Chagpar Anees B, McMasters Kelly M
Division of Surgical Oncology, Department of Surgery, University of Louisville, Louisville, Kentucky 40202, USA.
J Surg Res. 2007 Jun 15;140(2):214-9. doi: 10.1016/j.jss.2007.01.034. Epub 2007 Apr 9.
There are well-accepted clinical guidelines for early detection of breast cancer through mammography and clinical breast examination. The purpose of this study was to determine trends in the utilization of these techniques over the past 5 years.
The National Health Interview Survey is a population-based computer survey of noninstitutionalized civilian Americans conducted annually by the National Center for Health Statistics, Centers for Disease Control and Prevention. We evaluated the reported use of mammography and clinical breast examination in women 40 years of age and older between 2000 and 2005. Data were evaluated using SAS and SAS-callable SUDAAN software.
Surveyed were 10,994 and 11,128 women over age 40 in 2000 and 2005, respectively. Between these years, there was a decline in women >or=40 years old who reported ever having a mammogram (80.79% versus 79.52%, P<0.0001) and in those who had a mammogram within the preceding 2 years (87.98% versus 86.30%, P=0.0040). In addition, there was a drop in women reporting ever having a clinical breast exam (82.12% versus 75.91%, P<0.0001) and in those reporting having had a clinical breast exam in the 2 years prior to the survey (89.24% versus 87.63%, P=0.0012). Similar results were found in the population aged 50-69.
Despite well-established clinical guidelines for early detection of breast cancer, there has been a decline in the rates of annual mammography and clinical breast exam in women over the age of 40 over the past 5 years.
通过乳房X线摄影和临床乳房检查进行乳腺癌早期检测，已有广泛认可的临床指南。本研究的目的是确定过去5年中这些技术的使用趋势。
国家健康访谈调查是美国疾病控制与预防中心国家卫生统计中心每年对非机构化美国平民进行的基于人群的计算机调查。我们评估了2000年至2005年40岁及以上女性中报告的乳房X线摄影和临床乳房检查的使用情况。使用SAS和可调用SAS的SUDAAN软件对数据进行评估。
2000年和2005年分别调查了10994名和11128名40岁以上的女性。在这些年份之间，报告曾进行过乳房X线摄影的40岁及以上女性比例有所下降（80.79%对79.52%，P<0.0001），以及在过去2年内进行过乳房X线摄影的女性比例也有所下降（87.98%对86.30%，P=0.0040）。此外，报告曾进行过临床乳房检查的女性比例下降（82.12%对75.91%，P<0.0001），以及在调查前2年内报告进行过临床乳房检查的女性比例也下降（89.24%对87.63%，P=0.0012）。在50 - 69岁人群中也发现了类似结果。
尽管有完善的乳腺癌早期检测临床指南，但在过去5年中，40岁以上女性的年度乳房X线摄影和临床乳房检查率有所下降。
