farmaecFARMAKOEKONOMIKA. Modern Pharmacoeconomics and PharmacoepidemiologyФАРМАКОЭКОНОМИКА. Современная фармакоэкономика и фармакоэпидемиология2070-49092070-4933IRBIS LLC10.17749/2070-4909.2018.11.2.077-080farmaec-254Research ArticleComments and OpinionsКомментарии и мненияComments to the article by O. Yu. Rebrova and co-authors «Screening at the first stage of periodical health checkup: a systematic review of long-term results»Комментарий к статье О. Ю. Ребровой и соавторов «Скрининги I этапа диспансеризации: систематический обзор долгосрочной эффективности»АксёновВ. А.AksenovV. A.

Аксёнов Валерий Алексеевич – к. м.н., вице-президент. 

Aksenov Valerii Alekseevich – MD, PhD, Vice-president. 

46-2, Dmitrovskoe shosse, Moscow 127238.

v_aksenov@bk.ruМежрегиональная общественная организация «Общество специалистов доказательной медицины».РоссияPublic Interregional Organization «Society of specialists in evidence based medicine».Russian Federation2018150820181127780Copyright © Aksenov V.A., 20182018Аксёнов В.А.Aksenov V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pharmacoeconomics.ru/jour/article/view/254

The aim – to review and analyze the data on the long-term population-based efficiency of the screening procedures and other measures implemented according to Stage 1 periodical health checkup in the Russian Federation (by Order №36ан of 2015).

Material and methods

Material and methods. This systematic search was carried out independently by two authors who used four databases: Scientific electronic Library, Cochrane Library, Medline/PubMed, and USPSTF. They looked into systematic reviews quoted by these sources. The criteria of the screening efficacy were the total / specific mortality and disability. The quality of the systematic reviews was assessed by the two authors using the international AMSTAR questionnaire.

Results

Results. According to the specific mortality rate, only the fecal occult blood test and the abdominal aorta ultrasonography are found to be efficient as screening methods for certain age and gender groups. The methodological quality of the studied reviews is high or medium to high. As follows from these high quality studies, the efficacy of mammography in female populations remains to be proven. 

Цель исследования – систематический поиск и анализ доказательств долгосрочной популяционной эффективности скринингов и других мероприятий, реализуемых в рамках i этапа диспансеризации в Российской Федерации согласно Приказу №36ан от 2015 г.

Материал и методы

Материал и методы. Систематический поиск осуществлялся независимо двумя авторами в четырех базах данных: Научная электронная библиотека, The Cochrane Library, Medline/PubMed, USPSTF. Изучаемый тип публикаций – систематические обзоры. Критерии эффективности скрининга: общая и специфическая смертность, инвалидизация. Оценка методологического качества систематических обзоров выполнялась двумя авторами по методике, основанной на международном вопроснике AMSTAR.

Результаты

Результаты. Только исследование кала на скрытую кровь и УЗИ брюшной аорты имеют научное обоснование как методы скрининга в определенных половозрастных популяциях по критерию снижения специфической смертности, при этом методологическое качество систематических обзоров является высоким и средним/высоким. Эффективность маммографии в исследованиях высокого методологического качества не доказана. 

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The authors declare that there are no conflicts of interest present.