Essink-Bot Marie-Louise, Korfage Ida J, de Koning Harry J
Academisch Medisch Centrum, afd. Sociale Geneeskunde, Amsterdam, the Netherlands.
Ned Tijdschr Geneeskd. 2013;157(9):A5756.
Debates about the Dutch national breast cancer screening programme sometimes lead to polarised opinions as to its usefulness. This article aims to clarify the perspectives related to this discussion. Supporters and opponents agree that the screening programme has advantages for the general population, but inevitably also disadvantageous aspects. They differ in the weighting of collective advantages and disadvantages. More importantly, every woman who is invited is free to accept the invitation to participate or not. Ideally, she makes a deliberate, informed choice based on sufficient knowledge. The real challenge for professionals is to provide good, honest, balanced information and adequate support to women when making their decision whether or not to participate in breast cancer screening.
关于荷兰全国乳腺癌筛查计划的争论有时会导致对其效用形成两极分化的观点。本文旨在阐明与这一讨论相关的观点。支持者和反对者都认为筛查计划对普通人群有好处，但不可避免地也存在不利方面。他们在集体利弊的权衡上存在差异。更重要的是，每位收到邀请的女性都可以自由选择是否接受邀请参加。理想情况下，她会在充分了解的基础上做出审慎、明智的选择。专业人员面临的真正挑战是在女性决定是否参加乳腺癌筛查时，为她们提供良好、诚实、平衡的信息以及充分的支持。
