Nichols S, Waters W E, Wheeler M J
Br Med J. 1980 Nov 29;281(6253):1450-3. doi: 10.1136/bmj.281.6253.1450.
One hundred and two Southampton general practitioners were interviewed about female breast disease. There was agreement about clinical management and the need to both teach and promote breast self-examination. The general practitioners, however, were divided as to whether any breast screening facilities were needed in Southampton. Records kept by the general practitioners of women seen with breast symptoms showed that one-quarter of all new episodes were referred to hospital at the first visit. That the general practitioners considered early diagnosis to be important was made evident from a number of the results. This attitude is encouraging in view of the evidence showing that long-term survival may be greater when delays are shorter.
针对女性乳腺疾病,我们采访了102位南安普敦的全科医生。他们在临床管理以及开展和推广乳房自我检查的必要性方面达成了共识。然而,这些全科医生对于南安普敦是否需要任何乳腺筛查设施存在分歧。全科医生记录的有乳腺症状女性的就诊情况显示,所有新病例中有四分之一在首次就诊时就被转诊至医院。从一些结果中可以明显看出,全科医生认为早期诊断很重要。鉴于有证据表明延迟时间越短长期生存率可能越高,这种态度令人鼓舞。