Screening for breast cancer in England: a review
Screening for breast cancer in England: a review
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DOI：
10.1097/gco.0b013e3283186fab
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发表时间：
2008-12-01
影响因子：
2.1
通讯作者：
Hogben, Rosalyn Katy F.
中科院分区：
文献类型：
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作者：
Hogben, Rosalyn Katy F.
今年，英国国家卫生服务乳房筛查计划（NHSBSP）庆祝其20周年。自1988年以来，它在随机对照研究的帮助下不断发展，在发现原位疾病和小型侵袭性癌症方面变得更加有效。本综述将讨论这些新进展并讨论它们对筛查的影响。最近的发现：引入额外的乳房x光检查，阅读两位专家的胶片，数字化乳房x光检查以及年龄的延长，都对通过筛查发现乳腺癌产生了重大影响。还讨论了组织结构等不太明显的因素以及严格的国家审计如何改善问题。有争议的话题，如筛查间隔和筛查50岁以下的妇女也将在本次审查中讨论。在英国，基于人群的乳房筛查将继续发展。它是独一无二的，随着年度国家审计，它继续推动全国乳房服务的发展。
Purpose of reviewThis year, the National Health Service Breast Screening Programme in the UK (NHSBSP) celebrates its 20th anniversary. Since 1988, it has evolved with the help of randomized control studies to become more efficient at picking up in-situ disease and small invasive cancers. This review will address these new developments and discuss their impact on screening.Recent findingsThe introduction of extra mammographic views, the reading of films by two specialists and digital mammography as well as age extension have all made significant differences to the detection of breast cancer through screening. A discussion of how less obvious factors such as organization and structure as well as rigorous national audit have improved matters is also included. Controversial topics such as the screening interval and screening women under 50 will also be addressed in this review.SummaryPopulation-based breast screening will continue to evolve in England. It is unique and with its annual national audit it continues to drive the development of breast services nationally.