کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
1082373 950937 2012 9 صفحه PDF سفارش دهید دانلود رایگان
عنوان انگلیسی مقاله ISI
Author’s specialty and conflicts of interest contribute to conflicting guidelines for screening mammography
ترجمه فارسی عنوان
تخصص و تناقض مورد علاقه نویسنده به دستورالعمل های متضاد برای غربالگری ماموگرافی کمک می کند
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موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

ObjectiveTo examine the relationship between guideline panel members’ conflicts of interest and guideline recommendations on screening mammography in asymptomatic, average-risk women aged 40–49 years.Study Design and SettingWe searched the National Guideline Clearinghouse and MEDLINE for relevant guidelines published between January 2005 and June 2011. We examined the disclosures and specialties of the lead and secondary authors of these guidelines, as well as the publications of the lead authors.ResultsTwelve guidelines were identified with a total of 178 physician authors from a broad range of specialties. Of the four guidelines not recommending routine screening, none had a radiologist member, whereas of the eight guidelines recommending routine screening, five had a radiologist member (comparison of the proportions, P = 0.05). A guideline with radiologist authors was more likely to recommend routine screening (odds ratio = 6.05, 95% confidence interval = 0.57–∞, P = 0.14). The proportion of primary care physicians on guideline panels recommending routine vs. nonroutine screening was significantly different (38% vs. 90% of authors; P = 0.01). The odds of a recommendation in favor of routine screening were related to the number of recent publications on breast disease diagnosis and treatment by the lead guideline author (P = 0.02).ConclusionRecommendations regarding mammography screening in this target population may reflect the specialty and intellectual interests of the guideline authors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Epidemiology - Volume 65, Issue 7, July 2012, Pages 725–733
نویسندگان
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