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NR 716 Week 1 Discussion; The Evidence-Based_Intervention

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NR 716 Week 1 Discussion; The Evidence-Based_Intervention

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The sixth most prevalent and third-leading cause of cancer-related mortality is liver cancer
(Singh et al., 2020). According to Singh et al. (2020), in hepatocellular carcinoma (HCC),
dysplastic macro nodules evolve early and develop into cancer. Screening should enable us to
find lesions early. HCC is often diagnosed in its mature stages since it is asymptomatic until it
grows extensive (Singh et al., 2020).

Presently, the most prevalent strategy for evaluating suspicious HCC nodules is the combination
of serum alpha-fetoprotein testing and imaging technology such as computed tomography or
magnetic resonance imaging (Zheng et al., 2018). Unfortunately, serum alpha-fetoprotein
detection sensitivity for early-stage HCC is only 39 to 65 percent. In addition, patients with
benign liver conditions like hepatitis and cirrhosis may also have a higher alpha-fetoprotein level
in their blood. Thus, precise noninvasive HCC biomarkers are needed (Zheng et al., 2018).
According to Zheng et al. (2018), previous research has shown that long noncoding RNAs
(lncRNAs) have excellent potential as cancer biomarkers. This study examined the diagnostic
and prognostic potential of serum lncRNA urothelial carcinoma associated 1 (UCA1) for
hepatocellular cancer (HCC). The UCA1 expression in blood samples from 105 HCC, 105 BLD,
and 105 healthy people were studied using reverse-transcription polymerase chain reaction to
determine the connection between serum UCA1 and HCC clinicopathological characteristics and
survival. HCC patients expressed considerably more serum UCA1, distinguishing them from
BLD and healthy controls. Furthermore, serum UCA1 expression correlated with high tumor
grade, big tumor size, positive vascular invasion, and advanced TNM stage. In addition, high
serum UCA1 levels independently predicted worse HCC prognosis in multivariate analysis
(Zheng et al., 2018).

Because HCC tumors are not all the same inside, it is becoming more apparent that a single
biomarker may not be enough to diagnose HCC early and that a combination of biomarkers may
be needed to improve sensitivity (Singal et al., 2020). Many studies show fewer people
participate in HCC surveillance programs and get screened every six months. For HCC
monitoring to work, a specific network of doctors, patients, and healthcare systems must focus
on a biannual screening strategy for high-risk HCC patients (Singal et al., 2020). Encourage the
use of specialized tools, such as the help of trained people, websites, patient group meetings,
educational screencasts, and smartphone apps, to improve patient education. Patient participation
in the decision-making process is also strongly suggested in tailoring screening programs (Singal
et al., 2020). Intensification of specific compliance-enhancing measures is also required (Singal
et al., 2020). In the same way, putting clinical reminder systems in place for physicians helps
them stick to surveillance timelines in everyday practice (Singal et al., 2020).

References

Singal, A. G., Lampertico, P., & Nahon, P. (2020). Epidemiology and surveillance for
hepatocellular carcinoma: New trends. Journal of Hepatology, 72(2), 250.
https://doi.org/10.1016/j.jhep.2019.08.025

Singh, G., Yoshida, E. M., Rathi, S., Marquez, V., Kim, P., Erb, S. R., & Salh, B. S.
(2020). Biomarkers for hepatocellular cancer. World Journal of Hepatology, 12(9), 558-
573. https://doi.org/10.4254/wjh.v12.i9.558

Zheng, Z., Pang, C., Yang, Y., Duan, Q., Zhang, J., & Liu, W. (2018). Serum long
noncoding RNA urothelial carcinoma-associated 1: A novel biomarker for diagnosis and
prognosis of

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