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Breast Cancer Screening and Diagnosis: A Synopsis of the European Breast Guidelines.
Annals of Internal Medicine ( IF 39.2 ) Pub Date : 2019-11-26 , DOI: 10.7326/m19-2125
Holger J Schünemann 1 , Donata Lerda 2 , Cecily Quinn 3 , Markus Follmann 4 , Pablo Alonso-Coello 5 , Paolo Giorgi Rossi 6 , Annette Lebeau 7 , Lennarth Nyström 8 , Mireille Broeders 9 , Lydia Ioannidou-Mouzaka 10 , Stephen W Duffy 11 , Bettina Borisch 12 , Patricia Fitzpatrick 13 , Solveig Hofvind 14 , Xavier Castells 15 , Livia Giordano 16 , Carlos Canelo-Aybar 17 , Sue Warman 18 , Robert Mansel 19 , Francesco Sardanelli 20 , Elena Parmelli 2 , Axel Gräwingholt 21 , Zuleika Saz-Parkinson 2 ,
Affiliation  

Description The European Commission Initiative for Breast Cancer Screening and Diagnosis guidelines (European Breast Guidelines) are coordinated by the European Commission's Joint Research Centre. The target audience for the guidelines includes women, health professionals, and policymakers. Methods An international guideline panel of 28 multidisciplinary members, including patients, developed questions and corresponding recommendations that were informed by systematic reviews of the evidence conducted between March 2016 and December 2018. GRADE (Grading of Recommendations Assessment, Development and Evaluation) Evidence to Decision frameworks were used to structure the process and minimize the influence of competing interests by enhancing transparency. Questions and recommendations, expressed as strong or conditional, focused on outcomes that matter to women and provided a rating of the certainty of evidence. Recommendations This synopsis of the European Breast Guidelines provides recommendations regarding organized screening programs for women aged 40 to 75 years who are at average risk. The recommendations address digital mammography screening and the addition of hand-held ultrasonography, automated breast ultrasonography, or magnetic resonance imaging compared with mammography alone. The recommendations also discuss the frequency of screening and inform decision making for women at average risk who are recalled for suspicious lesions or who have high breast density.

中文翻译:

乳腺癌筛查和诊断:欧洲乳腺癌指南的提要。

描述欧洲委员会的乳腺癌筛查和诊断倡议指南(欧洲乳腺癌指南)由欧洲委员会的联合研究中心负责协调。该指南的目标受众包括女性,卫生专业人员和政策制定者。方法由包括患者在内的28名多学科成员组成的国际指南小组,通过对2016年3月至2018年12月之间进行的证据进行系统的回顾,提出了问题和相应的建议。用来构建流程,并通过提高透明度来最小化竞争利益的影响。以强烈或有条件的方式提出的问题和建议,重点关注对妇女重要的结果,并对证据的确定性进行评级。建议《欧洲乳房指南》的提要为40至75岁平均风险的女性提供有组织筛查计划的建议。这些建议涉及数字化乳腺X线摄影筛查以及与单独的乳腺X线摄影相比增加的手持式超声检查,自动乳房超声检查或磁共振成像。这些建议还讨论了筛查的频率,并为那些因可疑病灶而被召回或乳房密度高的平均风险妇女提供了决策依据。建议《欧洲乳房指南》的提要为40至75岁平均风险的女性提供有组织筛查计划的建议。这些建议涉及数字化乳腺X线摄影筛查以及与单独的乳腺X线摄影相比增加的手持式超声检查,自动乳房超声检查或磁共振成像。这些建议还讨论了筛查的频率,并为那些因可疑病灶而被召回或乳房密度高的平均风险妇女提供了决策依据。建议《欧洲乳房指南》的提要为40至75岁平均风险的女性提供有组织筛查计划的建议。这些建议涉及数字化乳腺X线摄影筛查以及与单独的乳腺X线摄影相比增加的手持式超声检查,自动乳房超声检查或磁共振成像。这些建议还讨论了筛查的频率,并为那些因可疑病灶而被召回或乳房密度高的平均风险妇女提供了决策依据。
更新日期:2019-11-26
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