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首页> 外文期刊>Acta oncologica. >Women's perceptions of the adoption of personalised risk-based breast cancer screening and primary prevention: a systematic review
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Women's perceptions of the adoption of personalised risk-based breast cancer screening and primary prevention: a systematic review

机译：妇女对采用个性化风险的乳腺癌筛查和初步预防的看法：系统审查

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Introduction: Increased knowledge of breast cancer risk factors may enable a paradigm shift from the current age-based mammographic screening programmes to a personalised risk-based approach. This would warrant a significant change in practice, yet the acceptability from a woman's perspective has never been systematically explored. In this systematic review, we inventoried and appraised studies of women's perceptions of risk-based breast cancer screening and prevention to identify factors associated with adopting this new paradigm.Methods: We searched Medline, Embase and Psyclnfo to identify original articles in English containing perceptions of risk-based breast cancer screening and/or primary prevention of women with an average to above average risk of developing breast cancer. Qualitative data were systematically extracted and referenced against four theoretical models of preventative health behaviour adoption. Results: When considering the adoption of this novel screening and prevention programme, women carefully review their perceived susceptibility to breast cancer. Their decisions are based on a cost-benefit analysis of adopting lifestyle changes, chemoprevention, or prophylactic surgery, taking into account their perceived competence, individual autonomy, relatedness to others, and personal preference. The role of intent is limited when considering behavioural change.Conclusions: Implementing risk-based breast cancer screening and prevention will require a multifac-torial approach. The transition from theory to practice can be supported by developing evidence-based shared decision aids and family-oriented (genetic) counselling programmes.
机译：简介：增加乳腺癌风险因素的知识可能使基于年龄的乳房XIMPORAL筛查计划的范式转变为个性化的基于风险的方法。这将保证在实践中进行重大变化，但妇女观点的可接受性从未得到过系统探索。在这一系统审查中，我们对妇女对妇女的风险型乳腺癌筛查和预防的看法进行了清点和评估，以确定与采用这种新的范式相关的因素。我们搜索了Medline，Embase和Psyclnfo，以识别含有的英语的原始文章基于风险的乳腺癌筛选和/或初级预防妇女平均患乳腺癌的平均风险。针对有四种理论模型进行了系统地提取并引用了定性数据，防止健康行为采用。结果：在考虑采用这部小型筛查和预防计划时，女性仔细审查其对乳腺癌的敏感性。他们的决定是基于对采用生活方式改变，化学预防或预防性手术的成本效益分析，考虑到他们的感知能力，个人自主，对他人的相关性以及个人偏好。在考虑行为变革时意图的作用是有限的。结论：实施基于风险的乳腺癌筛选和预防需要多种转角方法。通过制定基于证据的共享决策援助和以家庭为导向的（遗传）咨询计划，可以支持从理论到实践的过渡。

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