在有组织的乳腺癌查计划内外对乳腺扫描成像的覆盖范围 - 根据年龄和社会人口群体的差异
Joanna Fuhrmann1, Sirpa Heinävaara2, Tytti Sarkeala3
1Faculty of Medicine, University of Helsinki; Finnish Cancer Registry. joanna.fuhrmann@cancer.fi.
Acta oncologica (Stockholm, Sweden)
|October 30, 2024
概括
芬兰的乳腺癌查覆盖率有所下降,机会性成像略有增加,但没有补偿. 较高的社会经济群体更频繁地利用成像服务,无论是在有组织的项目内部还是外部.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗成像医学成像
背景情况:
- 欧洲各地有组织的乳腺癌查计划的出席率下降.
- 机会性查实践的潜在增加.
- 需要评估整体乳腺成像覆盖率趋势.
研究的目的:
- 评估芬兰有组织的查计划 (1999-2018) 内外的乳腺成像覆盖率.
- 为了比较近年 (2017-2018年) 跨社会人口统计组的成像服务使用情况.
主要方法:
- 分析了从1999年至2018年的1,159,000名女性 (年龄在50-69岁) 和从2017年至2018年的1,849,000名女性 (年龄在30-89岁) 的数据.
- 利用芬兰癌症登记处的数据进行有组织的查.
- 纳入了项目之外进行的乳房影像和超声波的个人数据.
主要成果:
- 在1999年至2018年期间,50-69岁女性的整体乳房成像覆盖率从89%降至85%.
- 机会性成像使用的轻微增加并没有抵消有组织查的下降.
- 在社会人口统计学群体中观察到成像覆盖率的显著差异,高层员工对外部成像的使用率更高.
结论:
- 乳腺成像覆盖率在整个2000年代逐渐下降,随之而来的是机会性成像的适度增加.
- 图像覆盖的趋势,无论是在组织计划内还是组织之外,都是相似的.
- 更高的社会经济地位,母语和高等教育水平与图像服务利用率的增加相关.
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