Medications to decrease the risk for breast cancer in women : recommendations from the U.S. Preventive Services Task Force recommendation statement

DESCRIPTION: Update of the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation on the use of medications for breast cancer risk reduction.

METHODS: The USPSTF reviewed evidence on the effectiveness,adverse effects, and subgroup variations of medications to reduce the risk for breast cancer—specifically, the selective estrogen receptor modulators tamoxifen and raloxifene. The USPSTF also reviewed a meta-analysis of placebo-controlled trials to understand the relative benefits and harms of tamoxifen and raloxifene.

POPULATION: This recommendation applies to asymptomatic women aged 35 years or older without a prior diagnosis of breast cancer,ductal carcinoma in situ, or lobular carcinoma in situ.

RECOMMENDATION: The USPSTF recommends that clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk.For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene. (B recommendation)The USPSTF recommends against the routine use of medications,such as tamoxifen or raloxifene, for risk reduction of primary breast cancer in women who are not at increased risk for breast cancer. (D recommendation).

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:159

Enthalten in:

Annals of internal medicine - 159(2013), 10 vom: 19. Nov., Seite 698-708

Sprache:

Englisch

Beteiligte Personen:

Moyer, Virginia A [VerfasserIn]
U.S. Preventive Services Task Force [VerfasserIn]
Moyer, Virginia A [Sonstige Person]
LeFevre, Michael L [Sonstige Person]
Siu, Albert L [Sonstige Person]
Peters, James J [Sonstige Person]
Baumann, James J [Sonstige Person]
Bibbins-Domingo, Kirsten [Sonstige Person]
Curry, Susan J [Sonstige Person]
Ebell, Mark [Sonstige Person]
Flores, Glenn [Sonstige Person]
Garcıa, Francisco A R [Sonstige Person]
Cantu, Adelita Gonzales [Sonstige Person]
Grossman, David C [Sonstige Person]
Herzstein, Jessica [Sonstige Person]
Nicholson, Wanda K [Sonstige Person]
Owens, Douglas K [Sonstige Person]
Phillips, William R [Sonstige Person]
Pignone, Michael P [Sonstige Person]

Links:

Volltext

Themen:

094ZI81Y45
4F86W47BR6
Journal Article
Practice Guideline
Raloxifene Hydrochloride
Research Support, U.S. Gov't, P.H.S.
Selective Estrogen Receptor Modulators
Tamoxifen

Anmerkungen:

Date Completed 27.01.2014

Date Revised 19.11.2015

published: Print

SummaryForPatientsIn: Ann Intern Med. 2013 Nov 19;159(10):I-28. - PMID 24400336

Citation Status MEDLINE

doi:

10.7326/0003-4819-159-10-201311190-00717

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM231113595