Woolf S H
US Preventive Services Task Force, Office of Disease Prevention and Health Promotion, Washington, DC 20201.
Cancer. 1992 Apr 1;69(7 Suppl):1913-8. doi: 10.1002/1097-0142(19920401)69:7+<1913::aid-cncr2820691707>3.0.co;2-6.
The US Preventive Services Task Force (USPSTF) was established in 1984 by the US Department of Health and Human Services to develop recommendations on clinical preventive services based on evidence from published clinical research. Guidelines issued in 1989 addressed 169 preventive services in 60 topic areas. This article reviews the USPSTF recommendations on breast cancer screening, which call for annual clinical breast examinations after 40 years of age, mammography every 1 to 2 years beginning at 50 years of age, and early screening of women at increased risk for breast cancer. The USPSTF methodology for evaluating the quality of evidence and the scientific rationale for its recommendations are reviewed.
美国预防服务工作组（USPSTF）于1984年由美国卫生与公众服务部设立，旨在根据已发表的临床研究证据，制定关于临床预防服务的建议。1989年发布的指南涉及60个主题领域的169项预防服务。本文回顾了USPSTF关于乳腺癌筛查的建议，该建议要求40岁以后每年进行一次临床乳房检查，50岁开始每1至2年进行一次乳房X光检查，以及对乳腺癌高危女性进行早期筛查。本文还回顾了USPSTF评估证据质量的方法及其建议的科学依据。
