Perceived Ambiguity about Screening Mammography Recommendations: Association with Future Mammography Uptake and Perceptions

Han, Paul K. J.; Kobrin, Sarah C.; Klein, William M. P.; Davis, William W.; Stefanek, Michael; Taplin, Steven H.

doi:10.1158/1055-9965.epi-06-0533

Cited by 69 publications

(63 citation statements)

References 61 publications

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“…While a previous study has shown that semiannual mammography is associated with a low yield of detection for invasive cancer recurrence at the initial 6-month surveillance examination (29), we recommend continuous semiannual surveillance for 5 years to avoid confusing our patients with a complex protocol that appears to include some and skip other 6-month examinations. Confusion concerning mammography protocols has been shown to lead to decreased compliance (30). We also were unable to analyze the effect of biannual-interval examinations because very few patients had such intervals, as compliance with the semiannual protocol was high.…”

Section: Discussionmentioning

confidence: 98%

Benefit of Semiannual Ipsilateral Mammographic Surveillance Following Breast Conservation Therapy

Arasu¹,

Joe²,

Lvoff³

et al. 2012

Radiology

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. Sickles, MD Purpose:To compare cancer recurrence outcomes on the basis of compliant semiannual versus noncompliant annual ipsilateral mammographic surveillance following breast conservation therapy (BCT). Materials and Methods:A HIPAA-compliant retrospective review was performed of post-BCT examinations from 1997 through 2008 by using a deidentified database. The Committee on Human Research did not require institutional review board approval for this study, which was considered quality assurance. Groups were classified according to compliance with institutional post-BCT protocol, which recommends semiannual mammographic examinations of the ipsilateral breast for 5 years. A compliant semiannual examination was defined as an examination with an interval of 0-9 months, although no examination had intervals less than 3 months. A noncompliant annual examination was defined as an examination with an interval of 9-18 months. Cancer recurrence outcomes were compared on the basis of the last examination interval leading to diagnosis. Results:Initially, a total of 10 750 post-BCT examinations among 2329 asymptomatic patients were identified. Excluding initial mammographic follow-up, there were 8234 examinations. Of these, 7169 examinations were semiannual with 94 recurrences detected and 1065 examinations were annual with 15 recurrences detected. There were no differences in demographic risk factors or biopsy rates. Recurrences identified at semiannual intervals were significantly less advanced than those identified at annual intervals (stage I vs stage II, P = .04; stage 0 + stage I vs stage II, P = .03). Nonsignificant findings associated with semiannual versus annual intervals included smaller tumor size (mean, 11.7 vs 15.3 mm; P = .15) and node negativity (98% vs 91%, P = .28). Conclusion:Results suggest that a semiannual interval is preferable for ipsilateral mammographic surveillance, allowing detection of a significantly higher proportion of cancer recurrences at an earlier stage than noncompliant annual surveillance.q RSNA, 20121 From the Departments of Radiology and Biomedical Imaging

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Section: Discussionmentioning

confidence: 98%

Benefit of Semiannual Ipsilateral Mammographic Surveillance Following Breast Conservation Therapy

Arasu¹,

Joe²,

Lvoff³

et al. 2012

Radiology

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“…Studies have shown that physicians may assume that parents prefer not to hear about scientific uncertainty, a concept that has been labeled "ambiguity aversion" [18][19][20]. This likely stems from physicians' own discomfort with uncertainty [21].…”

Section: Discussionmentioning

confidence: 99%

Understanding the Parent Perspective on Prenatal Consultation for Fetuses with Congenital Anomalies

Berman

Costanzo²,

Smola³

et al. 2017

Fetal Diagn Ther

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Introduction: An increasing number of congenital anomalies are diagnosed prenatally. Understanding the implications of these diagnoses on the life of their child is critical for parents, and the surgical consultation is often the primary venue for this education. Little is known about the parent perspective on prenatal consultation. Methods: Parents undergoing prenatal consultation were identified and in-depth interviews were conducted to explore the following: understanding of the diagnosis, preparedness for postnatal course, and suggestions for improvement. Qualitative analysis was performed to generate themes. Results: Twelve interviews with 16 family members were performed, encompassing a variety of prenatal diagnoses and outcomes. Near-ubiquitous emotions included fear, anxiety, and self-blame. Surgical consultation relieved anxiety for some, but the uncertain outcome increased anxiety in others. Most were satisfied with the information communicated during the encounter; however, those with worse outcomes wished they were better warned. Parents emphasized the importance of support systems and educational materials. Conclusions: Parents appreciate learning about all potential outcomes for the fetus, even though this generates anxiety. Surgeons should discuss the range of possible outcomes while acknowledging that uncertainty leads to anxiety. It is essential to incorporate the parent perspective when conducting prenatal consultation and training pediatric surgeons in this important practice.

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“…Greek general practitioners have demonstrated a limited awareness of international recommendations for breast cancer screening and exhibited marked variation in their opinions on optimal intervals for screening and ages to start screening (Trigoni et al, 2011). Conflicting expert recommendations regarding breast cancer screening may result in diminished uptake of mammography over time (Han et al, 2007). Screening tests are advised at suboptimal rates (Kamposioras et al, 2008), inequalities in access to and use of specialized healthcare services are large (Athanasakis et al, in press), while waiting lists for diagnostic tests are long (Geitona & Kanavos, 2010).…”

Section: Discussionmentioning

confidence: 99%

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

Anagnostopoulos

Dimitrakaki

Fitzsimmons

et al. 2011

J Clin Psychol Med Settings

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Previous research has shown that, although routine mammography screening can reduce mortality from breast cancer, the use of annual mammography screening remains well under 65%. In an effort to determine the factors that are associated with women's mammography behaviors, this study used the health belief model and the common-sense model of self-regulation as the theoretical frameworks to explore health beliefs, illness representations, and women's mammography practice. Data were obtained from a nationally representative sample of 408 Greek women, 40 years of age or older, with no personal history of cancer. Three dependent variables were considered: recent mammography, repeat mammography, and no mammogram during lifetime. Predictors included socio-demographic and medical variables, perceived benefits of mammography screening, perceived barriers to mammography screening, self-efficacy, as well as illness perceptions. Multivariate analyzes indicated that never having had a mammogram was more likely for women who perceived fewer benefits and more barriers to mammography screening, had more negative emotional representations of breast cancer, and had no private health insurance coverage. Factors associated with recent mammography were younger age, a good knowledge of the recommended mammography screening interval, a family history of breast cancer, and use of patient reminders for next mammogram. Adequate knowledge about the recommended mammography screening interval and higher values for breast cancer worry were associated with an increased number of repeat lifetime mammograms. Implications of the results and suggestions for future research are outlined.

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Perceived Ambiguity about Screening Mammography Recommendations: Association with Future Mammography Uptake and Perceptions

Cited by 69 publications

References 61 publications

Benefit of Semiannual Ipsilateral Mammographic Surveillance Following Breast Conservation Therapy

Benefit of Semiannual Ipsilateral Mammographic Surveillance Following Breast Conservation Therapy

Understanding the Parent Perspective on Prenatal Consultation for Fetuses with Congenital Anomalies

Health Beliefs and Illness Perceptions as Related to Mammography Uptake in Randomly Selected Women in Greece

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