| 来源类型 | Working Paper
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| 规范类型 | 报告
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| DOI | 10.3386/w25049
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| 来源ID | Working Paper 25049
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| Behavior within a Clinical Trial and Implications for Mammography Guidelines |
| Amanda E. Kowalski
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| 发表日期 | 2018-09-17
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| 出版年 | 2018
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| 语种 | 英语
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| 摘要 | Mammography guidelines have weakened in response to evidence that mammograms diagnose breast cancers that would never eventually cause symptoms, a phenomenon called “overdiagnosis.” Given concerns about overdiagnosis, instead of recommending mammograms, US guidelines encourage women aged 40-49 to get them as they see fit. To assess whether these guidelines target women effectively, I propose an approach that examines mammography behavior within an influential clinical trial that followed participants long enough to find overdiagnosis. I find that women who are more likely to receive mammograms are healthier and have higher socioeconomic status. More importantly, I find that the 20-year level of overdiagnosis is at least 3.5 times higher among women who are most likely to receive mammograms. At least 36% of their cancers are overdiagnosed. These findings imply that US guidelines encourage mammograms among healthier women who are more likely to be overdiagnosed by them. Guidelines in other countries do not. |
| 主题 | Econometrics
; Estimation Methods
; Health, Education, and Welfare
; Health
|
| URL | https://www.nber.org/papers/w25049
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| 来源智库 | National Bureau of Economic Research (United States)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/582723
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推荐引用方式
GB/T 7714 |
Amanda E. Kowalski. Behavior within a Clinical Trial and Implications for Mammography Guidelines. 2018.
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文件名：
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w25049.pdf
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格式：
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Adobe PDF
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