在监测,流行病学和最终结果数据库中包括乳腺癌检测方法已经过时了
Daniel B Kopans1, Richard E Sharpe2, Peter R Eby3
1Department of Radiology, Harvard Medical School, Boston, MA, USA.
Journal of medical screening
|August 25, 2023
概括
乳腺癌查辩论仍然存在,因为监测,流行病学和最终结果数据库缺乏检测方法数据. 添加这些信息对于了解早期检测至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 乳腺癌查的有效性受到争议.
- 1974年建立的监测,流行病学和最终结果 (SEER) 数据库缺乏关键的检测方法数据.
- 这种数据缺口阻碍了对早期检测对死亡率趋势的影响的理解.
研究的目的:
- 强调将乳腺癌检测方法纳入SEER数据库的必要性.
- 倡导改善数据收集,以准确评估早期检测在减少乳腺癌死亡中的作用.
主要方法:
- 分析当前SEER数据库中关于乳腺癌检测方法的局限性.
- 审查自1990年以来美国乳腺癌死亡率历史数据.
主要成果:
- 由于SEER数据库中没有检测方法数据,因此无法清楚地评估早期检测对观察到的乳腺癌死亡率下降的贡献.
- 目前的数据限制掩盖了各种查方式的确切影响.
结论:
- 必须更新SEER数据库,以包括乳腺癌检测方法.
- 准确的数据对于明智的政策决策和优化乳腺癌查策略至关重要.
- 及时包含这些数据对于推动乳腺癌研究和患者结果至关重要.
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