在最近更新的乳腺癌筛查指南中,美国癌症协会(ACS)和美国预防服务工作组(USPSTF)建议增加不同年龄段的乳腺X线摄影筛查间隔.此外,ACS不推荐临床乳腺检查(CBE)用于普通风险女性的常规筛查。我们的研究探讨了女性对筛查乳房X线照相术和CBE的态度,并评估了更新的USPSTF和ACS指南对这些态度的影响。
到梅奥诊所就诊的六百十四个病人,亚利桑那州和明尼苏达州,2016年7月完成了一项自我管理调查,其中包括更新的指南摘要。
555名符合纳入标准的女性中的大多数报告说,CBE和乳房X线照片可用于检测乳腺癌,应每年进行一次。51%的参与者不知道更新后的指南.在审查指南之前,77%的人认为每年的CBE和76%的人认为需要每年的乳房X线照片进行常规筛查。在审查了指导方针之后,计划继续进行年度CBE和乳房X光检查的女性比例显着下降至61%和64%,分别为(p<0.001和p<0.001)。近一半的参与者(48%)认为指南变更最有影响力的原因是减少医疗保健支出。
乳腺癌筛查在患者中很受欢迎,大多数接受调查的女性不知道最近的指南变化。在审查了指导方针之后,预期的筛查频率有明显的下降,尽管大多数人仍计划接受年度筛查。告知女性最新的循证指南可能会影响她们的知识,preferences,和意见。
In recently updated breast cancer screening guidelines, the American Cancer Society (ACS) and United States Preventive Services Task Force (USPSTF) recommended increasing mammography screening intervals for various age groups. In addition, ACS does not recommend clinical breast examination (CBE) for routine screening among average-risk women. Our study explores women\'s attitudes regarding screening mammography and CBE and evaluates the impact of the updated USPSTF and ACS guidelines on these attitudes.
Six hundred fourteen patients presenting to Mayo Clinic, Arizona and Minnesota, in July 2016 completed a self-administered survey, which included a summary of the updated guidelines.
A majority of the 555 women who fit the inclusion criteria reported that CBE and
mammogram are useful in detecting breast cancer and should be performed annually, and 51% of participants were unaware of the updated guidelines. Before reviewing the
guidelines, 77% believed yearly CBE and 76% believed yearly
mammogram was needed for routine screening. After reviewing the
guidelines, the percentage of women who planned to continue with yearly CBE and
mammogram decreased significantly to 61% and 64%, respectively (p < 0.001 and p < 0.001). Nearly half the participants (48%) believed the most influential reason for the
guideline change was to decrease healthcare spending.
Breast cancer screening is well received among patients, and a majority of surveyed women were unaware of recent
guideline changes. After reviewing the guidelines, there was a significant downward shift in intended screening frequency, although the majority still planned to undergo annual screening. Informing women about updated evidence-based guidelines may influence their knowledge, preferences, and opinions.