2013
DOI: 10.1001/jamainternmed.2013.307
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Outcomes of Screening Mammography by Frequency, Breast Density, and Postmenopausal Hormone Therapy

Abstract: Importance: Controversy exists about the frequency women should undergo screening mammography and whether screening interval should vary according to risk factors beyond age.Objective: To compare the benefits and harms of screening mammography frequencies according to age, breast density, and postmenopausal hormone therapy (HT) use.

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Cited by 179 publications
(149 citation statements)
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References 42 publications
(76 reference statements)
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“…4,[94][95][96][97][98][99][100] Women with high breast density have been reported to have a four to six times increased risk of developing breast cancer compared with those with low breast density, 95,[101][102][103][104][105] and high breast density has also been linked to an increased risk of cancers not detected at screening, 4,8,96,106,107 larger tumour size [108][109][110] and positive lymph nodes. 109,[111][112][113] The underlying cause of these links are thought to be numerous, and early studies hypothesised that a significant reason for an increase in breast cancer incidence with higher density breasts was as a result of a 'masking bias' that made mammographic screening less sensitive to cancer detection. 96,101 Later studies, however, have shown that there is increased risk for at least 7-10 years following a screening examination, indicating that 'masking bias' is only one of the mechanisms linking breast density to an increased cancer risk.…”
Section: Introductionmentioning
confidence: 99%
“…4,[94][95][96][97][98][99][100] Women with high breast density have been reported to have a four to six times increased risk of developing breast cancer compared with those with low breast density, 95,[101][102][103][104][105] and high breast density has also been linked to an increased risk of cancers not detected at screening, 4,8,96,106,107 larger tumour size [108][109][110] and positive lymph nodes. 109,[111][112][113] The underlying cause of these links are thought to be numerous, and early studies hypothesised that a significant reason for an increase in breast cancer incidence with higher density breasts was as a result of a 'masking bias' that made mammographic screening less sensitive to cancer detection. 96,101 Later studies, however, have shown that there is increased risk for at least 7-10 years following a screening examination, indicating that 'masking bias' is only one of the mechanisms linking breast density to an increased cancer risk.…”
Section: Introductionmentioning
confidence: 99%
“…36,37 Women with lower familial risk, no genetic markers and lower mammographic density could benefit from less frequent imaging and no additional imaging outside the standard mammographic screening program. 38,39 Additional imaging and/or less/more frequent screening obviously is associated with higher costs and potential for increase false-…”
mentioning
confidence: 99%
“…The results of this comparison might also be influenced by breast density, which is associated with increased breast cancer incidence, also in BRCA1/2 mutation carriers, 36 and decreased sensitivity of mammography. 37 In conclusion, the majority of BRCA1/2 mutation carriers are still at risk for breast cancer after the age of 60. If life expectancy is good, annual mammography screening of BRCA1/2 mutation carriers !60 should be considered over biennial screening.…”
Section: 31mentioning
confidence: 94%