在40多岁的有资格接受查的女性中,哺乳镜查偏好:美国全国调查
Laura D Scherer1, Carmen L Lewis2, Kirsten McCaffery3
1School of Medicine, University of Colorado, and Denver VA Center of Innovation, Aurora, Colorado (L.D.S.).
Annals of internal medicine
|July 15, 2024
概括
许多40-49岁的女性更愿意推迟乳房扫描查,尤其是在了解了益处和危害后. 这项研究调查了女性.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 卫生沟通健康沟通
背景情况:
- 美国预防服务特别工作组 (USPSTF) 更新了40-49岁女性的乳房扫描查建议.
- 尽管有更新的指导方针,但一些女性可能更愿意推迟查.
研究的目的:
- 调查39-49岁女性的乳腺癌查偏好.
- 评估决策辅助对选偏好的影响.
主要方法:
- 全国基于概率的美国调查,对495名年龄在39-49岁的女性进行,没有先前的乳腺癌或BRCA突变.
- 使用决策辅助器 (DA) 进行预后干预设计,并提供选信息和风险估计.
主要成果:
- 在使用DA (27.0%至38.5%) 之后,乳房镜查偏好转向延迟查.
- 从来不想做乳房扫描的女性没有显著增加.
- 宁愿推迟查的女性患乳腺癌的风险较低.
- 关于过度诊断和误诊的信息让许多参与者感到惊.
结论:
- 有信息的决策影响了40多岁女性的查偏好.
- 很大一部分女性更愿意推迟乳房扫描查,特别是那些风险较低的女性.
- 提供关于益处和危害的全面信息对于明智的选择至关重要.
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