Screening for breast cancer: Recommendations and rationale
Screening for breast cancer: Recommendations and rationale
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DOI：
10.7326/0003-4819-137-5_part_1-200209030-00011
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发表时间：
2002-09-03
影响因子：
39.2
通讯作者：
Woolf, SH
中科院分区：
文献类型：
--
作者：
Berg, AO;Allan, JD;Woolf, SH
本声明总结了目前美国预防服务工作组（USPSTF）关于乳腺癌筛查的建议和支持性科学证据，并更新了1996年USPSTF关于这一主题的建议。USPSTF关于这一主题的完整建议和基本原理声明，包括对支持证据的简要审查，可通过USPSTF网站（www.preventiveservices.ahrq.gov）、国家指南信息交换中心（www.guideline.gov）获得，并通过医疗保健研究和质量出版物信息交换中心（电话：800-358-9295;电子邮件：ahrqpubs@ahrq.gov）获得。本声明所依据的完整信息，包括证据表和参考文献，可在本期随附的文章中以及已经提到的网站上的证据和系统证据综述摘要中获得。为了更新其关于乳腺癌筛查的建议，USPSTF回顾了有关乳房X光检查，临床乳腺检查，和乳房自我检查，以降低乳腺癌死亡率。USPSTF没有审查有关遗传筛查的证据，对先前患有乳腺癌的妇女的监测，或对尚未在普通人群中研究的新筛查方式的正式评估。使用贝叶斯随机效应模型对USPSTF进行荟萃分析，以获得单独或与临床乳腺检查相结合的乳腺X线摄影筛查在降低乳腺癌死亡率方面有效性的相对风险估计总结。评估乳房自我检查的临床研究也纳入了综述。本建议和基本原理声明中引用的估计值的来源在关于该主题的系统性证据综述中进行了描述，该综述可在USPSTF网站（www.preventiveservices.ahrq.gov）上获得。
This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for breast cancer and the supporting scientific evidence and updates the 1996 USPSTF recommendations on this topic. The complete USPSTF recommendation and rationale statement on this topic, which includes a brief review of the supporting evidence, is available through the USPSTF Web site (www.preventiveservices.ahrq.gov), the National Guideline Clearinghouse (www.guideline.gov), and in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295; e-mail, ahrqpubs@ahrq.gov). The complete information on which this statement is based, including evidence tables and references, is available in the accompanying article in this issue and in the summary of the evidence and systematic evidence review on the Web sites already mentioned.To update its recommendations on screening for breast cancer, the USPSTF reviewed the evidence regarding the effectiveness of mammography, clinical breast examination, and breast self-examination in reducing breast cancer mortality. The USPSTF did not review the evidence regarding genetic screening, surveillance of women with prior breast cancer, or formal evaluation of new screening modalities that have not been studied in the general population. A meta-analysis using a Bayesian random-effects model was conducted for the USPSTF to obtain a summary of relative risk estimates of the effectiveness of screening with mammography, either alone or in combination with clinical breast examination, in reducing breast cancer mortality. Clinical studies that evaluated breast self-examination were included in the review. Sources for estimates cited in this Recommendation and Rationale statement are described in the systematic evidence review on this topic, which is available on the USPSTF Web site (www.preventiveservices.ahrq.gov).