...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >Impact of a decision aid on reducing uncertainty: pilot study of women in their 40s and screening mammography
【24h】

Impact of a decision aid on reducing uncertainty: pilot study of women in their 40s and screening mammography

机译：决策援助对减少不确定性的影响：40多岁女性的初步研究和乳房X线检查

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background In 2009 the United States Preventive Services Task Force updated its breast cancer screening guidelines to recommend that average-risk women obtain a screening mammogram every two years starting at age 50 instead of annually starting at age 40. Inconsistencies in data regarding the benefit versus risk of routine screening for women less than 50-years-of-age led to a second recommendation – that women in their forties engage in a shared decision making process with their provider to make an individualized choice about screening mammography that was right for them. In response, a web-based interactive mammography screening decision aid was developed and evaluated. Methods The decision aid was developed using an agile, iterative process. It was further honed based on feedback from clinical and technical subject matter experts. A convenience sample of 51 age- and risk-appropriate women was recruited to pilot the aid. Pre-post decisional conflict and screening choice was assessed. Results Women reported a significant reduction in overall decisional conflict after using the decision aid (Z?=?-5.3, p?p?p?p?p?p?=?0.132). Conclusion This mammography screening decision aid brings value to patient care not by impacting what a woman chooses but by lending clarity to why or how she chooses it.
机译：背景技术2009年，美国预防服务工作队更新了其乳腺癌筛查指南，建议普通风险女性从50岁开始而不是从40岁开始每两年进行一次乳房X线检查。获益与风险的数据不一致对年龄小于50岁的女性进行常规筛查的第二个建议是– 40岁以下的女性与提供者共同参与决策过程，以针对自己的乳房X线筛查进行个性化选择。作为回应，开发并评估了基于网络的交互式乳腺X线摄影筛查决策辅助工具。方法决策辅助工具是使用敏捷的迭代过程开发的。它是根据临床和技术主题专家的反馈进一步完善的。招募了便利样本，包括51名年龄和风险适当的妇女来试用该援助。评估了事前决策冲突和筛选选择。结果妇女报告说，使用决策辅助工具后，总体决策冲突显着减少（Z == -5.3，p = p = p = p = 0.132）。结论这种乳腺X射线摄影筛查决策辅助工具不是通过影响女性的选择，而是通过清楚说明其选择方式或方式为患者护理带来了价值。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号