乳房筛查：一个颇具争议的话题。
Breast screening: a subject for debate.
作者信息
Austoker J, Sharp D
机构信息
Department of Public Health and Primary Care, University of Oxford.
出版信息
Br J Gen Pract. 1991 Apr;41(345):166-7.
The National Health Service Breast Screening Programme was instituted in 1988 following the recommendations of the Forrest report in 1986. From the beginning it has been controversial. Is breast cancer screening efficacious? Can the efficacy produced in trials be reproduced nationwide in the UK? Do the benefits of screening outweigh the adverse effects? Answers to all these questions are not yet available but in the light of current evidence, breast screening does appear to offer a realistic opportunity to reduce the mortality from a disease which constitutes a major public health problem in the UK. The role of the general practitioner and the primary care team is considered in the light of the experience gained in the first phase of the screening programme.
国家医疗服务体系乳腺癌筛查计划于1988年依据1986年福里斯特报告的建议设立。从一开始它就备受争议。乳腺癌筛查有效吗？试验中产生的效果能在英国全国范围内重现吗？筛查的益处是否大于不良影响？所有这些问题的答案尚未可知，但根据目前的证据，乳腺癌筛查似乎确实提供了一个切实可行的机会，以降低一种在英国构成重大公共卫生问题的疾病的死亡率。根据筛查计划第一阶段所获得的经验，对全科医生和基层医疗团队的作用进行了考量。
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