乳房自我检查：自我报告的频率、质量及相关结果。
Breast self-examination: self-reported frequency, quality, and associated outcomes.
作者信息
Tu Shin-Ping, Reisch Lisa M, Taplin Stephen H, Kreuter William, Elmore Joann G
机构信息
Department of Medicine, University of Washington, Seattle, USA.
出版信息
J Cancer Educ. 2006 Fall;21(3):175-81. doi: 10.1207/s15430154jce2103_18.
BACKGROUND
There is little information on the quality of breast self-examination (BSE) and associated outcomes.
METHOD
We conducted a retrospective cohort study of 27,421 women enrolled in a Pacific Northwest health plan. We linked responses regarding BSE quality from a questionnaire to subsequent screening and diagnostic efforts.
RESULTS
A total of 75% of the women performed BSE. We rated BSE quality as adequate in 27%. Women who reported higher BSE duration, frequency, and quality were more likely to have diagnostic mammograms. Participants ultimately diagnosed with breast cancer (N = 300) were significantly less likely to report performing BSE. Tumor size and stage were not associated with BSE behavior.
CONCLUSION
A high proportion of women perform BSE, but few do so adequately. We found no evidence for benefit of BSE. It is time to ask whether systematic BSE performance should continue to be encouraged.
背景
关于乳房自我检查（BSE）的质量及相关结果的信息较少。
方法
我们对参与太平洋西北地区一项健康计划的27421名女性进行了一项回顾性队列研究。我们将一份问卷中关于BSE质量的回答与随后的筛查和诊断工作联系起来。
结果
共有75%的女性进行了BSE。我们将27%的BSE质量评定为合格。报告BSE持续时间更长、频率更高且质量更好的女性更有可能进行诊断性乳房X光检查。最终被诊断为乳腺癌的参与者（N = 300）报告进行BSE的可能性显著更低。肿瘤大小和分期与BSE行为无关。
结论
很大比例的女性进行BSE，但做得合格的很少。我们没有发现BSE有益的证据。是时候问问是否应该继续鼓励系统性地进行BSE了。
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