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《中国女性乳腺癌筛查与早诊指南(2021年版,北京)》

[China guideline for the screening and early detection of female breast cancer(2021, Beijing)].

作者信息

He J, Chen W Q, Li N, Shen H B, Li J, Wang Y, Li J, Tian J H, Zhou B S

机构信息

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

School of Public Health, Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing Medical University, Nanjing 211166, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2021 Apr 23;43(4):357-382. doi: 10.3760/cma.j.cn112152-20210119-00061.

Abstract

Breast cancer is the commonest malignant tumor among Chinese females, ranking first in terms of incidence of female cancers. Commissioned by the Disease Prevention and Control Bureau of National Health Commission of the People's Republic of China, the National Cancer Center formulated the Guideline for Screening and Early Diagnosis and Treatment of Female Breast Cancer in China according to WHO Handbook for Guideline Development. The methods on Cochrane China were referred to for the formulation of the system evaluation procedures. The GRADE methods for assessment, formulation and evaluation were adopted for the classification of evidence quality and recommendation strength, and the items were reported according to Reporting Items for Practice Guidelines in Healthcare. Based on the results of evaluation, the guideline gives evidence-based recommendations for the appropriate population and technical procedures for breast cancer screening and early diagnosis and treatment after comprehensive consideration of China's national conditions, the advantages and disadvantages of the evidence, the quality of the evidence, the economic cost of screening, the feedback of multidisciplinary clinical research respondents, and in-person expert consensus. It is aimed at regulating the practices of female breast cancer screening and early diagnosis and treatment and enhancing the effectiveness of the prevention and control of female breast cancer in China.

摘要

乳腺癌是中国女性中最常见的恶性肿瘤,在女性癌症发病率中位居首位。受中华人民共和国国家卫生健康委员会疾病预防控制局委托,国家癌症中心根据世界卫生组织《指南制定手册》制定了《中国女性乳腺癌筛查与早诊早治指南》。在制定系统评价程序时参考了Cochrane中国的方法。采用GRADE评估、制定和评价方法对证据质量和推荐强度进行分级,并按照《医疗保健实践指南报告条目》报告条目。该指南基于评价结果,综合考虑中国国情、证据的优缺点、证据质量、筛查的经济成本、多学科临床研究受访者的反馈以及专家个人共识,对乳腺癌筛查、早诊早治的适宜人群和技术程序给出了循证推荐。旨在规范中国女性乳腺癌筛查与早诊早治实践,提高中国女性乳腺癌防控效果。

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