Interventions to enhance breast cancer screening, a diagnosis, and treatment among racial and ethnic minority women
Interventions to enhance breast cancer screening, a diagnosis, and treatment among racial and ethnic minority women
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DOI：
10.1177/1077558707305410
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发表时间：
2007-10-01
影响因子：
2.5
通讯作者：
Peek, Monica E.
中科院分区：
文献类型：
--
作者：
Masi, Christopher M.;Blackman, Dionne J.;Peek, Monica E.
作者对文献进行了系统回顾，以确定旨在加强少数族裔女性乳腺癌筛查、诊断和治疗的干预措施。该领域的大多数试验都集中在乳腺癌筛查上，而涉及诊断测试或乳腺癌治疗的试验相对较少。在以患者为目标的筛查干预措施中，那些根据文化量身定制或解决财务或后勤障碍的干预措施通常比基于提醒的干预措施更有效，特别是对于经济资源较少和以前没有进行过乳房X光检查的女性。基于图表的提醒可以提高医生对乳房X光检查指南的遵守率，但在增加临床乳房检查方面效果较差。多项试验表明，病例管理是发现筛查异常后加快诊断测试的有效策略。对这些和其他经过验证的基于医疗保健组织的干预措施的额外支持似乎是合理的，并且对于消除种族和民族乳腺癌差异可能是必要的。
The authors conduct a systematic review of the literature to identify interventions designed to enhance breast cancer screening, diagnosis, and treatment among minority women. Most trials in this area have focused on breast cancer screening, while relatively few have addressed diagnostic testing or breast cancer treatment. Among patient-targeted screening interventions, those that are culturally tailored or addressed financial or logistical barriers are generally more effective than reminder-based interventions, especially among women with fewer financial resources and those without previous mammography. Chart-based reminders increase physician adherence to mammography guidelines but are less effective at increasing clinical breast examination. Several trials demonstrate that case management is an effective strategy for expediting diagnostic testing after screening abnormalities have been found. Additional support for these and other proven health care organization-based interventions appears justified and may be necessary to eliminate racial and ethnic breast cancer disparities.