在丹麦,挪威和西班牙进行异常乳房扫描查后评估途径的比较
Susanne Fogh Jørgensen1,2, Silje Sagstad3, Javier Louro4,5
1University Research Clinic for Cancer Screening, Randers Regional Hospital, Skovlyvej 15, 8930, Randers NE, Denmark. susanne.fogh.jorgensen@rsyd.dk.
Breast cancer research and treatment
|January 29, 2024
概括
乳腺癌查召回评估在丹麦,挪威和西班牙各不相同. 与西班牙相比,在丹麦和挪威观察到更高的查癌症 (SDC) 和间隔癌症 (IC) 率,这表明计划有效性的差异.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 有效的癌症查计划需要监测召回评估策略.
- 了解评估程序的变化对于优化资源利用率和癌症检测率至关重要.
研究的目的:
- 描述乳腺癌查召回评估时执行的程序.
- 为了比较丹麦,挪威和西班牙召回评估的表现.
- 评估这些国家的查检测癌症 (SDC) 和间隔癌症 (IC) 率.
主要方法:
- 包括来自丹麦,挪威和西班牙的50-69岁妇女,在进行乳房查后回忆.
- 在诊断后六个月内记录了所有评估程序,并对患者进行了两年的随访.
- 计算和比较SDC速率,IC速率和回忆灵敏度.
主要成果:
- 分析了24645名丹麦,30050名挪威和41809名西班牙妇女的数据.
- 观察到较高的SDC率 (丹麦:0.57,挪威:0.60与西班牙:0.38) 和IC率 (丹麦:0.25,挪威:0.18与西班牙:0.12).
- 与西班牙 (95.4%) 相比,丹麦 (98.3%) 和挪威 (98.2%) 的回忆灵敏度更高,在排除非侵入性途径时,灵敏度相似.
结论:
- 在丹麦,挪威和西班牙之间,乳腺癌查召回评估程序存在显著差异.
- 这些程序差异与SDC和IC速率的变化相关,并提醒灵敏度.
- 进一步调查具体的评估策略是有必要的,以提高查计划的性能.
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