诊断工作的医院间变化在每两年一次的查乳房镜检查后召回 - 一个基于人口的研究
Eline L van der Veer1,2, Fenna Rozemond3, Manon I Generaal4
1Elisabeth TweeSteden Hospital, Hilvarenbeekse Weg 60, 5022 GC, Tilburg, The Netherlands. e.l.vanderveer93@gmail.com.
European radiology
|December 21, 2024
概括
在被召回妇女的乳腺癌查诊断工作中存在医院间的差异. 虽然在活检和MRI使用方面注意到了差异,但它们对延迟诊断的临床影响似乎有限.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 在乳腺癌查计划中,质量控制至关重要.
- 有限的数据存在于由于可疑的乳房造影而被召回的妇女的诊断工作变化.
- 诊断策略的医院间差异需要调查.
研究的目的:
- 分析从查乳房镜检查中回忆起的女性诊断工作策略的医院间变化.
- 在医院之间识别成像和活检利用的差异.
- 评估这些变化对诊断时间表的影响.
主要方法:
- 一个前性获得的数据库的回顾性分析.
- 包括来自荷兰国家查计划 (2009-2019) 的17,809名女性.
- 多变量分析用于比较诊断工作 (成像,活检) 并纠正混因素.
主要成果:
- 在活检使用 (36.7%-48.7%) 和MRI使用 (2.1%-6.9%) 中观察到显著的医院间变化.
- 这些差异在调整患者和瘤特征后仍然存在.
- 延迟诊断的妇女的百分比 (2.7%-6.1%) 显示非显著的医院间变化 (p=0.07).
结论:
- 在诊断工作中存在医院间的差异,对于从两年一次的乳房镜检查中召回的妇女而言.
- 虽然在统计学上显著,但工作策略的绝对差异似乎具有有限的临床影响.
- 评估这些变异可以帮助优化乳腺癌护理质量和查计划的有效性.
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