Utilization of screening mammography in New Hampshire - A population-based assessment
Utilization of screening mammography in New Hampshire - A population-based assessment
复制标题
DOI：
10.1002/cncr.21365
复制
发表时间：
2005-10-15
期刊：
影响因子：
6.2
通讯作者：
Titus-Ernstoff, L
中科院分区：
文献类型：
--
作者：
Carney, PA;Goodrich, ME;Titus-Ernstoff, L
背景资料。筛查乳房X光检查的目的是为了早期发现乳腺癌，这需要常规筛查。尽管自我报告的数据表明筛查利用率很高，但这项基于人群的评估结果表明，筛查利用率低于以前的报告。方法：作者将2000年人口普查中的新罕布夏州人口数据与从新汉普郡乳房摄影网络获得的相应时间的临床接触数据进行了比较，新汉普郡乳房摄影网络是一个乳房摄影登记处，收集了参与新汉普郡机构进行的大约90%的钼靶X光检查。结果：结果显示，大约36%的新汉普郡妇女要么从未做过乳房X光检查，要么没有做过乳房X光检查；与年轻妇女(40-69岁；28-32%)相比，27个月(不规则筛查)和老年妇女(80岁及以上)接受筛查的可能性较小(79%未筛查/筛查不足)。在接受筛查的女性中，44%的人坚持间隔14个月，21%的人坚持15个月和26个月内。其余35%的女性接受了1或2次乳房X光检查，并在27个月内出现热复发。结论：仅使用调查数据进行常规乳房X光检查的频率可能比人们认为的要少。一个重要的、令人关注的问题是，为什么女性只做了一到两次乳房X光检查，然后没有回来进行额外的筛查。这一领域值得进一步研究。
BACKGROUND. The objective of screening mammography is to identify breast carcinoma early, which requires routine screening. Although self-report data indicate that screening utilization is high, the results of this population-based assessment indicated that utilization is lower than reported previously.METHODS. The authors compared New Hampshire population data from the 2000 Census with clinical encounter data for the corresponding time obtained from the New Hampshire Mammography Network, a mammography registry that captures approximately 90% of the rnammograms performed in participating New Hampshire facilities.RESULTS. The results showed that approximately 36% of New Hampshire women either never had a mammogram or had not had a marnmogram in > 27 months (irregular screenees), and older women (80 yrs and older) were less likely to be screened (79% unscreened/underscreened) compared with younger women (ages 40-69 yrs; 28-32% unscreened/underscreened). Of the screened women, 44% were adhering to an interval of 14 months, and 21% were adhering within 15 months and 26 months. The remaining 35% of the women had 1 or 2 mammograms and did hot return within 27 months.CONCLUSIONS. Routine mammography screening may be occurring less often than believed when survey data alone are used. An important, compelling concern is the reason women had one or two mammograms only and then did not return for additional screening. This area deserves additional research.