Περίληψη:
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.
Συγγραφείς:
Schunemann, Holger J.
Lerda, Donata
Quinn, Cecily
Follmann,
Markus
Alonso-Coello, Pablo
Rossi, Paolo Giorgi
Lebeau,
Annette
Nystrom, Lennarth
Broeders, Mireille and
Ioannidou-Mouzaka, Lydia
Duffy, Stephen W.
Borisch, Bettina and
Fitzpatrick, Patricia
Hofvind, Solveig
Castells, Xavier and
Giordano, Livia
Canelo-Aybar, Carlos
Warman, Sue
Mansel,
Robert
Sardanelli, Francesco
Parmelli, Elena
Grawingholt,
Axel
Saz-Parkinson, Zuleika
ECIBC Contributor Grp