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页数:3页
时间:2019-07-11
《How much is too much breast screening》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、BMJ2015;350:h139doi:10.1136/bmj.h139(Published14January2015)Page1of3FeatureFEATUREHowmuchistoomuchbreastscreening?IngridTorjesendescribeshowthegovernmentispushingonwithagianttrialofextendedbreastscreening,despiteseriousconcernsthatwomenarenotbeingfullyinformedoftherisksIngridTorjesenfreela
2、ncejournalist,LondonSince2009womenintheirlate40sandearly70sacrossEnglandassociatedwithconsiderableoverdiagnosisandthat“theimpacthavebeenreceivinglettersinvitingthemtocomeforNHSbreastofbreastscreeningoutsidetheages50-69yearsisvery5screeningandgivingthemanappointmenttime.Theletteruncertain.”
3、explainsthatscreeningforbreastcancerisusuallyforwomenSuchistheconcernthatsomecountries,includingSwitzerlandaged50-70yearsbutthatsomewomenaged47to49andoverandGermany,havebeguntoquestionthevalueofscreening70upto73arenowalsobeinginvited,aspartofastudy.forbreastcancer.Atthesametime,manyexperts
4、stilladvocateAlongwiththelettercomesthestandardpinkleafletonbreastasmuchscreeningaspossibleonthesimplebasisthatitsavesscreeningproducedforwomenaged50-70,whohavebeenlives.IntheUSthePreventiveServicesTaskForce,aofferedregularbreastscansunderthenationalscreeninggovernmenthealthpanel,raisedits
5、recommendedageforprogrammesince2004.Alsoincludedisaquestionandanswerstartingbreastscreeningfrom40to50in2009,butmostUSsheetexplainingthattherecipientlivesinanareawheretheagebreastcancerserviceshaveignoredthatadviceandcontinuetorangeforbreastscreeningisbeingwidened.Randomlyphasingrecommendan
6、nualscansforwomenfrom40.AstudyledbyintheextensionbyareawillallowthenetbenefitofextendingDonnaPlecha,directorofbreastimagingatUniversityHospitalstheagerangetobe“scientificallyevaluated”byresearchersatinCleveland,Ohio,foundthatwomenwhounderwentscreeningOxfordUniversity,itexplains.Theletterdo
7、esnotexplicitlyaskweremorelikelythanthosewhodidn’ttobegivendiagnosesforconsentfromtheinvitedwomentobeenteredintothestudy;ofsmallertumoursandearlierstagecancersandlesslikelyto6insteadconsentisassumedwhenwomenturnupatthegivenhavehadchemotherapy.appointmenttime.A
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