智慧随机试验比较基于风险的与年度乳腺癌查:研究队列特征和设计
Allison Fiscalini1, Kelly Blum1, Kirkpatrick Fergus1
1University of California, San Francisco, San Francisco, CA, USA.
Research square
|November 19, 2025
概括
根据风险衡量标准进行查的妇女 (WISDOM) 研究发现,大多数女性更喜欢基于风险的乳腺癌查. 这项实用性试验评估了个性化查计划,显示了患者对量身定制方法的强烈偏好.
科学领域:
- 在瘤学瘤学.
- 预防医学 预防医学
- 临床试验 临床试验
背景情况:
- 乳腺癌查指南缺乏个性化.
- 风险评估模型可以为定制的查策略提供信息.
- 根据风险衡量标准进行查的妇女 (WISDOM) 研究解决了这一差距.
研究的目的:
- 评估一种基于风险的方法来确定乳腺癌查的开始年龄,频率和方式.
- 在实用试验框架内评估参与者对不同查策略的偏好.
- 将基于风险的查与标准的查协议进行比较.
主要方法:
- 一个实用的随机对照试验 (NCT02620852) 具有偏好耐受的设计.
- 包括使用乳腺癌监测联盟 (BCSC) 模型和遗传因素进行全面的乳腺癌风险评估.
- 从2016年8月到2023年2月,招募了46,403名参与者的多元化,全国性的队列.
主要成果:
- 61%的参与者 (28,372) 被随机选择;89%的自我选择手臂的人选择了基于风险的查.
- 该研究招募了大量,多样化的队列,随着时间的推移,人口代表性不断增加.
- 观察到参与者对基于风险的乳腺癌查的强烈偏好.
结论:
- 一个偏好耐受的设计有效地捕捉了现实世界的查偏好,同时保持科学严谨性.
- 基于风险的乳腺癌查被大多数女性强烈偏爱.
- 个性化查策略具有显著的潜力,可以改善遵守和结果.
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