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在假阳性查结果出现后,重新参加乳房扫描查

Marthe Larsen¹, Nataliia Moshina¹, Åsne Sørlien Holen¹

¹Section for Breast Cancer Screening, Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.

Journal of medical screening

|April 10, 2025

概括

与负面结果相比,参加BreastScreen Norway的女性在假阳性结果后不太可能返回查. 沟通定期进行乳腺癌查的好处对于计划的有效性至关重要.

科学领域:

在瘤学瘤学.
公共卫生公共卫生
放射学放射学是一门学科.

背景情况:

有效的乳腺癌查计划依赖于持续的参与者出席和重新出席.
假阳性查结果可能会影响女性参与未来查的意愿.

研究的目的:

评估虚假阳性查结果和随后的查出席率之间的关联在挪威的BreastScreen.
为了比较假阳性和负性乳房扫描结果的妇女之间的再出诊率.

主要方法:

在BreastScreen Norway (1996-2023) 中分析了3,990,388次查检查.
混合后勤回归用于评估查结果 (负,假阳性,有/没有活检) 对后续出诊的影响.
对查史和参与者的年龄进行了调整.

主要成果:

原始的复诊率为负结果的90.8%,虚假阳性结果的88.3%.
经过任何虚假阳性结果后重新参加的调整后的几率比率是0.91 (95% CI:0.87-0.93) 与负面结果相比.
通过活检 (OR 0.85) 的假阳性结果的复诊率低于没有活检 (OR 0.93).

结论:

在挪威的BreastScreen中,与负面结果相比,假阳性查结果后的女性的复诊率降低.
这些发现强调了解决虚假阳性的心理影响的重要性,以保持查计划的参与.
强调定期进行乳腺癌查的好处对于持续的参与至关重要.

关键词:

乳腺新生体的形成.活组织活检一个错误的阳性假阳性.哺乳镜查检查哺乳镜查检查

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