乳房X线摄影筛查符合筛查的妇女40多岁的偏好：美国全国调查
Mammography Screening Preferences Among Screening-Eligible Women in Their 40s : A National U.S. Survey
影响因子:15.20000
分区:医学1区 Top / 医学：内科1区
发表日期:2024 Aug
作者:
Laura D Scherer, Carmen L Lewis, Kirsten McCaffery, Jolyn Hersch, Joseph N Cappella, Channing Tate, Brad Morse, Kelly Arnett, Bridget Mosley, Heather L Smyth, Marilyn M Schapira
摘要
美国预防服务工作队（USPSTF）最近将其对乳房X线摄影筛查的建议从知情的决策做出转变为对40至49岁妇女的双年展筛查。尽管许多妇女欢迎这一变化，但有些人可能希望在40岁时不筛查。进行基于国家概率的调查，以调查39至49岁的妇女的乳腺癌筛查偏好。通过乳腺癌筛查决策AID（DA）干预的POST调查。 （Clinicaltrials.gov：NCT05376241）。从过去的消息中。在查看DA之前，有27.0％的参与者更喜欢延迟筛查（与当前年龄的乳房X线摄影相比），而DA之后为38.5％。该数量不需要增加乳房X线摄影（在DA之前为5.4％，而在DA之后的4.3％）。宁愿延迟筛查的参与者的乳腺癌风险要低于那些不愿延迟的参与者。对于37.4％的参与者而言，有关过度诊断的信息分别令人惊讶，而27.2％和22.9％的信息分别为假阳性结果和筛查益处的信息。响应偏好可能受到当时的USPSTF指南的影响。在40多岁的女性中，她们在年龄段的年龄较大，尤其是在受益于较高的妈妈中，尤其是在受到较大的好处，并受到损害。想要延迟筛查的女性乳腺癌的风险较低，而妇女的妇女希望在当前年龄进行筛查。许多人发现有关乳腺X线摄影的益处和危害令人惊讶的信息。
Abstract
The U.S. Preventive Services Task Force (USPSTF) recently changed its recommendation for mammography screening from informed decision making to biennial screening for women aged 40 to 49 years. Although many women welcome this change, some may prefer not to be screened at age 40 years.To conduct a national probability-based U.S. survey to investigate breast cancer screening preferences among women aged 39 to 49 years.Pre-post survey with a breast cancer screening decision aid (DA) intervention. (ClinicalTrials.gov: NCT05376241).Online national U.S. survey.495 women aged 39 to 49 years without a history of breast cancer or a known BRCA1/2 gene mutation.A mammography screening DA providing information about screening benefits and harms and a personalized breast cancer risk estimate.Screening preferences (assessed before and after the DA), 10-year Gail model risk estimate, and whether the information was surprising and different from past messages.Before viewing the DA, 27.0% of participants preferred to delay screening (vs. having mammography at their current age), compared with 38.5% after the DA. There was no increase in the number never wanting mammography (5.4% before the DA vs. 4.3% after the DA). Participants who preferred to delay screening had lower breast cancer risk than those who preferred not to delay. The information about overdiagnosis was surprising for 37.4% of participants versus 27.2% and 22.9% for information about false-positive results and screening benefits, respectively.Respondent preferences may have been influenced by the then-current USPSTF guideline.There are women in their 40s who would prefer to have mammography at an older age, especially after being informed of the benefits and harms of screening. Women who wanted to delay screening were at lower breast cancer risk than women who wanted screening at their current age. Many found information about the benefits and harms of mammography surprising.National Cancer Institute.