Prise de position en faveur du dépistage mammographique du cancer du sein en Suisse

Abstract

En janvier 2000, la revue The Lancet a publié un article signé par Gøtzsche et Olsen [1] contestant l'efficacité de la mammographie de dépistage. La Ligue suisse contre le cancer, dans le cadre de laquelle sont élaborés les programmes nationaux de lutte contre le cancer, a chargé un groupe de travail de procéder à une expertise épidémiologique de cet article. Après avoir pris connaissance de cette expertise et après un nouvel examen approfondi de la littérature disponible sur l'efficacité de ce dépistage, les responsables ou experts des instituts de santé publique et des principaux organismes suisses en charge de la lutte contre le cancer ont pris position en faveur de l'efficacité de ce dépistage. [Auteurs]]]> Breast Neoplasms ; Mammography ; Mass Screening fre oai:serval.unil.ch:BIB_4B0DF71B2532 2022-11-26T02:22:31Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_4B0DF71B2532 Transponder and an infrared-videocamera as methods in a fieldstudy on the social behaviour of Bechstein's bats (Myotis bechsteinii). Kerth G, König B. info:eu-repo/semantics/article article 1996 Myotis, vol. 34, pp. 27-34 oai:serval.unil.ch:BIB_4B0E8B70E047 2022-11-26T02:22:31Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_4B0E8B70E047 Hamodynamische Eigenschaften der Hamopumpe. [Hemodynamic properties of the hemopump] info:eu-repo/semantics/altIdentifier/pmid/7875998 Mihaljevic, T. Leskosek, B. von Segesser, L. K. Tonz, M. Turina, M. info:eu-repo/semantics/article article 1994-12 Helvetica Chirurgica Acta, vol. 60, no. 6, pp. 1159-62 info:eu-repo/semantics/altIdentifier/pissn/0018-0181 <![CDATA[The hemopump HP 31 is an improved version of a catheter-mounted, transvalvular, left ventricular assist device, which can be placed into the left ventricle through the ascending aorta. The purpose of this study was to examine the influence of hematocrit and afterload on the pump flow. The hemopump was tested using a flow bench model filled with heparinized bovine blood. The measurements were performed at four various hematocrit values: 16%, 24%, 32%, and 40%. The pump flow was measured at each hematocrit value under increasing afterload pressures (40-120 mm Hg), by all pump speed levels (n = 7). The average pump flow at highest pump speed and lowest afterload was 5.1 +/- 0.3 l/min (mean +/- standard deviation). The influence of afterload on the pump flow was statistically significant (p &lt; 0.001). The highest afterload pressure of 120 mm Hg caused a reduction in pump flow of 24 +/- 5%. The alterations of hematocrit values caused no statistically significant influence on the pump flow (p = 0.72). The results of our study enabled the construction of the nomogram for the in vivo determination of the pump flow. The in vivo performances of the hemopump can be improved through the afterload reduction, especially in the weaning phase of treatment. The oxygen delivery can be improved through the increase in hematocrit values without significant impairment of the pump flow