Breast MRI Use Uncommon among U.S. Women
Breast MRI Use Uncommon among U.S. Women
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DOI：
10.1158/1055-9965.epi-12-0967
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发表时间：
2013-01-01
影响因子：
3.8
通讯作者：
Ballard-Barbash, Rachel
中科院分区：
文献类型：
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作者：
Miller, Jacqueline W.;Sabatino, Susan A.;Ballard-Barbash, Rachel
背景：乳腺癌筛查的目标是降低乳腺癌死亡率。乳腺X线摄影是早期发现乳腺癌的标准筛查方法。建议乳腺MRI与乳腺X线摄影结合使用，以筛查乳腺癌高危女性亚群。我们提供了第一项研究，以提供全国估计的乳房MM使用妇女在美国。方法：我们分析了数据，从妇女谁回答有关有一个乳房MRI的2010年全国健康访谈调查的问题。我们评估报告有一个乳房MRI和原因，它的社会人口特征和获得医疗保健和计算五年和终身乳腺癌的风险使用Gail model.Results：在11,222名妇女谁回答，近5%的报告有过乳房MRI和2%的报告有MM在2年内的调查前。不到一半的女性报告有乳房MRI的风险增加。大约60%的女性报告因诊断原因进行了乳房MRI。妇女谁曾经有过乳房MRI更有可能是老年人，黑人，保险和报告一个通常的来源的医疗保健相比，妇女谁报告没有MRI.Conclusions：乳房MRI的使用可能是未充分使用或过度使用在某些亚组的women.Impact：作为获得医疗保健的改善，使用乳房MRI和适当的使用乳腺癌检测将是重要的监测。癌症流行病学生物标志物Prev; 22（1）; 159-66。(C)2012年AACR。
Background: The goal of breast cancer screening is to reduce breast cancer mortality. Mammography is the standard screening method for detecting breast cancer early. Breast MRI is recommended to be used in conjunction with mammography for screening subsets of women at high risk for breast cancer. We offer the first study to provide national estimates of breast MM use among women in the United States.Methods: We analyzed data from women who responded to questions about having a breast MRI on the 2010 National Health Interview Survey. We assessed report of having a breast MRI and reasons for it by socio-demographic characteristics and access to health care and computed five-year and lifetime breast cancer risk using the Gail model.Results: Among 11,222 women who responded, almost 5% reported ever having a breast MRI and 2% reported having an MM within the 2 years preceding the survey. Less than half of the women who reported having a breast MRI were at increased risk. Approximately 60% of women reported having the breast MRI for diagnostic reasons. Women who ever had a breast MRI were more likely to be older, Black, and insured and to report a usual source of health care as compared with women who reported no MRI.Conclusions: Breast MRI use may be underused or overused in certain subgroups of women.Impact: As access to health care improves, the use of breast MRI and the appropriateness of its use for breast cancer detection will be important to monitor. Cancer Epidemiol Biomarkers Prev; 22(1); 159-66. (C) 2012 AACR.