Retrospective observation on contribution and limitations of screening for breast cancer with mammography in Korea: detection rate of breast cancer and incidence rate of interval cancer of the breast.
Retrospective observation on contribution and limitations of screening for breast cancer with mammography in Korea: detection rate of breast cancer and incidence rate of interval cancer of the breast.
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DOI：
10.1186/s12905-016-0351-1
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发表时间：
2016-11-18
期刊：
影响因子：
--
通讯作者：
Park YM
中科院分区：
文献类型：
--
作者：
Lee K;Kim H;Lee JH;Jeong H;Shin SA;Han T;Seo YL;Yoo Y;Nam SE;Park JH;Park YM
本研究的目的是确定使用乳房X光检查筛查乳腺癌的益处和局限性。本研究采用描述性随访设计。使用了乳腺癌筛查数据和健康保险索赔数据。研究人群包括2009年至2014年乳腺癌筛查的所有参与者。计算乳腺癌筛查的粗检出率、阳性预测值、敏感性和特异性，以及乳腺间隔癌的发生率。每100，000名参与者的乳腺癌筛查粗检出率从2009年的126.3上升到2014年的182.1。每10万例阳性乳腺癌筛查的阳性预测值从2009年的741.2上升到2014年的1367.9。每10万例阴性的间隔期乳腺癌发病率从2009年的51.7上升到2014年的76.3。2009年和2014年乳腺癌筛查的敏感性分别为74.6%和75.1%，特异性分别为83.1%和85.7%。为了提高使用乳房X线照相术进行乳腺癌筛查的乳腺癌检出率，应提高参与率，并需要能够进行准确的乳房X线照相术和阅读的环境，以及加强质量控制。为了降低乳腺癌的发病率，有必要教育20多岁的妇女每月进行一次乳房自我检查，无论是否参加乳腺癌筛查。
The purpose of this study was to determine the benefits and limitations of screening for breast cancer using mammography. Descriptive design with follow-up was used in the study. Data from breast cancer screening and health insurance claim data were used. The study population consisted of all participants in breast cancer screening from 2009 to 2014. Crude detection rate, positive predictive value and sensitivity and specificity of breast cancer screening and, incidence rate of interval cancer of the breast were calculated. The crude detection rate of breast cancer screening per 100,000 participants increased from 126.3 in 2009 to 182.1 in 2014. The positive predictive value of breast cancer screening per 100,000 positives increased from 741.2 in 2009 to 1,367.9 in 2014. The incidence rate of interval cancer of the breast per 100,000 negatives increased from 51.7 in 2009 to 76.3 in 2014. The sensitivities of screening for breast cancer were 74.6% in 2009 and 75.1% in 2014 and the specificities were 83.1% in 2009 and 85.7% in 2014. To increase the detection rate of breast cancer by breast cancer screening using mammography, the participation rate should be higher and an environment where accurate mammography and reading can be performed and reinforcement of quality control are required. To reduce the incidence rate of interval cancer of the breast, it will be necessary to educate women after their 20s to perform self-examination of the breast once a month regardless of participation in screening for breast cancer.
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DOI：
10.2217/iim.10.24
发表时间：
2010-06-01
期刊：
Imaging in medicine
影响因子：
--
作者：
Ayer, Turgay;Ayvaci, Mehmet Us;Burnside, Elizabeth S
通讯作者：
Burnside, Elizabeth S
影响因子：
0.3
作者：
Jeong, Woo Kyoung;Lee, Eun Hye;Jung, Seung Eun
通讯作者：
Jung, Seung Eun
影响因子：
120.7
作者：
Kerlikowske, K;Grady, D;Ernster, V
通讯作者：
Ernster, V
影响因子：
2.4
作者：
Oh, Dong Kwan;Shim, Jung Im;Park, Eun-Cheol
通讯作者：
Park, Eun-Cheol
影响因子：
50.5
作者：
Otten, J. D. M.;Fracheboud, J.;Verbeek, A. L. M.
通讯作者：
Verbeek, A. L. M.