Informed choice in mammography screening - A randomized trial of a decision aid for 70-year-old women
Informed choice in mammography screening - A randomized trial of a decision aid for 70-year-old women
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DOI：
10.1001/archinte.167.19.2039
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发表时间：
2007-10-22
影响因子：
--
通讯作者：
Houssami, Nehmat
中科院分区：
文献类型：
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作者：
Mathieu, Erin;Barratt, Alexandra;Houssami, Nehmat
背景：许多参加过乳房X线摄影筛查的妇女现在已接近70岁。建议这些妇女考虑继续接受筛查的益处和危害。这样做可能是困难的个别妇女，并没有评估的决策支持工具，以协助themes.Methods：要评估的效果，一个决定援助（DA）是否继续或停止乳房X线摄影筛查的妇女年龄在70岁，人口为基础的，随机对照试验，在澳大利亚新南威尔士州进行。定期参加乳腺X线摄影筛查的70岁女性有资格参加本试验。妇女收到的DA提供平衡，定量信息或标准信息可从筛选程序。结果：接受DA的妇女（干预组）比对照组有更好的知情选择（知识得分平均增加10分，干预组为2.62，对照组为0.68; P
Background: Many women who have participated in mammography screening are now approaching 70 years of age. These women are advised to consider both the benefits and harms of continuing to be screened. Doing so may be difficult for individual women, and there are no evaluated decision support tools to assist them.Methods: To assess the effect of a decision aid (DA) about whether to continue or stop mammography screening for women aged 70 years, a population-based, randomized controlled trial was conducted in New SouthWales, Australia. Women aged 70 years who had regularly participated in mammography screening were eligible to participate in the trial. Women received a DA providing balanced, quantitative information or standard information available from the screening program. The main outcomes were the percentage of women making an informed choice about whether to continue or stop screening and the percentage of women participating in the screening.Results: Women who received the DA (the intervention group) were better informed than the control group (mean increase in knowledge score out of 10, 2.62 for the intervention group vs 0.68 for the control group; P