La evidencia del cribado del cáncer de mama: la historia continúa
The evidence on breast cancer screening: the story continues
J.M. Borràsa,
, J.A. Espinàsa, X. Castellsb
Autor para correspondencia
jmborras@ico.scs.es
Correspondencia: Dr. J.M. Borràs. Servei de Prevenció i Control del Càncer. Institut Català d'Oncologia. Gran Via, s/n, km 2,7. 08907 L’Hospitalet de Llobregat. Barcelona. España.
Correspondencia: Dr. J.M. Borràs. Servei de Prevenció i Control del Càncer. Institut Català d'Oncologia. Gran Via, s/n, km 2,7. 08907 L’Hospitalet de Llobregat. Barcelona. España.
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"apellidos" => "Borràs" "email" => array:1 [ 0 => "jmborras@ico.scs.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Espinàs" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "X." "apellidos" => "Castells" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servei de Prevenció i Control del Càncer. Institut Català d'Oncologia" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servei d'Estudis. Institut Municipal d'Assistència Sanitària" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia</span>: Dr. J.M. Borràs. Servei de Prevenció i Control del Càncer. Institut Català d'Oncologia. Gran Via, s/n, km 2,7. 08907 L’Hospitalet de Llobregat. Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "The evidence on breast cancer screening: the story continues" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-06-30" "fechaAceptado" => "2003-01-08" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268764" "palabras" => array:4 [ 0 => "Cribado" 1 => "Cáncer de mama" 2 => "Cáncer de próstata" 3 => "Política sanitaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268763" "palabras" => array:4 [ 0 => "Screening" 1 => "Breast cancer" 2 => "Prostate cáncer" 3 => "Health policy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La publicación de la nueva revisión Cochrane sobre el cribado de cáncer de mama mediante mamografía ha iniciado un nuevo período de discusión y reflexión sobre este cribado. Los autores de dicha revisión se han reafirmado en la falta de eficacia del cribado mamográfico, mientras que la actualización de la revisión de los estudios suecos y dos nuevas revisiones sistemáticas realizadas por la Agency for Healthcare Research and Quality para la US Preventive Services Task Force y por un grupo de trabajo bajo los auspicios de la IARC, que han tenido muy en cuenta las discusiones sobre los aspectos metodológicos de los ensayos discutidos en los últimos años, se han reafirmado en la eficacia del cribado mamográfico. No obstante, sigue abierto el debate sobre la efectividad y las recomendaciones en mujeres menores de 50 años. El debate actual ha puesto sobre la mesa aspectos como la mejor medida de los beneficios de un ensayo sobre cribado o los potenciales efectos adversos del cribado en forma de sobrediagnóstico o sus repercusiones sobre el tratamiento, que se discuten en este artículo. Asimismo, nos reafirma en la necesidad de introducir cribados de beneficio demostrado y discutir e informar a la población sobre estos beneficios, pero también sobre los riesgos y las incertidumbres del cribado del cáncer.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The publication of the new Cochrane review on screening for breast cancer with mamography has revived the debate on breats screening and raised some new topics. Whereas the Cochrane reviewers reasserted on their previous conclusion of the lack of efficacy of breast screening, the new review of the Swedish studies, the new systematic review of the Agency for Healthcare Research and Quality commissioned by the US Preventive Services Task Force, and the recent review of an IARC working group supported the efficacy of breast screening after carefully considering the methodological quality of trials. Nevertheless, the efficacy of breast screening for younger women remains controversial. The present controversy has raised other issues like the measure of the benefit in screening trials or the potential adverse effects of screening, particularly, overdiagnosis and its impact on therapy that are discussed in this papers. It also stresses of evaluating screening before introducing it and the need to inform the population about the benefits and the potential harms and about uncertainties about cancer screening.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 7 | 4 | 11 |
| 2024 Octubre | 64 | 43 | 107 |
| 2024 Septiembre | 38 | 26 | 64 |
| 2024 Agosto | 54 | 34 | 88 |
| 2024 Julio | 39 | 31 | 70 |
| 2024 Junio | 37 | 25 | 62 |
| 2024 Mayo | 49 | 37 | 86 |
| 2024 Abril | 34 | 18 | 52 |
| 2024 Marzo | 35 | 23 | 58 |
| 2024 Febrero | 33 | 50 | 83 |
| 2024 Enero | 26 | 21 | 47 |
| 2023 Diciembre | 33 | 14 | 47 |
| 2023 Noviembre | 25 | 13 | 38 |
| 2023 Octubre | 33 | 18 | 51 |
| 2023 Septiembre | 38 | 20 | 58 |
| 2023 Agosto | 34 | 6 | 40 |
| 2023 Julio | 34 | 22 | 56 |
| 2023 Junio | 41 | 15 | 56 |
| 2023 Mayo | 33 | 12 | 45 |
| 2023 Abril | 33 | 21 | 54 |
| 2023 Marzo | 36 | 34 | 70 |
| 2023 Febrero | 24 | 30 | 54 |
| 2023 Enero | 28 | 16 | 44 |
| 2022 Diciembre | 42 | 34 | 76 |
| 2022 Noviembre | 54 | 38 | 92 |
| 2022 Octubre | 29 | 56 | 85 |
| 2022 Septiembre | 30 | 41 | 71 |
| 2022 Agosto | 39 | 53 | 92 |
| 2022 Julio | 32 | 39 | 71 |
| 2022 Junio | 26 | 31 | 57 |
| 2022 Mayo | 36 | 51 | 87 |
| 2022 Abril | 30 | 30 | 60 |
| 2022 Marzo | 30 | 47 | 77 |
| 2022 Febrero | 36 | 33 | 69 |
| 2022 Enero | 28 | 41 | 69 |
| 2021 Diciembre | 29 | 28 | 57 |
| 2021 Noviembre | 34 | 42 | 76 |
| 2021 Octubre | 64 | 39 | 103 |
| 2021 Septiembre | 38 | 40 | 78 |
| 2021 Agosto | 19 | 28 | 47 |
| 2021 Julio | 17 | 19 | 36 |
| 2021 Junio | 21 | 35 | 56 |
| 2021 Mayo | 14 | 26 | 40 |
| 2021 Abril | 42 | 55 | 97 |
| 2021 Marzo | 35 | 23 | 58 |
| 2021 Febrero | 25 | 11 | 36 |
| 2021 Enero | 27 | 15 | 42 |
| 2020 Diciembre | 25 | 11 | 36 |
| 2020 Noviembre | 11 | 8 | 19 |
| 2020 Octubre | 20 | 8 | 28 |
| 2020 Septiembre | 15 | 4 | 19 |
| 2020 Agosto | 13 | 12 | 25 |
| 2020 Julio | 12 | 16 | 28 |
| 2020 Junio | 8 | 8 | 16 |
| 2020 Mayo | 12 | 12 | 24 |
| 2020 Abril | 22 | 20 | 42 |
| 2020 Marzo | 15 | 8 | 23 |
| 2020 Febrero | 12 | 19 | 31 |
| 2020 Enero | 8 | 13 | 21 |
| 2019 Diciembre | 15 | 16 | 31 |
| 2019 Noviembre | 8 | 8 | 16 |
| 2019 Octubre | 11 | 8 | 19 |
| 2019 Septiembre | 12 | 14 | 26 |
| 2019 Agosto | 15 | 17 | 32 |
| 2019 Julio | 12 | 3 | 15 |
| 2019 Junio | 8 | 12 | 20 |
| 2019 Mayo | 18 | 7 | 25 |
| 2019 Abril | 10 | 11 | 21 |
| 2019 Marzo | 14 | 14 | 28 |
| 2019 Febrero | 10 | 11 | 21 |
| 2019 Enero | 7 | 4 | 11 |
| 2018 Diciembre | 4 | 13 | 17 |
| 2018 Noviembre | 30 | 10 | 40 |
| 2018 Octubre | 42 | 15 | 57 |
| 2018 Septiembre | 28 | 16 | 44 |
| 2018 Agosto | 19 | 9 | 28 |
| 2018 Julio | 25 | 16 | 41 |
| 2018 Junio | 26 | 7 | 33 |
| 2018 Mayo | 26 | 14 | 40 |
| 2018 Abril | 26 | 8 | 34 |
| 2018 Marzo | 29 | 9 | 38 |
| 2018 Febrero | 30 | 12 | 42 |
| 2018 Enero | 24 | 5 | 29 |
| 2017 Diciembre | 23 | 9 | 32 |
| 2017 Noviembre | 20 | 15 | 35 |
| 2017 Octubre | 10 | 13 | 23 |
| 2017 Septiembre | 18 | 20 | 38 |
| 2017 Agosto | 9 | 12 | 21 |
| 2017 Julio | 19 | 19 | 38 |
| 2017 Junio | 26 | 9 | 35 |
| 2017 Mayo | 25 | 10 | 35 |
| 2017 Abril | 18 | 13 | 31 |
| 2017 Marzo | 22 | 7 | 29 |
| 2017 Febrero | 4 | 8 | 12 |
| 2017 Enero | 13 | 12 | 25 |
| 2016 Diciembre | 36 | 5 | 41 |
| 2016 Noviembre | 30 | 14 | 44 |
| 2016 Octubre | 29 | 12 | 41 |
| 2016 Septiembre | 36 | 8 | 44 |
| 2016 Agosto | 55 | 11 | 66 |
| 2016 Julio | 26 | 5 | 31 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Julio | 2 | 0 | 2 |
| 2015 Junio | 1 | 0 | 1 |
| 2015 Mayo | 2 | 0 | 2 |
| 2015 Abril | 1 | 0 | 1 |
| 2015 Marzo | 1 | 0 | 1 |
| 2015 Febrero | 1 | 0 | 1 |
| 2015 Enero | 1 | 0 | 1 |
| 2014 Diciembre | 2 | 0 | 2 |
| 2014 Noviembre | 2 | 0 | 2 |
| 2014 Octubre | 3 | 0 | 3 |
| 2014 Septiembre | 3 | 0 | 3 |
| 2014 Agosto | 5 | 0 | 5 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 6 | 1 | 7 |
| 2014 Mayo | 3 | 2 | 5 |
| 2014 Abril | 2 | 3 | 5 |
| 2014 Marzo | 5 | 2 | 7 |
| 2014 Febrero | 5 | 0 | 5 |
| 2014 Enero | 7 | 1 | 8 |
| 2013 Diciembre | 11 | 1 | 12 |
| 2013 Noviembre | 23 | 1 | 24 |
| 2013 Octubre | 24 | 3 | 27 |
| 2013 Septiembre | 14 | 2 | 16 |
| 2013 Agosto | 18 | 5 | 23 |
| 2013 Julio | 21 | 4 | 25 |
| 2003 Abril | 2402 | 0 | 2402 |
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