Reported drop in mammography - Is this cause for concern?

Reported drop in mammography - Is this cause for concern?
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DOI:
10.1002/cncr.22723
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发表时间:
2007-06-15
期刊:
影响因子:
6.2
通讯作者:
McNeel, Timothy S.
McNeel, Timothy S.
中科院分区:
医学1区
文献类型:
--
作者:
Breen, Nancy;Cronin, Kathleen A.;McNeel, Timothy S.

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背景及时进行乳房X光检查可以预防大量乳腺癌死亡。这个简短的目的是确定是否最近使用乳房X光检查已经下降全国。作者评估了从1987年到2005年的乳腺X光检查率的趋势。然后,他们使用2000年和2005年的全国健康访谈调查(NHIS)估计来描述乳房X光检查使用的趋势和当前模式。自1987年以来,美国妇女使用乳房X光检查的报告数量迅速增长,2005年NHIS的估计显示与2000年相比有所下降(从70%下降到66%)。虽然这一下降幅度很小,但可能引起关注,因为它标志着方向的变化。这份报告为国家确定了一些地方数据中已经观察到的情况。结果证实,乳房X光检查的使用可能正在下降。这种变化需要仔细监测,也可能需要干预。
BACKGROUND. Timely screening with mammography can prevent a substantial number of deaths from breast cancer. The objective of this brief was to ascertain whether recent use of mammography has dropped nationally.METHODS. The authors assessed the trend in mammography rates from 1987 through 2005. Then, they used the 2000 and 2005 National Health Interview Survey (NHIS) estimates to characterize trends and current patterns in mammography use.RESULTS. After robust, rapid increases in reported use of mammography by women in the U.S. since 1987, estimates from the 2005 NHIS showed a decline compared with 2000 (from 70% to 66%). Although it was small, this decline may be cause for concern, because it signals a change in direction.CONCLUSIONS. This report establishes for the nation what already has been observed in some local data. The results confirmed that the use of mammography may be falling. This change needs to be monitored carefully and also may call for intervention.