对印第拉·查克拉瓦尔蒂的批评作出回应
Indraneel Mittra1, Gauravi Mishra2, Rajendra Badwe3
1Dr Ernest Borges Chair in Translational Research and Professor Emeritus, Department of Surgical Oncology, Tata Memorial Centre, Advanced Centre for Treatment, Research and Education in Cancer, Kharghar, Navi Mumbai, INDIA.
Indian journal of medical ethics
|November 6, 2025
概括
每两年进行一次临床乳腺检查 (CBE) 查,在50岁以上的女性中,乳腺癌死亡率显著降低30%. 这种由卫生工作者进行的成本效益高的查方法,可以在全球范围内拯救许多人的生命,特别是在资源较少的环境中.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 预防医学 预防医学
背景情况:
- 临床乳腺检查 (CBE) 是一种乳腺癌查方法.
- 关于CBE在降低乳腺癌死亡率方面的有效性尚不清楚,特别是当由女性卫生工作者进行时.
- 以前的研究对CBE对乳腺癌发病率和死亡率的影响产生了相互矛盾的结果.
研究的目的:
- 评估临床乳腺检查 (CBE) 两年一次查对乳腺癌发病率和死亡率的影响.
- 确定由女性卫生工作者进行的CBE是否可以导致乳腺癌相关死亡人数减少.
- 为对2021年英国医学杂志上发表的原始研究的批评提供全面的回应.
主要方法:
- 在孟买进行了一项前性,集群随机对照试验.
- 这项研究涉及每两年对女性进行一次临床乳房检查 (CBE) 的查.
- 关于乳腺癌发病率和死亡率的数据是在20年的时间里收集的.
主要成果:
- 每两年一次的CBE查显示,50岁及以上的女性乳腺癌死亡率降低了30%.
- 在50岁以下的妇女中观察到较小但仍然显著的死亡率下降.
- 这项研究提供了强有力的证据,支持CBE作为拯救生命的干预措施的有效性.
结论:
- 临床乳腺检查 (CBE) 是减少乳腺癌死亡率的有效策略,特别是在50岁以上的女性中.
- 在低收入和中等收入国家实施两年一度的CBE查计划,有可能每年挽救数千人的生命.
- 这些发现强调了可访问的查方法在全球乳腺癌控制工作中的重要性.
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