Cohen H J
GRECC, VA Medical Center, Durham.
J Gerontol. 1992 Nov;47 Spec No:134-6.
There are many issues of concern to internists and geriatricians as they face the prospect of implementing breast cancer screening programs for elderly women. Population heterogeneity and variations in comorbidity require individualization in order to maximize benefit. Decision making is complicated by family interactions, especially for patients with altered cognition. The time it takes to perform exams and discuss possibilities in a busy office practice may be inhibitory. Internists will want to see more definitive data on efficacy, specifically in women > age 70, but patients in this age cohort may actually rely on physicians' recommendations to a greater extent than younger cohorts.
在内科医生和老年病医生面临为老年女性实施乳腺癌筛查项目的前景时，有许多问题值得关注。人群异质性和共病情况的差异需要个体化，以实现效益最大化。家庭互动使决策变得复杂，尤其是对于认知改变的患者。在繁忙的门诊实践中，进行检查和讨论各种可能性所需的时间可能会产生阻碍。内科医生希望看到更多关于疗效的确切数据，特别是在70岁以上的女性中，但这个年龄组的患者实际上可能比年轻组的患者更依赖医生的建议。
