Some current issues in breast cancer screening

Some current issues in breast cancer screening
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DOI:
10.1258/0969141054855319
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发表时间:
2005-01-01
影响因子:
2.9
通讯作者:
Duffy, SW
Duffy, SW
中科院分区:
医学4区
文献类型:
--
作者:
Duffy, SW

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乳房X线照相术的随机试验已证明乳房X线照相术筛查乳腺癌在预防死亡方面的有效性,但仍存在各种特别令人感兴趣的问题,包括:过度诊断的量化;研究环境外服务筛查的评价;按每挽救一个生命所需筛查人数计算的绝对效益;哪种类型的转变从早期发现中获益最大;利用筛选数据调查肿瘤生物学和自然史。2本文描述了上述问题的方法的例子,沿着一些重要的结果。
Randomized trials of mammography have demonstrated the efficacy of mammographic screening for breast cancer in terms of preventing deaths, but various issues of particular interest remain, including:quantification of overcliagnosis;evaluation of service screening outside the research setting;absolute benefit in terms of number needed to screen per life saved;which types of turnours benefit most from early detection;use of screening data to investigate tumour biology and natural history.This paper describes examples of approaches to the above issues, along with some important results.