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Store Plavix Education Medication, Cheap Plavix For Peripheral Arterial Disease Enve
07-13-2018, 08:17 AM
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Previous guideline recommendations for routine CBE have acknowledged the limitations in evidence. For Key Question 3, the evidence review found a lack of evidence showing any benefit of a CBE alone or in conjunction with screening mammography. There is moderatequality evidence that adding CBE to mammography screening increased the falsepositive rate. No studies were identified assessing other critical outcomes. A supplemental search identified studies on CBE performance characteristics, most of which show that the addition of CBE will detect a small number of additional breast cancers ie, 26 compared with mammography alone. 93 95 There are no data on whether patient outcomes are improved with CBE. Given the lack of benefit concurrent with the increase in falsepositive rates, CBE is not recommended for breast cancer screening among averagerisk, asymptomatic women at any age. Recognizing the time constraints in a typical clinic visit, clinicians should use this time instead for ascertaining family history and counseling women regarding the importance of being alert to breast changes and the potential benefits, limitations, and harms of screening mammography.




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