在加沙地带的乳腺癌研究和干预中高估和不适当地宣传乳腺癌查的好处
Klim McPherson1, Shaymaa Al Waheidi2
1Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, UK.
Lancet (London, England)
|March 20, 2018
概括
在加沙地带进行乳房扫描可能会高估益处, 教育材料常常呈现片面的观点,可能会误导女性对乳腺癌查的风险和好处.
科学领域:
- 癌症学
- 公共卫生
- 医学伦理
背景情况:
- 关于乳房扫描的好处与危害存在争议.
- 过度诊断是乳房检查的一个重要问题.
- 在加沙地带增加乳房检查的倡导.
研究的目的:
- 评估支持加沙地带增加乳房检查的证据.
- 分析有关该地区乳房检查信息的准确性和完整性.
主要方法:
- 对加沙地带和被占领巴勒斯坦领土的乳腺查研究论文进行系统审查.
- 发表的有关乳腺查的教育材料的专题分析.
- 关于乳房检查效果的作者意见的文件.
主要成果:
- 审查了11项研究和20份教材.
- 约有70%的巴勒斯坦女性从未接受过乳房影像检查,
- 一些研究表明查有20%以上的生存率改善,而另一些研究则将低生存率与乳房检查的可用性差联系起来.
- 只有三个研究小组提到有害影响;教育材料强调益处而不是危害.
结论:
- 在加沙地带的研究可能高估了乳房扫描的死亡率降低.
- 教育材料提供了片面的观点,可能会误导女性对查风险的认识.
- 提供给加沙地带妇女的信息和建议不平衡.
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