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首页> 外文期刊>BMJ: British medical journal >US women's attitudes to false positive mammography results and detection of ductal carcinoma in situ: cross sectional survey.
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US women's attitudes to false positive mammography results and detection of ductal carcinoma in situ: cross sectional survey.

机译：我们女性的态度假阳性乳房x光检查结果和检测性导管癌现场:横断面调查。

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OBJECTIVE: To determine women's attitudes to and knowledge of both false positive mammography results and the detection of ductal carcinoma in situ after screening mammography. DESIGN: Cross sectional survey. SETTING: United States. PARTICIPANTS: 479 women aged 18-97 years who did not report a history of breast cancer. MAIN OUTCOME MEASURES: Attitudes to and knowledge of false positive results and the detection of ductal carcinoma in situ after screening mammography. RESULTS: Women were aware that false positive results do occur. Their median estimate of the false positive rate for 10 years of annual screening was 20% (25th percentile estimate, 10%; 75th percentile estimate, 45%). The women were highly tolerant of false positives: 63% thought that 500 or more false positives per life saved was reasonable and 37% would tolerate 10 000 or more. Women who had had a false positive result (n=76) expressed the same high tolerance: 39% would tolerate 10 000 or more false positives. 62% of women did not want to take false positive results into account when deciding about screening. Only 8% of women thought that mammography could harm a woman without breast cancer, and 94% doubted the possibility of non-progressive breast cancers. Few had heard about ductal carcinoma in situ, a cancer that may not progress, but when informed, 60% of women wanted to take into account the possibility of it being detected when deciding about screening. CONCLUSIONS: Women are aware of false positives and seem to view them as an acceptable consequence of screening mammography. In contrast, most women are unaware that screening can detect cancers that may never progress but feel that such information would be relevant. Education should perhaps focus less on false positives and more on the less familiar outcome of detection of ductal carcinoma in situ.
机译：目的:确定和女性的态度假阳性乳房x光检查的知识结果和导管癌的检测筛查性乳房x光检查后原地。截面调查。参与者:18 - 97岁的479名女性没有报告的历史乳腺癌。结果评价:态度和知识假阳性的检测结果筛选后导管原位癌乳房x光检查。积极的结果发生。假阳性率的10年的年度筛选为20%(25百分位估计,10%;第75个百分位估计,45%)。高度宽容的误报率:63%的人认为500或更多的假阳性/生命得救是合理的,37%的人会容忍000还是更多。(n = 76)表达了同样的高公差:39%能忍受000或更多的假阳性。62%的女性不愿意采取假阳性考虑当决定结果筛选。乳房x光检查可能伤害一个女人没有乳房癌症,94%怀疑的可能性非渐进式乳腺癌。导管原位癌,癌症的可能不是进步,而是通知时,60%的女性要考虑它的可能性被发现在决定筛查。结论:女性意识到假阳性和似乎认为他们是可以接受的筛查性乳房x光检查的结果。相反,大多数女性都知道筛选可以检测癌症可能永远不会进步,但觉得这些信息是相关的。教育应该少关注错误的积极的和不太熟悉的结果导管原位癌的检测。

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