Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement

被引：1033

作者：

Calonge, Ned ^{[1
]}

Petitti, Diana B.

DeWitt, Thomas G. ^{[3
]}

Dietrich, Allen J. ^{[4
]}

Gregory, Kimberly D. ^{[5
]}

Grossman, David ^{[6
]}

Isham, George ^{[7
]}

LeFevre, Michael L. ^{[8
]}

Leipzig, Rosanne M. ^{[9
]}

Marion, Lucy N. ^{[10
]}

Melnyk, Bernadette ^{[11
]}

Moyer, Virginia A. ^{[12
]}

Ockene, Judith K. ^{[13
]}

Sawaya, George F. ^{[14
]}

Schwartz, J. Sanford ^{[15
,16
]}

Wilt, Timothy ^{[17
,18
]}

机构：

[1] Colorado Dept Publ Hlth & Environm, Denver, CO USA

[2] Agcy Healthcare Res & Qual, US Prevent Serv Task Force, Rockville, MD USA

[3] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA

[4] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Hanover, NH 03756 USA

[5] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA

[6] Grp Hlth Cooperat Puget Sound, Seattle, WA 98121 USA

[7] HealthPartners, Minneapolis, MN USA

[8] Univ Missouri, Sch Med, Columbia, MO USA

[9] Mt Sinai Sch Med, New York, NY USA

[10] Med Coll Georgia, Sch Nursing, Augusta, GA 30912 USA

[11] Arizona State Univ, Coll Nursing & Hlth Innovat, Phoenix, AZ USA

[12] Baylor Coll Med, Houston, TX 77030 USA

[13] Univ Massachusetts, Sch Med, Worcester, MA USA

[14] Univ Calif San Francisco, San Francisco, CA 94143 USA

[15] Univ Penn, Sch Med, Philadelphia, PA 19104 USA

[16] Univ Penn, Wharton Sch, Philadelphia, PA 19104 USA

[17] Univ Minnesota, Dept Med, Minneapolis, MN 55455 USA

[18] Minneapolis Vet Affairs Med Ctr, Minneapolis, MN USA

来源：

ANNALS OF INTERNAL MEDICINE | 2009年 / 151卷 / 10期

关键词：

CLIENT-DIRECTED INTERVENTIONS; MAMMOGRAPHY; WOMEN; PERFORMANCE; POPULATION; THERAPY;

D O I：

10.7326/0003-4819-151-10-200911170-00008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Description: Update of the 2002 U. S. Preventive Services Task Force (USPSTF) recommendation statement on screening for breast cancer in the general population. Methods: The USPSTF examined the evidence on the efficacy of 5 screening modalities in reducing mortality from breast cancer: film mammography, clinical breast examination, breast self-examination, digital mammography, and magnetic resonance imaging in order to update the 2002 recommendation. To accomplish this update, the USPSTF commissioned 2 studies: 1) a targeted systematic evidence review of 6 selected questions relating to benefits and harms of screening, and 2) a decision analysis that used population modeling techniques to compare the expected health outcomes and resource requirements of starting and ending mammography screening at different ages and using annual versus biennial screening intervals. Recommendations: The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take into account patient context, including the patient's values regarding specific benefits and harms. (Grade C recommendation) The USPSTF recommends biennial screening mammography for women between the ages of 50 and 74 years. (Grade B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older. (I statement) The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination beyond screening mammography in women 40 years or older. (I statement) The USPSTF recommends against clinicians teaching women how to perform breast self-examination. (Grade D recommendation) The USPSTF concludes that the current evidence is insufficient to assess additional benefits and harms of either digital mammography or magnetic resonance imaging instead of film mammography as screening modalities for breast cancer. (I statement)

引用

页码：716 / W236

页数：12

共 32 条

[1]

(ACOG) American College of Obstetricians and Gynecologists, 2003, Obstet Gynecol, V101, P821

[2]

*AM AC FAM PHYS, 2009, A E REC CLIN PREV SE

[3]

*AM CANC SOC, 2009, MAN WOM GET BREAST C

[4]

*AM MED ASS, 2002, H 525 993 MAMM SCREE

[5]

[Anonymous], 2009, SEER Cancer Statistics Review, 1975-2006

[6]

[Anonymous], 2009, Screening for Breast Cancer

[7]

[Anonymous], EV SCREEN PERF PRACT

[8]

[Anonymous], AHRQ PUBLICATION

[9]

[Anonymous], 2009, AM CANC SOC GUID EAR

[10]

[Anonymous], NCCN CLIN PRACT GUID

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