Compliance after 17 Years of Breast Cancer Screening

Scaf-Klomp, Winnie; Sonderen, F. L. P. van; Stewart, Roy E.; Dijck, J.A.A.M. van; Heuvel, W.J.A. van den

doi:10.1177/096914139500200405

Cited by 32 publications

(15 citation statements)

References 10 publications

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“…In a longitudinal analysis of nine screening rounds in the Dutch screening programme, 26 only 5% of women who attended the initial screen did not attend any subsequent screening rounds. These women do not benefit from the long term reduction in risk associated with mammographic screening.…”

Section: Discussionmentioning

confidence: 99%

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

et al. 2000

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Objective-To determine the socioeconomic, cultural, and clinical predictors of non-attendance for second round mammography. Design/participants-Retrospective cohort study of 121 889 women aged 50-69 years who attended for first mammography screening in the BreastScreen Victoria programme in 1995/1996 and who were recommended to be invited for routine biennial mammography. Women were considered to be non-attenders if they had not attended for rescreening within 27 months of their initial screening. Relative risk (RR) was used to compare categories for non-attendance for second screening, and a multivariate model was fitted to adjust for possible confounding. Setting-BreastScreen Victoria, a population based mammographic screening programme, which oVers free biennial mammography to all women 40 years and older. The programme specifically targets women aged 50-69 years. Results-In the multivariate analysis, women from non-English speaking backgrounds were more likely not to attend for second round screening (RR ranged from 1.18 to 1.77). Indigenous women (RR 2.02, 95% confidence interval (CI) 1.61 to 2.54) and women who reported either significant symptoms (RR 1.90, 95% CI 1.76 to 2.05) or other breast symptoms (RR 2.25, 95% CI 2.15 to 2.36) at the time of first round screening were also more likely not to attend for second round screening. Conclusions-Women from non-English speaking backgrounds, indigenous women, and women who report symptoms at the time of first screening are more likely to not attend for second round screening. It is important to investigate why these women do not attend for second round screening so that services can be more appropriately tailored to their needs. (J Med Screen 2000;7:190-194) Keywords: breast; cancer; mammography; attendance In Australia, breast cancer is the most common cancer in women (excluding non-melanocytic skin cancer) and accounted for 29% (9846 cases) of new cancers in women and 17% (2623 cases) of female cancer related deaths in 1996.1 Randomised controlled trials of mammographic screening have shown a 30% reduction in mortality in women aged between 50 and 69 years who are screened.2 Achieving this mortality reduction depends on achieving a screening rate of about 70% of the target population.3 In Victoria, Australia, in 1996 and 1997, 54.9% of women aged 50-69 years attended for screening. For women of non-English speaking background, this rate was 44.8%. 4 Not only should the programme aim to maximise participation in first round screening but, if a mortality reduction is to be achieved, women must also continue to participate in the programme. This requires recruiting women who are eligible for baseline screening and retaining them within the screening programme. Many studies have focused on factors associated with initial participation in breast screening. [5][6][7][8][9][10][11][12][13] The purpose of this paper is to identify predictors of non-attendance for second round screening in Victorian women who attended for first round screening.Adherence to...

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Section: Discussionmentioning

confidence: 99%

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

et al. 2000

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“…A longitudinal study of 6,898 women found that unpleasant mammography experiences, such as enduring more pain than anticipated or being dissatisfied with the technique of the screening staff, was negatively correlated with return for future mammography (Scaf-Klomp, van Sonderen, Stewart, van Dijck, & van den Heuvel, 1995). In addition, a body of information has formed regarding patient preferences for learning about the results of their mammograms.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Mammography Experiences and Satisfaction Among American Indian/Alaska Native Women

Ndikum-Moffor

Braiuca

Daley

et al. 2013

Women's Health Issues

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BACKGROUND American Indian/Alaska Native (AI/AN) women have lower breast cancer (BCA) screening and 5-year survival rates than non-Hispanic Whites. Understanding reasons for low screening rates is important to combat later stage diagnoses. The purpose of this study was to assess mammography experiences and satisfaction among AI/AN women. METHODS Nine focus groups were held with rural (N=15) and urban (N=38) AI/AN women 40 years and older in Kansas and Kansas City, Missouri, living both near and far from Indian Health Service (IHS) and tribal facilities, to examine experiences and satisfaction with mammography. Transcripts were coded and themes identified using a community-based participatory research approach. FINDINGS Themes were classified under knowledge, communication, and awareness of breast cancer, barriers to mammography, mammogram facility size, impressions of mammogram technologist, motivations to getting a mammogram, and how to improve the mammogram experience. Participants had knowledge of prevention, but described cultural reasons for not discussing it and described better experiences in smaller facilities. Participants indicated having a mammogram technologist who was friendly, knowledgeable, respectful, competent, and explained the test was a determining factor in satisfaction. Other factors included family history, physician recommendation, and financial incentives. Barriers included transportation, cost, perceptions of prejudice, and time constraints. Participants on reservations or near IHS facilities preferred IHS over mainstream providers. Suggestions for improvement included caring technologists, better machines with less discomfort, and education. CONCLUSIONS Interventions to enhance the professionalism, empathy, and cultural awareness of mammogram technologists, reduce barriers, and provide positive expectations and incentives could improve satisfaction and compliance with screening mammography.

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“…Other studies have also found a falsepositive mammogram to be associated with a lower compliance with rescreening (6,9,11,34), including one conducted within the OBSP (35). However, a recent metaanalysis reported that although Canadian women were less likely to return for routine screening after a false-positive mammogram, women in the United States were more likely and European women were equally likely to return (36).…”

Section: Discussionmentioning

confidence: 90%

Influence of Nurses on Compliance with Breast Screening Recommendations in an Organized Breast Screening Program

Chiarelli

Majpruz

Brown

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Evidence from breast screening trials has shown that a significant reduction in breast cancer mortality from screening can be achieved by regular attendance. Few studies have evaluated the influence of nurses on compliance with breast screening recommendations.Methods: The cohort included 157,788 women ages 50 to 69 years who were screened at 1 of 9 regional cancer centers or 57 affiliated centers with nurses or 26 affiliated centers without nurses between January 1, 2002, and December 31, 2002, within the Ontario Breast Screening Program. These women were followed up prospectively for at least 30 months to compare compliance for annual and biennial screening recommendations among women who attended centers with and without nurses. The associations between type of screening center and the odds of compliance were modeled using mixed-effect logistic regression models. All P values are two-sided.Results: Women attending a regional cancer center [odds ratios (OR), 1.96; 95% confidence interval (95% CI), 1.07-3.58] or affiliated center with nurses (OR, 1.75; 95% CI, 1.38-2.22) were significantly more likely to return within 18 months of their annual screening recommendation than women attending affiliated centers without nurses. In addition, women attending regional cancer centers (OR, 2.28; 95% CI, 1.34-3.89) or affiliated centers with nurses (OR, 2.30; 95% CI, 1.86-2.83) were significantly more likely to make a timely return within the recommended biennial screening interval of between 18 and 30 months.Conclusions: Breast screening programs should consider methods of integrating educational activities as provided by the nurses to improve compliance with screening. Cancer Epidemiol Biomarkers Prev; 19(3); 697-706.

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Compliance after 17 Years of Breast Cancer Screening

Cited by 32 publications

References 10 publications

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

Predictors of non-attendance for second round mammography in an Australian mammographic screening programme

Assessment of Mammography Experiences and Satisfaction Among American Indian/Alaska Native Women

Influence of Nurses on Compliance with Breast Screening Recommendations in an Organized Breast Screening Program

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