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Cribado para el cáncer de ovario: Declaración de recomendación del grupo de trabajo de servicios preventivos de los
, David C Grossman1, Susan J Curry2
1Kaiser Permanente Washington Health Research Institute, Seattle.
JAMA
|February 17, 2018
Resumen
El cribado del cáncer de ovario no reduce la mortalidad y conlleva daños significativos, incluidas cirugías innecesarias. El Grupo de Trabajo de Servicios Preventivos de los Estados Unidos recomienda no realizar pruebas de detección de cáncer de ovario en mujeres asintomáticas.
Área de la Ciencia:
- En el campo de la oncología
- La medicina preventiva
- Orientaciones clínicas
Sus antecedentes:
- El cáncer de ovario es una de las principales causas de muerte por cáncer en las mujeres estadounidenses, particularmente las de 45 años o más.
- El Grupo de Trabajo de Servicios Preventivos de los Estados Unidos (USPSTF) emitió previamente recomendaciones sobre el cribado del cáncer de ovario en 2012.
Objetivo del estudio:
- Actualizar la recomendación de 2012 de la USPSTF sobre el cribado del cáncer de ovario.
- Evaluar los beneficios y los daños del cribado del cáncer de ovario en mujeres asintomáticas no en alto riesgo.
Principales métodos:
- Revisión sistemática de las pruebas sobre los beneficios y los daños del cribado del cáncer de ovario.
- Centrado en resultados que incluyen mortalidad, calidad de vida, falsos positivos, complicaciones quirúrgicas y efectos psicológicos.
Principales resultados:
- La evidencia adecuada muestra que el cribado del cáncer de ovario no reduce la mortalidad.
- Los daños del cribado son al menos moderados, potencialmente sustanciales, incluidas las cirugías innecesarias por falsos positivos.
Conclusiones:
- Los daños del cribado del cáncer de ovario superan los beneficios.
- La USPSTF recomienda no realizar exámenes de detección de cáncer de ovario en mujeres asintomáticas sin factores de riesgo hereditarios.
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