Modeling the dissemination of mammography in the United States
Modeling the dissemination of mammography in the United States
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DOI：
10.1007/s10552-005-0693-8
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发表时间：
2005-08-01
影响因子：
2.3
通讯作者：
Feuer, EJ
中科院分区：
文献类型：
--
作者：
Cronin, KA;Yu, BB;Feuer, EJ
目的：本文提出了一种方法，将不同的数据来源拼凑在一起，以获得1975年至2000年美国人口中使用乳房x光检查的综合模型。方法：乳房x光检查使用的两个方面，女性接受第一次乳房x光检查的年龄和后续乳房x光检查的间隔，分别建模。乳房x光检查的最初传播基于来自全国调查的横断面自我报告数据，筛查检查之间的间隔长度使用纵向乳房x光检查注册数据进行匹配。结果：乳房x线摄影使用的两个方面相结合，模拟筛查历史的个别妇女是美国人口的代表。1994 - 2000年的模拟乳房x光检查模式被发现与佛蒙特州乳房x光检查登记处观察到的筛查模式相似。结论：所提出的模型深入了解了筛查实践随着时间的推移，并为筛查在美国人口中的使用提供了另一种公共卫生措施。从乳房x光检查的介绍开始，对其使用的全面描述是了解乳房x光检查对乳腺癌发病率和死亡率影响的重要的第一步。
Objective: This paper presents a methodology for piecing together disparate data sources to obtain a comprehensive model for the use of mammography screening in the US population for the years 1975 - 2000.Methods: Two aspects of mammography usage, the age that a woman receives her first mammography and the interval between subsequent mammograms, are modeled separately. The initial dissemination of mammography is based on cross-sectional self report data from national surveys and the interval length between screening exams is fit using longitudinal mammography registry data.Results: The two aspects of mammography usage are combined to simulate screening histories for individual women that are representative of the US population. Simulated mammography patterns for the years 1994 - 2000 were found to be similar to observed screening patterns from the state level mammography registry for Vermont.Conclusions: The model presented gives insight into screening practices over time and provides an alternative public health measure for screening usage in the US population. The comprehensive description of mammography use from its introduction represents an important first step to understanding the impact of mammography on breast cancer incidence and mortality.