乳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
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|April 30, 2024
まとめ
40歳から74歳までの女性の2年毎の マンモグラフィー検診は 適度な効果があります 濃厚な乳房では,超音波やMRIによる補足的なスクリーニングには,証拠は不十分です.
科学分野:
- 腫瘍学
- 予防 医療
- 放射線科
背景:
- 乳がんは米国女性における癌による死亡の主な原因であり,発生率と死亡率の格差があります.
- 早期発見と改善のための効果的なスクリーニング戦略は不可欠です.
研究 の 目的:
- マンモグラフィーに基づく様々な乳がんスクリーニング戦略の比較効果を評価する.
- 乳がんのスクリーニングに関する 根拠に基づいたガイドラインを策定する
主な方法:
- スクリーニング戦略の比較効果の体系的なレビュー (年齢,間隔,方法,補足画像).
- 共同モデリング研究で レビューの証拠を補完する
主要な成果:
- 40歳から74歳までの女性のスクリーニング・マンモグラフィは 適度な純利益をもたらす.
- 75歳以上の女性のスクリーニングの利益と害を決定するには,証拠は不十分です.
- 乳房の密度に関係なく,超音波やMRIによる補足スクリーニングは不十分です.
結論:
- 40歳から74歳までの女性に 2年に一度のスクリーニング・マンモグラフィーを推奨しています.
- 高齢女性に対するさらなる研究と 補足的なスクリーニング方法が必要である.
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