Use of breast cancer screening and treatment services by Australian women aged 2544 years following Kylie Minogues breast cancer diagnosis
Use of breast cancer screening and treatment services by Australian women aged 2544 years following Kylie Minogues breast cancer diagnosis
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DOI：
10.1093/ije/dyn090
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发表时间：
2008-12-01
影响因子：
7.7
通讯作者：
Studdert, David M.
中科院分区：
文献类型：
--
作者：
Kelaher, Margaret;Cawson, Jennifer;Studdert, David M.
目的探讨Kylie Minogues诊断为乳腺癌的宣传对澳大利亚低危人群女性的医生推荐乳房成像、图像引导活检和癌症切除的影响。方法回顾2005年5月Kylie Minogues被确诊为乳腺癌前后，单侧和双侧乳腺影像学、影像引导下乳腺活检和手术切除的变化。该研究包括2004年10月至2006年6月期间通过澳大利亚公共卫生系统向2544岁妇女提供的程序。结果与前两个季度相比，Minogue宣传后的第一和第二季度，2544岁女性接受影像学检查的几率增加了20%。活检的体积也增加了，但活检率（作为成像程序的比例）在2534岁的女性中没有变化，而在3544岁的女性中有所下降。切除乳腺癌的手术量在两个年龄组中都没有变化。与宣传前6个月相比，活检后切除的几率显著降低（2534年：OR 95 CI0.69, 0.480.98； 3544年：OR 95 CI0.83, 0.720.95）。结论高调宣传疾病可能影响消费者和提供者的行为。虽然它们提供了改善公共卫生的机会，但它们也可能对提供服务的适当性和成本效益产生不利影响。
Objective To examine the effects of the publicity surrounding Kylie Minogues diagnosis with breast cancer on doctor-referred breast imaging, image-guided biopsy, and cancer excisions among a low-risk population of women in Australia.Method We examine changes in unilateral and bilateral breast imaging, image-guided breast biopsies, and surgical excisions of breast cancer before and after the announcement of Kylie Minogues diagnosis with breast cancer in May 2005. The study included procedures provided through the Australian public health system to women aged 2544 years from October 2004 and June 2006.Results The odds of women aged 2544 years undergoing imaging procedures increased by 20 in the first and second quarters after the Minogue publicity, compared to the preceding two quarters. The volume of biopsies als increased but the biopsy rate, measured as a proportion of imaging procedures, did not change among women aged 2534 years and decreased among women aged 3544 years. The volume of operations to excise breast cancers did not change for either age group. Compared to the 6 month period before the publicity, there was a large and significant decrease in the odds that an excision would follow biopsy (2534 years: OR 95 CI0.69, 0.480.98; 3544 years: OR 95 CI0.83, 0.720.95).Conclusions High-publicised illnesses may affect both consumer and provider behaviour. Although they present opportunities to improve public health, they also have the potential to adversely impact the appropriateness and cost-effectiveness of service delivery.