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揭开乳腺癌筛查指南的迷雾:令人惊讶的是——这与金钱有关!

Lifting the fog of confusion about breast cancer screening guidelines: Surprise - it's about the money!

机构信息

20 Manitoba Road, Waban, MA 02468, United States of America.

出版信息

Clin Imaging. 2020 Nov;67:5-6. doi: 10.1016/j.clinimag.2020.03.009. Epub 2020 Apr 17.

DOI:10.1016/j.clinimag.2020.03.009
PMID:32497997
Abstract

Large amounts of misinformation denigrating the benefits of breast cancer screening have been published over the past 50 years and continue to be published. Each effort to reduce breast cancer screening has been refuted, scientifically, but the efforts continue. The motivation has been unclear until the recent guidelines issued by the American Society of Breast Surgeons who support annual screening starting at the age of 40 contrasted with the American College of Physicians who advocated delaying screening until the age of 50 and then biennially. An analysis of the facts can only lead to the conclusion that delayed screening has been chosen to save money rather than lives.

摘要

在过去的 50 年里,已经发表了大量诋毁乳腺癌筛查益处的错误信息,而且这种情况还在继续。每次减少乳腺癌筛查的努力都从科学上被驳斥,但这种努力仍在继续。直到最近,美国乳腺外科学会发布的指南才阐明了这种动机,该指南支持从 40 岁开始每年进行筛查,而与之形成对比的是,美国医师学院则主张将筛查推迟到 50 岁,然后每两年进行一次。对事实的分析只能得出这样的结论:推迟筛查是为了省钱而不是救命。

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