Mühlhauser I, Höldke B
Gewerblich-Technische Wissenschaften-Fachwissenchaft Gesundheit, Universität Hamburg.
Z Arztl Fortbild Qualitatssich. 2000 Oct;94(9):721-31.
This article presents the evidence of mammography-screening for communication between the physician and the consumer. Scientific data on the quality of mammography as a screening test (sensitivity, specificity, positive and negative predictive values), effectiveness of screening programs (breast cancer mortality, total mortality), and possible harm (consequences of false positive and false negative results, overdiagnosis of breast cancer, radiation) are presented. Outcome data are communicated as absolute numbers rather than relative differences. In order to avoid framing of data equal emphasis is put on the proportion of persons who are likely to benefit and those who are unlikely to benefit or likely to be harmed.
本文展示了乳房X光检查筛查在医生与患者沟通方面的证据。文中呈现了乳房X光检查作为一种筛查测试的质量（敏感性、特异性、阳性和阴性预测值）、筛查项目的有效性（乳腺癌死亡率、总死亡率）以及可能的危害（假阳性和假阴性结果的后果、乳腺癌的过度诊断、辐射）的科学数据。结果数据以绝对数字呈现，而非相对差异。为避免对数据的片面解读，对于可能受益的人群以及不太可能受益或可能受到伤害的人群的比例给予了同等重视。
