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假阳性结果对后续乳腺筛查的再次就诊率没有负面影响。

False positive results do not have a negative effect on reattendance for subsequent breast screening.

作者信息

O'Sullivan I, Sutton S, Dixon S, Perry N

机构信息

Department of Psychology, University of Essex, Wivenhoe Park, Colchester, UK.

出版信息

J Med Screen. 2001;8(3):145-8. doi: 10.1136/jms.8.3.145.

Abstract

OBJECTIVES

To find out whether a false positive breast screening result has a negative effect on subsequent screening attendance. Also considered was the proportion of women who had ever failed to reattend for screening, having previously attended routinely.

DESIGN

The study was a retrospective cohort design.

SETTING

Data from the call and recall records of the Central and East London Breast Screening Service (CELBSS) were used.

PARTICIPANTS

Women who had been invited to attend for breast screening by the CELBSS during 1997.

MAIN OUTCOME MEASURES

Subsequent attendance or non-attendance for the next routine breast screen, after a false positive screening result.

RESULTS

A substantial number of women failed to reattend for a breast screen during their screening history, having attended for their previous routine breast screen. No differences in the rates of reattendance were found between those who had previously received a false positive result and those who had not.

CONCLUSION

From the results obtained in the present study it would seem that the experience of a false positive breast screen does not deter women from reattending in the future. However, many women living in inner city areas who attend for an initial breast screen are failing to attend for subsequent routine mammograms. This may have a deleterious effect for these women in terms of the benefits of attendance for regular screening.

摘要

目的

探究乳腺筛查假阳性结果是否会对后续的筛查参与率产生负面影响。同时也考虑了那些曾经按常规参加过筛查但未能再次参加的女性比例。

设计

本研究采用回顾性队列设计。

背景

使用了伦敦中部和东部乳腺筛查服务中心(CELBSS)的呼叫和召回记录数据。

参与者

1997年期间被CELBSS邀请参加乳腺筛查的女性。

主要观察指标

在筛查结果为假阳性后,后续是否参加下一次常规乳腺筛查。

结果

相当数量的女性在其筛查历史中,尽管之前按常规参加过乳腺筛查,但未能再次参加。在之前收到假阳性结果的女性和未收到假阳性结果的女性之间,再次参加筛查的比例没有差异。

结论

从本研究获得的结果来看,乳腺筛查假阳性的经历似乎并不会阻碍女性未来再次参加筛查。然而,许多居住在市中心地区、参加过首次乳腺筛查的女性未能参加后续的常规乳房X光检查。就定期筛查带来的益处而言,这可能会对这些女性产生有害影响。

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