预防性治疗乳腺癌:临床经验
Rebekah Law1,2, Katherine Krupa3, Jennifer Rusby3,4
1The Royal Marsden Hospital, London, UK. Rebekah.law@nhs.net.
Breast cancer research and treatment
|June 19, 2023
概括
患乳腺癌风险较高的女性接受查,但由于不愿意服用药物,拒绝预防性治疗. 意识和个性化讨论是未来乳腺癌预防策略的关键.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 预计到2035年,英国的乳腺癌发病率将大幅增加.
- 预防策略对于降低乳腺癌风险至关重要,特别是对于雌激素受体阳性类型的乳腺癌.
- 预防性治疗的低吸收需要探索影响女性决策的因素.
研究的目的:
- 探索预防性治疗诊所的定性数据,以告知未来的乳腺癌预防工作.
- 了解妇女接受预防疗法的情况,并识别障碍和促进者.
主要方法:
- 从有症状的乳腺和家族病史诊所招募了30-60岁的女性.
- 使用IBIS感兴趣的参与者风险计算器计算乳腺癌风险.
- 提供关于预防性治疗的咨询给被确定为风险增加的妇女.
主要成果:
- 确定有182名女性的风险增加,其中50%的女性不符合单独的家族史标准.
- 96%参加了风险/预防咨询,所有符合条件的妇女都接受了乳房扫描查.
- 只有8%的符合条件的妇女要求预防性治疗处方,理由是不愿意服用药物和计时生命.
结论:
- 风险增加的妇女接受加强查,但不愿意接受预防性治疗.
- 使用风险计算的分层查似乎具有很高的潜在吸收率.
- 优化预防性治疗的时间和沟通是必不可少的,尊重知情的患者偏好.
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