Breast Cancer Screening and Diagnosis: A Synopsis of the European Breast Guidelines
Por:
Schunemann, HJ, Lerda, D, Quinn, C, Follmann, M, Alonso-Coello, P, Rossi, PG, Lebeau, A, Nystrom, L, Broeders, M, Ioannidou-Mouzaka, L, Duffy, SW, Borisch, B, Fitzpatrick, P, Hofvind, S, Castells, X, Giordano, L, Canelo-Aybar, C, Warman, S, Mansel, R, Sardanelli, F, Parmelli, E, Grawingholt, A, Saz-Parkinson, Z, ECIBC Contributor Grp
Publicada:
7 ene 2020
Resumen:
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.
Filiaciones:
Schunemann, HJ:
McMaster Univ, Michael G Degroote Cochrane Canada Ctr, 1280 Main St West, Hamilton, ON L8N 4K1, Canada
McMaster Univ, McMaster GRADE Ctr, 1280 Main St West, Hamilton, ON L8N 4K1, Canada
Lerda, D:
European Commiss, Joint Res Ctr, Ispra, Italy
European Commiss, Joint Res Ctr, Via Enrico Fermi 2749,TP 127, I-21027 Ispra Va, Italy
Quinn, C:
St Vincents Univ Hosp, 96 Merrion Rd,Elm Pk, Dublin D04 T6F4, Ireland
Follmann, M:
German Canc Soc, Kuno Fischer Str 8, D-14057 Berlin, Germany
Alonso-Coello, P:
Iberoamer Cochrane Ctr, Biomed Res Inst IIB St Pau CIBERESP, St Antoni Maria Claret 167, Barcelona 8025, Spain
Rossi, PG:
Azienda Unita Sanit Locale IRCCS Reggio Emilia, I-42122 Reggia Emilia, Italy
Azienda Unita Sanit Locale IRCCS Reggio Emilia, Via Amendola 2, I-42122 Reggio Emilia, Italy
Lebeau, A:
Private Grp Practice Pathol, Lubeck, Germany
Univ Med Ctr Hamburg Eppendorf, Martinistr 52, D-20246 Hamburg, Germany
Nystrom, L:
Umea Univ, S-90187 Umea, Sweden
Broeders, M:
Radboud Univ Nijmegen, Med Ctr, Geert Grootepl 21, NL-6525 EZ Nijmegen, Netherlands
Ioannidou-Mouzaka, L:
Univ Athens, Med Sch, Athens, Greece
Leto Gynecol Surg & Obstetr Clin, 18 Ave Kifissias, GR-15310 Athens, Greece
Duffy, SW:
Queen Mary Univ London, Ctr Canc Prevent, Charterhouse Sq, London EC1M 6BQ, England
Borisch, B:
Univ Geneva, Inst Global Hlth, Chemin Mines 9, CH-1202 Geneva, Switzerland
Fitzpatrick, P:
Natl Screening Serv, Kings Inns House,200 Parnell St, Dublin D01 A3Y8, Ireland
Hofvind, S:
Canc Registry Norway, Ullernchausseen 64, N-0379 Oslo, Norway
Castells, X:
IMIM Hosp del Mar Med Res Inst, Carrer Dr Aiguader 88, Barcelona 8003, Spain
Giordano, L:
CPO Piedmont AOU Citta Salute & Sci, Via Cavour 31, I-10131 Turin, Italy
Canelo-Aybar, C:
Iberoamer Cochrane Ctr, Biomed Res Inst IIB St Pau CIBERESP, St Antoni Maria Claret 167, Barcelona 8025, Spain
Warman, S:
Havyatt Rd, Langford BS40 5DD, North Somerset, England
Mansel, R:
Cardiff Univ, Cardiff NP25 3PA, S Glam, Wales
Sardanelli, F:
Univ Milan, Via Morandi 30, I-20097 Milan, Italy
Parmelli, E:
European Commiss, Joint Res Ctr, Ispra, Italy
European Commiss, Joint Res Ctr, Via Enrico Fermi 2749,TP 127, I-21027 Ispra Va, Italy
Grawingholt, A:
Radiol Theater, Neuer Pl 4, D-33098 Paderborn, NRW, Germany
Saz-Parkinson, Z:
European Commiss, Joint Res Ctr, Ispra, Italy
European Commiss, Joint Res Ctr, Via Enrico Fermi 2749,TP 127, I-21027 Ispra Va, Italy
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