y. V\u00ed d\u1ee5, B\u1ed9 Y t\u1ebf ho\u1eb7c c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh y t\u1ebf c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c \u0111\u01b0a \u00fd ki\u1ebfn th\u1ee9 hai v\u00e0o \u0111i\u1ec1u l\u1ec7 v\u1ec1 quy\u1ec1n c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 hi\u1ec3n th\u1ecb n\u1ed5i b\u1eadt c\u00e1c quy\u1ec1n n\u00e0y trong c\u00e1c c\u01a1 s\u1edf ngo\u1ea1i tr\u00fa. B\u1ed9 Y t\u1ebf c\u00f3 th\u1ec3 giao cho b\u00e1c s\u0129 gia \u0111\u00ecnh tr\u00e1ch nhi\u1ec7m khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi b\u1ec7nh b\u1ecb r\u1ed1i lo\u1ea1n m\u1ea1n t\u00ednh, ung th\u01b0 v\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ea9n \u0111o\u00e1n\/\u0111i\u1ec1u tr\u1ecb r\u1ee7i ro n\u00ean xin \u00fd ki\u1ebfn th\u1ee9 hai. Cu\u1ed1i c\u00f9ng, c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 th\u1ec3 ph\u1ed5 bi\u1ebfn th\u00f4ng tin r\u1eb1ng s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 quan \u0111i\u1ec3m l\u00e0 ph\u1ed5 bi\u1ebfn v\u00e0 cung c\u1ea5p c\u00e1c h\u01b0\u1edbng d\u1eabn s\u1ebd gi\u00fap c\u1ea3 b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129 gia \u0111\u00ecnh c\u1ee7a h\u1ecd trong vi\u1ec7c t\u00ecm ki\u1ebfm c\u00e1c chuy\u00ean gia cho c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ee5 th\u1ec3. Tuy nhi\u00ean, t\u00f4i c\u1ea3m th\u1ea5y r\u1eb1ng c\u00e1c can thi\u1ec7p h\u00e0nh ch\u00ednh s\u1ebd ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 m\u1ed9t ph\u1ea7n n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ed5 sung b\u1edfi nh\u1eadn th\u1ee9c v\u00e0 s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a c\u00e1c b\u00e1c s\u0129. <\/p>\n

M\u1ed9t s\u1ed1 b\u00e1c s\u0129 th\u1eeba nh\u1eadn c\u00f3 c\u1ea3m gi\u00e1c ti\u00eau c\u1ef1c v\u1ec1 m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, ch\u1ec9 m\u1ed9t s\u1ed1 \u00edt nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c r\u1eb1ng nh\u1eefng c\u1ea3m gi\u00e1c n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed trong ti\u1ec1m th\u1ee9c \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n gi\u00e0 [28] v\u00e0 ngh\u00e8o [29] . C\u00e1c b\u00e1c s\u0129 n\u00ean \u0111\u01b0\u1ee3c nh\u1eafc nh\u1edf v\u1ec1 m\u1ed1i li\u00ean h\u1ec7 kh\u00f4ng th\u1ec3 tranh c\u00e3i gi\u1eefa t\u1eed vong do m\u1ecdi nguy\u00ean nh\u00e2n v\u00e0 t\u00ecnh tr\u1ea1ng kinh t\u1ebf x\u00e3 h\u1ed9i (thu nh\u1eadp, gi\u00e1o d\u1ee5c) [30, 31]. N\u00f3i c\u00e1ch kh\u00e1c, b\u1ec7nh nh\u00e2n ngh\u00e8o, th\u1ea5t h\u1ecdc v\u00e0 l\u1edbn tu\u1ed5i d\u1ec5 m\u1eafc b\u1ec7nh h\u01a1n. B\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c d\u1ea5u hi\u1ec7u n\u00e0o \u1edf ng\u01b0\u1eddi ngh\u00e8o, ng\u01b0\u1eddi gi\u00e0 ho\u1eb7c \u00edt h\u1ecdc \u0111\u1ec1u c\u00f3 th\u1ec3 b\u00e1o tr\u01b0\u1edbc m\u1ed9t c\u0103n b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 c\u00e1c ch\u1ec9 s\u1ed1 nguy c\u01a1 n\u00e0y, gi\u1ed1ng nh\u01b0 x\u00e1c su\u1ea5t nhi\u1ec5m tr\u00f9ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng \u1edf b\u1ec7nh nh\u00e2n gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh b\u1ecb s\u1ed1t cao h\u01a1n \u1edf ng\u01b0\u1eddi kh\u00f4ng gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh c\u00f3 c\u00f9ng m\u1ee9c s\u1ed1t. Hy v\u1ecdng r\u1eb1ng, nh\u1eadn th\u1ee9c c\u1ee7a c\u00e1c b\u00e1c s\u0129 r\u1eb1ng ngh\u00e8o \u0111\u00f3i, gi\u00e1o d\u1ee5c th\u1ea5p h\u01a1n v\u00e0 tu\u1ed5i gi\u00e0 l\u00e0 nh\u1eefng ch\u1ec9 s\u1ed1 nguy c\u01a1 m\u1eafc b\u1ec7nh s\u1ebd l\u00e0m gi\u1ea3m s\u1ef1 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed trong ti\u1ec1m th\u1ee9c c\u1ee7a h\u1ecd \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady. <\/p>\n

Th\u1ee9 hai, c\u00e1c b\u00e1c s\u0129 n\u00ean nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng r\u00e0o c\u1ea3n ch\u00ednh ng\u0103n c\u1ea3n b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai. C\u00e1c nh\u00f3m t\u1eadp trung \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng nh\u1eefng r\u00e0o c\u1ea3n n\u00e0y l\u00e0 c\u1ea3m gi\u00e1c s\u1ed1c, \u00e1p l\u1ef1c v\u1ec1 th\u1eddi gian, qu\u00e1 t\u1ea3i th\u00f4ng tin v\u00e0 s\u1ee3 g\u00e2y nguy hi\u1ec3m cho m\u1ed1i quan h\u1ec7 [32]gi\u1eefa b\u1ec7nh nh\u00e2n v\u00e0 b\u00e1c s\u0129. Do \u0111\u00f3, vi\u1ec7c cung c\u1ea5p “tin x\u1ea5u” ph\u00f9 h\u1ee3p s\u1ebd bao g\u1ed3m t\u01b0 v\u1ea5n kh\u00f4ng v\u1ed9i v\u00e0ng, khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai v\u00e0 l\u00ean l\u1ecbch t\u00e1i kh\u00e1m \u0111\u1ec3 tr\u1ea3 l\u1eddi c\u00e1c c\u00e2u h\u1ecfi b\u1ed5 sung c\u1ee7a b\u1ec7nh nh\u00e2n, cung c\u1ea5p th\u00eam th\u00f4ng tin v\u00e0 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 s\u1ef1 hi\u1ec3u bi\u1ebft c\u1ee7a b\u1ec7nh nh\u00e2n v\u1ec1 b\u1ec7nh c\u1ee7a h\u1ecd. <\/p>\n

Th\u1ee9 ba, c\u00e1c b\u00e1c s\u0129 n\u00ean gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c \u00fd ki\u1ebfn th\u1ee9 nh\u1ea5t v\u00e0 th\u1ee9 hai kh\u00e1c nhau. B\u1eb1ng ch\u1ee9ng cho th\u1ea5y r\u1eb1ng m\u1ed9t \u0111\u1ed9ng l\u1ef1c ch\u00ednh \u0111\u1ec3 t\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai l\u00e0 s\u1ef1 kh\u00f4ng h\u00e0i l\u00f2ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi \u00fd ki\u1ebfn \u0111\u1ea7u ti\u00ean. C\u00e1c cu\u1ed9c ph\u1ecfng v\u1ea5n b\u1ec7nh nh\u00e2n chuy\u00ean s\u00e2u ch\u1ec9 ra r\u1eb1ng h\u1ecd mu\u1ed1n chuy\u00ean gia t\u01b0 v\u1ea5n \u00e1p d\u1ee5ng ki\u1ebfn th\u1ee9c c\u1ee7a m\u00ecnh v\u00e0o c\u00e1c chi ti\u1ebft c\u1ee5 th\u1ec3 c\u1ee7a tr\u01b0\u1eddng h\u1ee3p c\u1ee7a h\u1ecd v\u00e0 th\u1ea5t v\u1ecdng v\u00e0 kh\u00f4ng tin t\u01b0\u1edfng khi c\u00e1c b\u00e1c s\u0129 ch\u1ec9 tr\u00edch d\u1eabn s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea [33]ti\u00ean l\u01b0\u1ee3ng chung. C\u1ea3 b\u00e1c s\u0129 gia \u0111\u00ecnh v\u00e0 chuy\u00ean gia t\u01b0 v\u1ea5n \u0111\u1ec1u c\u00f3 th\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1c chi ti\u1ebft c\u1ee5 th\u1ec3 c\u1ee7a tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch \u0111\u1eb7t c\u00e2u h\u1ecfi nh\u01b0 “N\u00f3 s\u1ebd gi\u00fap t\u00f4i t\u01b0 v\u1ea5n cho b\u1ea1n n\u1ebfu b\u1ea1n n\u00f3i v\u1edbi t\u00f4i nh\u1eefng g\u00ec b\u1ea1n ngh\u0129 v\u1ec1 b\u1ec7nh c\u1ee7a b\u1ea1n” ho\u1eb7c “\u0110i\u1ec1u g\u00ec khi\u1ebfn b\u1ea1n lo l\u1eafng nh\u1ea5t v\u1ec1 c\u0103n b\u1ec7nh c\u1ee7a m\u00ecnh” ho\u1eb7c “b\u1ea1n mu\u1ed1n tr\u00e1nh \u0111i\u1ec1u g\u00ec nh\u1ea5t” ho\u1eb7c “b\u1ea1n mong \u0111\u1ee3i \u0111i\u1ec1u g\u00ec t\u1eeb vi\u1ec7c \u0111i\u1ec1u tr\u1ecb”. <\/p>\n

L\u1eddi c\u1ea3m \u01a1n:
\u0110\u00f3ng g\u00f3p c\u1ee7a t\u00e1c gi\u1ea3
T\u00e1c gi\u1ea3 \u0111\u00e3 \u0111\u1ecdc v\u00e0 ph\u00ea duy\u1ec7t b\u1ea3n th\u1ea3o cu\u1ed1i c\u00f9ng.
Th\u00f4ng tin t\u00e1c gi\u1ea3
Jochanan Benbassat l\u00e0 m\u1ed9t b\u00e1c s\u0129 nh\u00e2n vi\u00ean t\u1ea1i khoa Y t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Hadassah t\u1eeb n\u0103m 1962 \u0111\u1ebfn n\u0103m 1992, v\u00e0 t\u1eeb n\u0103m 1983, Gi\u00e1o s\u01b0 Y khoa v\u00e0 ch\u1ee7 t\u1ecbch Gi\u00e1o d\u1ee5c Y khoa t\u1ea1i \u0110\u1ea1i h\u1ecdc Hebrew \u1edf Jerusalem. N\u0103m 1992-1997, \u00f4ng l\u00e0 tr\u01b0\u1edfng khoa X\u00e3 h\u1ed9i h\u1ecdc Y t\u1ebf v\u00e0 ch\u1ee7 t\u1ecbch Khoa h\u1ecdc H\u00e0nh vi trong Y h\u1ecdc t\u1ea1i Khoa Khoa h\u1ecdc Y t\u1ebf \u1edf Beer-Sheva. T\u1eeb n\u0103m 1998, \u00f4ng l\u00e0 c\u1ed9ng t\u00e1c vi\u00ean nghi\u00ean c\u1ee9u t\u1ea1i Ch\u01b0\u01a1ng tr\u00ecnh Nghi\u00ean c\u1ee9u Ch\u00ednh s\u00e1ch Y t\u1ebf c\u1ee7a Vi\u1ec7n JDC Meyers-Brookdale.
Ph\u00ea duy\u1ec7t \u0111\u1ea1o \u0111\u1ee9c v\u00e0 \u0111\u1ed3ng \u00fd tham gia
Kh\u00f4ng \u00e1p d\u1ee5ng.
\u0110\u1ed3ng \u00fd xu\u1ea5t b\u1ea3n
Kh\u00f4ng \u00e1p d\u1ee5ng.
C\u1ea1nh tranh l\u1ee3i \u00edch
T\u00e1c gi\u1ea3 tuy\u00ean b\u1ed1 r\u1eb1ng anh \u1ea5y \/ c\u00f4 \u1ea5y kh\u00f4ng c\u00f3 l\u1ee3i \u00edch c\u1ea1nh tranh.
Ghi ch\u00fa c\u1ee7a nh\u00e0 xu\u1ea5t b\u1ea3n
Springer Nature v\u1eabn trung l\u1eadp \u0111\u1ed1i v\u1edbi c\u00e1c tuy\u00ean b\u1ed1 v\u1ec1 quy\u1ec1n t\u00e0i ph\u00e1n trong c\u00e1c b\u1ea3n \u0111\u1ed3 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0 c\u00e1c li\u00ean k\u1ebft th\u1ec3 ch\u1ebf.
\u0110\u00e3 nh\u1eadn: 6 th\u00e1ng 1 n\u0103m 2019 \u0110\u00e3 ch\u1ea5p nh\u1eadn: 10 th\u00e1ng 1 n\u0103m 20191. Yerushalmy J. \u0110\u1ed9 tin c\u1eady c\u1ee7a ch\u1ee5p X quang ng\u1ef1c trong ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i. Am J Surg. 1955; 89:231\u201340. <\/p>\n

2. Wibmer A, Vargas HA, Donahue TF, Zheng J, Moskowitz C, Eastham J, Sala E, Hricak H. Ch\u1ea9n \u0111o\u00e1n m\u1edf r\u1ed9ng tuy\u1ebfn ti\u1ec1n li\u1ec7t ngo\u00e0i v\u1ecf Ung th\u01b0 tr\u00ean MRI tuy\u1ebfn ti\u1ec1n li\u1ec7t: t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c b\u00e0i \u0111\u1ecdc \u00fd ki\u1ebfn th\u1ee9 hai c\u1ee7a c\u00e1c b\u00e1c s\u0129 X quang ung th\u01b0 sinh d\u1ee5c ni\u1ec7u c\u1eadn chuy\u00ean ng\u00e0nh. AJR Am J Roentgenol. 2015; 205:W73\u20138. <\/p>\n

3. Chalian M, Del Grande F, Thakkar RS, Jalali SF, Chhabra A, Carrino JA. T\u01b0 v\u1ea5n chuy\u00ean khoa ph\u1ee5 \u00fd ki\u1ebfn th\u1ee9 hai trong X quang c\u01a1 x\u01b0\u01a1ng. AJR Am J Roentgenol. 2016; 206:1217\u201321. <\/p>\n

4. Hansen NL, Koo BC, Gallagher FA, Warren AY, Doble A, Gnanapragasam V, Bratt O, Kastner C, Barrett T. So s\u00e1nh \u00fd ki\u1ebfn th\u1ee9 hai c\u1ee7a Trung t\u00e2m ban \u0111\u1ea7u v\u00e0 \u0111\u1ea1i h\u1ecdc \u0111\u1ecdc h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb \u0111a tham s\u1ed1 c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t tr\u01b0\u1edbc khi sinh thi\u1ebft l\u1eb7p l\u1ea1i. EurRadiol. 2017; 27:2259\u201366. <\/p>\n

5. Sawan P, Rebeiz K, Schoder H, Batlevi C, Moskowitz A, Ulaner GA, Dunphy M, Mannelli L. \u0110\u00e1nh gi\u00e1 X quang \u00fd ki\u1ebfn th\u1ee9 hai chuy\u00ean ng\u00e0nh v\u1ec1 ki\u1ec3m tra PET \/ CT cho b\u1ec7nh nh\u00e2n u lympho t\u1ebf b\u00e0o B l\u1edbn lan t\u1ecfa \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n. Y h\u1ecdc (Baltimore). 2017; 96:E9411. <\/p>\n

6. Strogus K, Roedl JB, Morrison WB, Zoga AC. T\u00e1c \u0111\u1ed9ng l\u00e2m s\u00e0ng c\u1ee7a c\u00e1c gi\u1ea3i th\u00edch chuy\u00ean khoa c\u01a1 x\u01b0\u01a1ng \u00fd ki\u1ebfn th\u1ee9 hai trong m\u1ed9t h\u1ed9i ngh\u1ecb ung th\u01b0 ch\u1ec9nh h\u00ecnh \u0111a ng\u00e0nh. JAM Coll Radiol. 2017; 14:931\u20136. <\/p>\n

7. Chang Sen LQ, Mayo RC, Lesslie MD, Yang WT, Leung JWT. T\u00e1c \u0111\u1ed9ng c\u1ee7a vi\u1ec7c gi\u1ea3i th\u00edch \u00fd ki\u1ebfn th\u1ee9 hai c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh v\u00fa \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n hi\u1ec7n kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh ung th\u01b0 v\u00fa. JAM Coll Radiol. 2018; 15:980\u20137. <\/p>\n

8. Weinfurtner RJ, Niell B, Mekhail Y, Aguila E, Kamat L. Gi\u1ea3i th\u00edch \u00fd ki\u1ebfn th\u1ee9 hai chuy\u00ean ng\u00e0nh v\u1ec1 h\u00ecnh \u1ea3nh v\u00fa: t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00f4ng vi\u1ec7c b\u1ed5 sung v\u00e0 qu\u1ea3n l\u00fd. Ung th\u01b0 v\u00fa Clin. 2018; 18:E1031\u20136. <\/p>\n

9. Shetty AS, Mittal A, Salter A, Narra VR, Fowler KJ. Ch\u1ea9n \u0111o\u00e1n \u00fd ki\u1ebfn th\u1ee9 hai v\u1ec1 h\u00ecnh \u1ea3nh gan t\u1ee5y: c\u00f3 gi\u00e1 tr\u1ecb trong B\u00e0i \u0111\u1ecdc th\u1ee9 hai kh\u00f4ng? AJR Am J Roentgenol. 2018; 211:1264\u201372. <\/p>\n

10. Alves I, Cunha TM. T\u1ea7m quan tr\u1ecdng l\u00e2m s\u00e0ng c\u1ee7a vi\u1ec7c gi\u1ea3i th\u00edch \u00fd ki\u1ebfn th\u1ee9 hai c\u1ee7a c\u00e1c b\u00e1c s\u0129 X quang chuy\u00ean v\u1ec1 ung th\u01b0 ph\u1ee5 khoa t\u1ea1i m\u1ed9t trung t\u00e2m ung th\u01b0 c\u1ea5p ba: h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb cho giai \u0111o\u1ea1n ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung. Radiol Bras. 2018; 51:26\u201331. <\/p>\n

11. Marco V, Muntal T, Garc\u00e3a-Hernandez F, Cortes J, Gonzalez B, Rubio IT. Nh\u1eefng thay \u0111\u1ed5i trong b\u00e1o c\u00e1o ung th\u01b0 v\u00fa sau b\u1ec7nh l\u00fd \u00fd ki\u1ebfn th\u1ee9 hai. V\u00fa J. 2014; 20:295\u2013301. <\/p>\n

12 Luchey AM, Manimala NJ, Dickinson S, Dhillon J, Agarwal G, Lockhart JL, Spiess PE, Sexton WJ, Pow-Sang JM, Gilbert SM, Poch MA. Thay \u0111\u1ed5i trong qu\u1ea3n l\u00fd d\u1ef1a tr\u00ean \u00fd ki\u1ebfn th\u1ee9 hai b\u1ec7nh l\u00fd \u1edf b\u1ec7nh nh\u00e2n ung th\u01b0 b\u00e0ng quang tr\u00ecnh b\u00e0y t\u1ea1i m\u1ed9t trung t\u00e2m ung th\u01b0 to\u00e0n di\u1ec7n: \u00dd ngh\u0129a \u0111\u1ed1i v\u1edbi th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng. Khoa ti\u1ebft ni\u1ec7u. 2016; 93:130\u20134. <\/p>\n

13. Al-Ibraheemi A, Folpe AL. \u00dd ki\u1ebfn th\u1ee9 hai t\u1ef1 nguy\u1ec7n trong b\u1ec7nh l\u00fd x\u01b0\u01a1ng v\u00e0 m\u00f4 ft \u1edf tr\u1ebb em: \u0111\u00e1nh gi\u00e1 h\u1ed3i c\u1ee9u 1601 tr\u01b0\u1eddng h\u1ee3p t\u1eeb m\u1ed9t d\u1ecbch v\u1ee5 t\u01b0 v\u1ea5n kh\u1ed1i u trung m\u00f4 duy nh\u1ea5t. Int J ph\u1eabu thu\u1eadt Pathol. 2016; 24:685\u201391. <\/p>\n

14. Gordetsky J, Collingwood R, Lai WS, Del Carmen Rodriquez Pena M, Rais-Bahrami S. \u00dd ki\u1ebfn th\u1ee9 hai \u0110\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd c\u1ee7a chuy\u00ean gia trong ung th\u01b0 b\u00e0ng quang: \u00dd ngh\u0129a \u0111\u1ed1i v\u1edbi vi\u1ec7c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n. Int J ph\u1eabu thu\u1eadt Pathol. 2018; 26:12\u20137. <\/p>\n

15. Garcia D, Spruill LS, Irshad A, Wood J, Kepecs D, Klauber-DeMore N. Gi\u00e1 tr\u1ecb c\u1ee7a \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0 v\u00fa \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u0111\u1ebfn m\u1ed9t Qu\u1ed1c gia<\/p>\n

16 Rozenberg A, Kenneally BE, Abraham JA, Lenza M, Buchbinder R, Staples MP, Dos Santos OFP, Brandt RA, Lottenberg CL, Cendoroglo M, Ferretti M. \u00dd ki\u1ebfn th\u1ee9 hai cho t\u00ecnh tr\u1ea1ng tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng: m\u1ed9t l\u1ef1a ch\u1ecdn hay m\u1ed9t s\u1ef1 c\u1ea7n thi\u1ebft? M\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t ti\u1ebfn c\u1ee9u. BMC c\u01a1 x\u01b0\u01a1ng kh\u1edbpDiord. 2017;18:354. <\/p>\n

17 Corrias G, Huicochea Castellanos S, Merkow R, Langan R, Balachandran V, Ragucci M, Carollo G, Mancini M, Saba L, Mannelli L. \u00dd ki\u1ebfn \u0111\u1ed9c gi\u1ea3 th\u1ee9 hai c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n trong ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn \u1ed1ng t\u1ee5y kh\u00f4ng? AcadRadiol. 2018; 25:825\u201332.<\/p>\n

18. Axon A, Hassan M, Niv Y, Beglinger C, Rokkas T. \u00dd ngh\u0129a \u0111\u1ea1o \u0111\u1ee9c v\u00e0 ph\u00e1p l\u00fd trong vi\u1ec7c t\u00ecm ki\u1ebfm v\u00e0 cung c\u1ea5p \u00fd ki\u1ebfn y t\u1ebf th\u1ee9 hai. \u0110\u00e0o Dis. 2008; 26:11\u20137. <\/p>\n

19 ANA T, Yang Q, Nelson HD, Longton G, Soneji SS, Pepe M, Geller B, Carney PA, Onega T, Allison KH, Elmore JG, Weaver DL. C\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u00fd ki\u1ebfn th\u1ee9 hai trong b\u1ec7nh l\u00fd v\u00fa: ph\u00e2n t\u00edch quy\u1ebft \u0111\u1ecbnh gi\u1ea3i quy\u1ebft chi ph\u00ed \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c, \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa. 2018; 167:195\u2013203.Ruetters D, Keinki C, Schroth S, Liebl P, Huebner J. C\u00f3 b\u1eb1ng ch\u1ee9ng n\u00e0o cho vi\u1ec7c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe t\u1ed1t h\u01a1n cho b\u1ec7nh nh\u00e2n ung th\u01b0 sau khi c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai kh\u00f4ng? M\u1ed9t \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng. J Ung th\u01b0 Res Clin Oncol. 2016; 142:1521\u20138.
Shmueli L, Davidovitch N, Pliskin JS, Balicer RD, Hekselman I, Greenfield G. T\u00ecm ki\u1ebfm \u00fd ki\u1ebfn y t\u1ebf th\u1ee9 hai: th\u00e0nh ph\u1ea7n, l\u00fd do v\u00e0 k\u1ebft qu\u1ea3 nh\u1eadn th\u1ee9c \u1edf Israel. Ch\u00ednh s\u00e1ch y t\u1ebf Isr J Res. 2017;6:67.22. Hillen MA, Medendorp NM, Daams JG, Smets EMA. \u00dd ki\u1ebfn th\u1ee9 hai do b\u1ec7nh nh\u00e2n \u0111i\u1ec1u khi\u1ec3n trong ung th\u01b0: m\u1ed9t \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng. Oncologist. 2017; 22:1197\u2013211. <\/p>\n

23. Payne VL, Singh H, Meyer AN, Levy L, Harrison D, Graber ML. \u00dd ki\u1ebfn th\u1ee9 hai do b\u1ec7nh nh\u00e2n kh\u1edfi x\u01b0\u1edbng: xem x\u00e9t c\u00f3 h\u1ec7 th\u1ed1ng c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 s\u1ef1 h\u00e0i l\u00f2ng. Mayo Clin Proc. 2014; 89:687\u201396. <\/p>\n

24. Meyer AN, Singh H, Graber ML. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 t\u1eeb ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai do b\u1ec7nh nh\u00e2n kh\u1edfi x\u01b0\u1edbng qu\u1ed1c gia. Am J Med. 2015;128:1138.e25\u201333. <\/p>\n

25. Mordechai O, Tamir S, Weyl-Ben-Arush M. T\u00ecm ki\u1ebfm \u00fd ki\u1ebfn th\u1ee9 hai trong ung th\u01b0 nhi khoa. Nhi khoa Hematol Oncol. 2015; 32:284\u20139. <\/p>\n

26. Shmueli L, Shmueli E, Pliskin JS, Balicer RD, Davidovitch N, Hekselman I, Greenfield G. \u00dd ki\u1ebfn y t\u1ebf th\u1ee9 hai: t\u1ef7 l\u1ec7 s\u1eed d\u1ee5ng v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ng\u01b0\u1eddi t\u00ecm ki\u1ebfm trong d\u00e2n s\u1ed1 n\u00f3i chung. Ch\u0103m s\u00f3c Med. 2016; 54:921\u20138. <\/p>\n

27. T\u1ed5ng SE, Hillen MA, Pfaff H, Scholten N. \u00dd ki\u1ebfn th\u1ee9 hai trong c\u00e1c cu\u1ed9c g\u1eb7p g\u1ee1 y t\u1ebf – m\u1ed9t nghi\u00ean c\u1ee9u gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0 v\u00fa. B\u1ec7nh nh\u00e2n Educ Couns. 2017; 100:1990\u20135. <\/p>\n

28. Levy BR, Slade MD, Chang ES, Kannoth S, Wang SY. Ch\u1ee7 ngh\u0129a tu\u1ed5i t\u00e1c khu\u1ebfch \u0111\u1ea1i chi ph\u00ed v\u00e0 t\u1ef7 l\u1ec7 m\u1eafc c\u00e1c \u0111i\u1ec1u ki\u1ec7n s\u1ee9c kh\u1ecfe. B\u00e1c s\u0129 l\u00e3o khoa. 2018; 20:1\u20138. <\/p>\n

29 Rask S, Elo IT, Koskinen S, Eero L, Koponen P, Castaneda AE. M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed v\u00e0 s\u1ee9c kh\u1ecfe: nh\u1eefng ph\u00e1t hi\u1ec7n v\u1ec1 d\u00e2n s\u1ed1 g\u1ed1c Nga, Somalia v\u00e0 ng\u01b0\u1eddi Kurd \u1edf Ph\u1ea7n Lan. Eur J Pub S\u1ee9c kh\u1ecfe. 2018; 28:898\u20130. <\/p>\n

30. Antonovsky A. T\u1ea7ng l\u1edbp x\u00e3 h\u1ed9i, tu\u1ed5i th\u1ecd v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong n\u00f3i chung. \u0110\u00e0i t\u01b0\u1edfng ni\u1ec7m Milbank h\u00e0ng qu\u00fd. 1967; 45:31\u201373. <\/p>\n

31. Rauch B. T\u00ecnh tr\u1ea1ng kinh t\u1ebf x\u00e3 h\u1ed9i: m\u1ed9t b\u1ed9 \u0111i\u1ec1u bi\u1ebfn m\u1ea1nh m\u1ebd nh\u01b0ng v\u1eabn b\u1ecb b\u1ecf qu\u00ean v\u1ec1 nguy c\u01a1 tim m\u1ea1ch. Eur J Prev Cardiol. 2018; 25:981\u20134. <\/p>\n

32. Peier-Ruser KS, von Greyerz S. T\u1ea1i sao b\u1ec7nh nh\u00e2n ung th\u01b0 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 nhu c\u1ea7u c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai v\u00e0 \u0110i\u1ec1u g\u00ec l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 h\u1ea1 th\u1ea5p r\u00e0o c\u1ea3n? M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ecbnh t\u00ednh. \u0110i\u1ec1u tr\u1ecb Oncol Res. 2018; 41:769\u201373. <\/p>\n

33. Goldman RE, Sullivan A, Tr\u1edf l\u1ea1i AL, Alexander SC, Matsuyama RK, Lee SJ. Ph\u1ea3n \u00e1nh c\u1ee7a b\u1ec7nh nh\u00e2n v\u1ec1 giao ti\u1ebfp trong t\u01b0 v\u1ea5n huy\u1ebft h\u1ecdc – ung th\u01b0 \u00fd ki\u1ebfn th\u1ee9 hai. B\u1ec7nh nh\u00e2n Educ Couns. 2009; 76:44\u201350. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Tr\u1eebu t\u01b0\u1ee3ng C\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u00e3 ph\u00e1t hi\u1ec7n ra s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai chuy\u00ean gia phi\u00ean d\u1ecbch c\u1ee7a nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc. H\u01a1n n\u1eefa, trong m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 b\u1ec7nh nh\u00e2n, \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ed9c l\u1eadp kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi \u00fd ki\u1ebfn th\u1ee9 nh\u1ea5t. Do \u0111\u00f3, […]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","hide_page_title":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-21299","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"\nC\u00f3 \u0111\u01b0\u1ee3c \u00fd ki\u1ebfn th\u1ee9 hai l\u00e0 m\u1ed9t ngu\u1ed3n b\u1ea5t b\u00ecnh \u0111\u1eb3ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u1ecb b\u1ecf qu\u00ean. - MDVISIT CLINIC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00f3 \u0111\u01b0\u1ee3c \u00fd ki\u1ebfn th\u1ee9 hai l\u00e0 m\u1ed9t ngu\u1ed3n b\u1ea5t b\u00ecnh \u0111\u1eb3ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe b\u1ecb b\u1ecf qu\u00ean. - MDVISIT CLINIC\" \/>\n<meta property=\"og:description\" content=\"Tr\u1eebu t\u01b0\u1ee3ng C\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u00e3 ph\u00e1t hi\u1ec7n ra s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai chuy\u00ean gia phi\u00ean d\u1ecbch c\u1ee7a nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc. 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