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Use of Magnetic Resonance Imaging and Biopsy Data to Guide Sampling Procedures for Prostate Cancer Biobanking
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甲状腺がんのスクリーニング:米国予防サービスタスクフォースの勧告声明

, Kirsten Bibbins-Domingo1, David C Grossman2

  • 1University of California, San Francisco.

JAMA
|May 12, 2017
PubMed
まとめ
この要約は機械生成です。

米国予防サービスタスクフォース (USPSTF) は,無症状の成人の甲状腺がんのスクリーニングを推奨していません. 甲状腺がんの検診の利点は 潜在的害よりも大きいという証拠があります

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科学分野:

  • 内分泌学
  • 腫瘍学
  • 予防 医療

背景:

  • 甲状腺がんの発生率は著しく上昇していますが 死亡率は変わっていません
  • ほとんどの甲状腺がんは 高い生存率で 予後が良好です

研究 の 目的:

  • 甲状腺がんのスクリーニングに関する米国予防サービスタスクフォース (USPSTF) の勧告を更新する.
  • 無症状の成人を甲状腺がんにスクリーニングする際の利害を評価する.

主な方法:

  • スクリーニングの利益と害に関する証拠の体系的な検討
  • 頸部パルペーションや超音波などのスクリーニング方法の診断精度の評価
  • 甲状腺がんの検査結果の評価

主要な成果:

  • スクリーニングの利益に関する直接的な証拠は不十分であり,全体的な利益は小さい可能性が高い.
  • 過剰診断と過剰治療を含むスクリーニングと治療による中等から重大な害
  • 甲状腺がんのスクリーニングの純利益は負であることが決定されています.

結論:

  • USPSTFは,無症状の成人の甲状腺がんのスクリーニングを推奨していません.
  • スクリーニングとその後の治療の潜在的な害は,潜在的な益を上回る可能性があります.