超重和肥胖妇女的症状,知识和偏好,关于子宫内膜活检检测子宫内膜癌:一个门技术调查调查
Anna L Beavis1, Zishan Hirani2,3, Tullia Rushton1
1The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, MD, United States.
Gynecologic oncology reports
|March 12, 2024
概括
超重和肥胖的女性往往低估了他们的子宫内膜癌 (EC) 风险. 许多人愿意接受子宫内膜活检 (EMB),以在非常低风险的门上检测EC,优先考虑个人风险而不是程序性问题.
科学领域:
- 在瘤学瘤学.
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
背景情况:
- 在美国,子宫内膜癌 (EC) 发病率正在上升,主要是由于肥胖流行病.
- 肥胖是一个重要的,但往往未被认可的EC风险因素.
研究的目的:
- 评估超重和肥胖妇女的癌症风险知识.
- 确定他们对用于EC检测的诊断性子宫内膜活检 (EMB) 的偏好.
主要方法:
- 通过电子患者门户向没有EC的超重和肥胖妇女分发了一项在线调查.
- 值调查技术确定了接受EMB的最低可接受风险 (MAR).
主要成果:
- 只有不到一半的受访者 (48.7%) 知道肥胖是一种EC风险因素;只有10%的人认为他们的风险很高.
- 近一半 (42%) 的MAR值非常低 (0-1%),较高的BMI更常见.
- 感知到的个人风险 (76%) 是EMB的更大动机,而不是程序风险 (引用的不到一半).
结论:
- 许多患者愿意在EC检测低风险值时接受EMB.
- 在适当的情况下,沟通个人风险对于激励EMB至关重要.
- 医疗保健提供者应强调个体风险,以鼓励及时进行EC查.
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