martedì 17 aprile 2007

Mammografia nelle quarantenni. Linee guida.



Screening Mammography for Women 40 to 49 Years of Age: A Clinical Practice Guideline from the American College of Physicians


Questo articolo riporta le nuove linee guida dell'ACP sulla mammografia di screning in donne di età compresa tra 40 e 49 anni.

In sintesi:

1-La mammografia nelle donne tra 40 e 49 anni andrebbe valutata studiando il profilo di rischio delle singoli pazienti (familiarità, età del menarca etc.)

2-Le pazienti vanno informate sui benefici diagnostici della mammografia e sui potenziali rischi di falsi positivi (50% dopo 10 anni di screening)

3-Una mammografia annuale o biennale andrebbe effettuata alle pazienti che non vogliono individualizzare la scelta diagnostica.

New ACP Guidelines for Mammography Screening

Decisions about whether women aged 40 to 49 undergo screening mammography should be based on patients' concerns about mammograms and breast cancer as well as their risk for the disease, according to new guidelines from the American College of Physicians.

The guidelines, along with the literature review they were based on and an accompanying editorial, were published in Annals of Internal Medicine. Key recommendations are:

-- Screening decisions should be individualized for women in their 40s based on assessments of their risk for breast cancer, taking into account such factors as family history, age at menarche, and age at first birth.

-- Clinicians should inform these women about the potential benefits of mammography  -- chiefly a decrease in breast cancer mortality (6 deaths averted out of every 10,000 women who receive regular screening) -- and the harms (e.g., up to half of women will have false positives over a decade of yearly mammograms).

-- Regular screening every 1 to 2 years remains a reasonable option for women who prefer not to discuss the risks and benefits.

2 commenti:

John Lester ha detto...

Nice blog!

Paola ha detto...

...in pratica io cosa dovrei fare?...