Mammography rates after the 2009 US Preventive Services Task Force breast cancer screening recommendation
Mammography rates after the 2009 US Preventive Services Task Force breast cancer screening recommendation
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DOI：
10.1016/j.ypmed.2012.09.012
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发表时间：
2012-11-01
影响因子：
5.1
通讯作者：
Adams, E. Kathleen
中科院分区：
文献类型：
--
作者：
Howard, David H.;Adams, E. Kathleen
Objective.为了衡量2009年美国预防服务工作组（USPSTF）乳腺癌筛查建议的影响，该建议反对对40至49岁的女性进行常规筛查，并表示“没有足够的证据”建议对75岁及以上的女性进行筛查。使用2006-2010年医疗支出小组调查（n = 29，857）计算自我报告的乳房X光检查率。该论文报告了按年龄组（40至49岁，50至74岁和75岁及以上）进行的乳腺X线摄影率，并根据年龄，种族/民族，社会经济地位和地区进行了调整。该研究于2012年在美国格鲁吉亚亚特兰大的埃默里大学进行。2010年和更早的几年之间乳房X光检查率的差异并不显著。在40-49岁的女性中，2006年至2009年和2010年期间，两年一次的乳房X光检查率下降了-0.5个百分点（95%置信区间[CI]：-3.0至1.9; p = 0.67）。在50-74岁的妇女中，发病率下降了-0.07个百分点（95% CI：-1.8至1.7; p = 0.93）。在75岁及以上的女性中，发生率下降了-0.1个百分点（95% CI：-4.2至3.9：p = 0.94）。对USPSTF乳腺癌筛查建议的修订并没有影响筛查模式。(C)2012 Elsevier Inc. All rights reserved.
Objective. To measure the impact of the 2009 US Preventive Services Task Force (USPSTF) breast cancer screening recommendation, which recommended against routine screening for women aged 40 to 49 and stated that there was "insufficient evidence" to recommend screening for women aged 75 and older, on mammography rates.Methods. Self-reported mammography rates were calculated using the 2006-2010 Medical Expenditure Panel Surveys (n = 29,857). The paper reports mammography rates by age group (40 to 49, 50 to 74, and 75 and older), adjusted for age, race/ethnicity, socioeconomic status, and region. The study was performed at Emory University in Atlanta, Georgia, USA in 2012.Results. Differences in mammography rates between 2010 and earlier years were not significant. Among women aged 40-49, biennial mammography rates declined by -0.5 percentage points between 2006 to 2009 and 2010 (95% confidence interval [CI]: -3.0 to 1.9; p = 0.67). Among women aged 50-74, rates declined by -0.07 percentage points (95% CI: -1.8 to 1.7; p = 0.93). Among women aged 75 years and older, rates declined by -0.1 percentage points (95% CI: -4.2 to 3.9: p = 0.94).Conclusion. The revision to the USPSTF breast cancer screening recommendation did not affect screening patterns. (C) 2012 Elsevier Inc. All rights reserved.