The Dense Breast Clinic: Initial Experience of a Patient-Centered Breast Imaging Clinic

Robinson, Kristin A.; Staack, Sasha O.; Patel, Bhavika; Lorans, Roxanne; Sharpe, Richard E.; Kling, Juliana M.; Maimone, Santo; Pizzitola, Victor

doi:10.1093/jbi/wbac063

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…Websites [ 35 ] and factsheets [ 36 ] that provide breast density information should be aware of these common misconceptions and actively seek to dispel them. For the most comprehensive information, personalised counselling within a dedicated radiologist-run breast density consultation may foster better understanding among women about breast density and augment their participation in shared decision-making [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Increased Knowledge about Breast Density in South Australian Women Undergoing Breast Cancer Screening

Bhattacharjee,

Walsh,

Dasari

et al. 2024

Cancers

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Background: There is growing awareness of breast density in women attending breast cancer screening; however, it is unclear whether this awareness is associated with increased knowledge. This study aims to evaluate breast density knowledge among Australian women attending breast cancer screening. Method: This cross-sectional study was conducted on women undergoing breast cancer screening at The Queen Elizabeth Hospital Breast/Endocrine outpatient department. Participants were provided with a questionnaire to assess knowledge, awareness, and desire to know their own breast density. Result: Of the 350 women who participated, 61% were familiar with ‘breast density’ and 57% had ‘some knowledge’. Prior breast density notification (OR = 4.99, 95% CI = 2.76, 9.03; p = 0.004), awareness (OR = 4.05, 95% CI = 2.57, 6.39; p = 0.004), younger age (OR = 0.97, 95% CI = 0.96, 0.99; p = 0.02), and English as the language spoken at home (OR = 3.29, 95% CI = 1.23, 8.77; p = 0.02) were independent predictors of ‘some knowledge’ of breast density. A significant proportion of participants (82%) expressed desire to ascertain their individual breast density. Conclusions: While knowledge of breast density in this Australian cohort is generally quite low, we have identified factors associated with increased knowledge. Further research is required to determine optimal interventions to increase breast density knowledge.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Increased Knowledge about Breast Density in South Australian Women Undergoing Breast Cancer Screening

Bhattacharjee,

Walsh,

Dasari

et al. 2024

Cancers

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show abstract

“…In some cases, it may be beneficial to develop partnerships between primary care and radiology to help counsel women on appropriate supplemental screening and/or preventive measures. 62 In summary, future laws or regulations involving breast density notifications should ensure that communications promote a more comprehensive understanding of breast cancer risk to inform choices about screening and prevention.…”

Section: Discussionmentioning

confidence: 99%

“…A review of interventions involving the use of risk assessment tools in primary care concluded that more comprehensive interventions that combined risk assessment with decision support were more likely to have an effect on behavior. In some cases, it may be beneficial to develop partnerships between primary care and radiology to help counsel women on appropriate supplemental screening and/or preventive measures . In summary, future laws or regulations involving breast density notifications should ensure that communications promote a more comprehensive understanding of breast cancer risk to inform choices about screening and prevention.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening

et al. 2023

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ImportanceBreast density is an independent risk factor for breast cancer. Despite the proliferation of mandated written notifications about breast density following mammography, there is little understanding of how women perceive the relative breast cancer risk associated with breast density.ObjectiveTo assess women’s perception of breast density compared with other breast cancer risks and explore their understanding of risk reduction.Design, Setting, and ParticipantsThis mixed-methods qualitative study used telephone surveys and semistructured interviews to investigate perceptions about breast cancer risk among a nationally representative, population-based sample of women. Eligible study participants were aged 40 to 76 years, reported having recently undergone mammography, had no history of prior breast cancer, and had heard of breast density. Survey participants who had been informed of their personal breast density were invited for a qualitative interview. Survey administration spanned July 1, 2019, to April 30, 2020, with 2306 women completing the survey. Qualitative interviews were conducted from February 1 to May 30, 2020.Main Outcomes and MeasuresRespondents compared the breast cancer risk associated with breast density with 5 other risk factors. Participants qualitatively described what they thought contributed to breast cancer risk and ways to reduce risk.ResultsOf the 2306 women who completed the survey, 1858 (166 [9%] Asian, 503 [27%] Black, 268 [14%] Hispanic, 792 [43%] White, and 128 [7%] other race or ethnicity; 358 [19%] aged 40-49 years, 906 [49%] aged 50-64 years, and 594 [32%] aged ≥65 years) completed the revised risk perception questions and were included in the analysis. Half of respondents thought breast density to be a greater risk than not having children (957 [52%]), having more than 1 alcoholic drink per day (975 [53%]), or having a prior breast biopsy (867 [48%]). Most respondents felt breast density was a lesser risk than having a first-degree relative with breast cancer (1706 [93%]) or being overweight or obese (1188 [65%]). Of the 61 women who were interviewed, 6 (10%) described breast density as contributing to breast cancer risk, and 43 (70%) emphasized family history as a breast cancer risk factor. Of the interviewed women, 17 (28%) stated they did not know whether it was possible to reduce their breast cancer risk.Conclusions and RelevanceIn this qualitative study of women of breast cancer screening age, family history was perceived as the primary breast cancer risk factor. Most interviewees did not identify breast density as a risk factor and did not feel confident about actions to mitigate breast cancer risk. Comprehensive education about breast cancer risks and prevention strategies is needed.

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“…Websites (35) and factsheets (36) that provide breast density information should be aware of these common misconceptions and actively seek to dispel them. For the most comprehensive information, personalised counselling within a dedicated radiologist-run breast density consultation may foster better understanding among women about breast density and augment their participation in shared decisionmaking (37).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with increased knowledge about breast density in women undergoing breast cancer screening

Bhattacharjee,

Walsh,

Dasari

et al. 2023

Preprint

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Purpose Breast density is an independent risk factor for breast cancer and can impede detection of cancer by mammography. There is growing awareness of breast density in women attending breast cancer screening, however it is unclear whether this awareness is associated with increased knowledge. This study aims to evaluate breast density knowledge among Australian women attending breast cancer screening. Method This cross-sectional study was conducted among women undergoing breast cancer screening at The Queen Elizabeth Hospital Breast/Endocrine outpatient department. Participants were provided with a questionnaire to assess knowledge, awareness and desire to know their own breast density. Result A consecutive sample of 427 women were invited, and 350 women responded (response rate 82%). Overall, 61% had heard the term ‘breast density’ before and 57% answered at least two of five questions about breast density correctly. Prior breast density notification (OR = 3.59, 95%CI = 2.03, 6.36; p < 0.001), breast density awareness (OR = 2.68, 95%CI = 1.72, 4.18; p < 0.001), younger age (OR = 0.96, 95% CI = 0.95, 0.98; p < 0.001), and English as the language spoken at home (OR = 2.93, 95%CI = 1.14, 7.54; p = 0.03) were independent predictors of ‘some knowledge’ of breast density. A significant proportion of participants (82%) expressed desire to ascertain their individual breast density. Conclusion While knowledge of breast density in this Australian cohort is generally quite low, we have identified factors associated with increased knowledge. Given that the majority of participants expressed the desire to know individual breast density, further studies are warranted to determine the optimal interventions to increase breast density knowledge.

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The Dense Breast Clinic: Initial Experience of a Patient-Centered Breast Imaging Clinic

Cited by 4 publications

References 21 publications

Factors Associated with Increased Knowledge about Breast Density in South Australian Women Undergoing Breast Cancer Screening

Factors Associated with Increased Knowledge about Breast Density in South Australian Women Undergoing Breast Cancer Screening

Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening

Factors associated with increased knowledge about breast density in women undergoing breast cancer screening

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