US women's attitudes to false-positive mammography results and detection of ductal carcinoma in situ: cross-sectional survey

Schwartz, Lisa M.

doi:10.1136/ewjm.173.5.307

Cited by 98 publications

(108 citation statements)

References 21 publications

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“…Instead, 'different' psychosocial problems may occur (Wellisch, 1997) which may be due to a number of issues. Firstly, as DCIS is commonly detected asymptomatically it is often unanticipated (Hamilton, 1992) and the majority of women are unaware that the condition exists (Schwartz et al, 2000;Prinjha et al, 2006). The natural history of DCIS remains poorly understood because most patients receive surgery (Erbas et al, 2006); currently therefore it is difficult to accurately predict the risk of developing invasive breast cancer with or without treatment.…”

Section: Introductionmentioning

confidence: 99%

The challenge of being diagnosed and treated for ductal carcinoma in situ (DCIS)

Kennedy¹,

Harcourt²,

Rumsey³

2008

European Journal of Oncology Nursing

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Following the introduction of the National Health Service Breast Screening Programme (NHSBSP) in the UK increasing numbers of women are diagnosed with ductal carcinoma in situ (DCIS). In DCIS, the cancer cells are confined to the ducts of the breast but considerable uncertainty surrounds the condition. Patients are often reassured that it is non-invasive and not life-threatening but they are recommended similar treatments to patients with invasive breast cancer. Little research has investigated the psychosocial impact of DCIS; therefore the aim of this qualitative study was to explore women's experiences of the condition. Semi-structured interviews were conducted with a purposive sample of 16 women previously diagnosed and treated for DCIS. Thematic analysis identified six key themes: 1) Invisibility of DCIS, 2) Uncertainty, 3)Perceptions of DCIS, 4) Acceptance of Treatment, 5) Social Support and 6) Moving On.The results highlight the substantial challenges faced by women diagnosed with DCIS.These findings have clear significance for healthcare professionals, especially specialist nurses, who work closely with DCIS patients.

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Section: Introductionmentioning

confidence: 99%

The challenge of being diagnosed and treated for ductal carcinoma in situ (DCIS)

Kennedy¹,

Harcourt²,

Rumsey³

2008

European Journal of Oncology Nursing

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“…However, it is misleading in these discussions to describe the totality of negative aspects of screening mammography as harm, because they do not all constitute injury, and some are clearly amenable to interventions that can reduce the adverse experiences and consequences. Moreover, a study by Schwartz et al 63 false positives as significant harm in the context of the underlying goal of early breast cancer detection.…”

Section: Cancer-related Checkupmentioning

confidence: 99%

Cancer Screening in the United States, 2010: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening

Smith¹,

Cokkinides²,

Brooks³

et al. 2010

CA: A Cancer Journal for Clinicians

441

334

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Each year the American Cancer Society (ACS) publishes a summary of its recommendations for early cancer detection, a report on data and trends in cancer screening rates, and select issues related to cancer screening. In 2010, the ACS updated its guidelines for testing for early prostate cancer detection, and during 2009 there were several newsworthy updates in the cancer screening guidelines from other organizations. In this article, the current ACS guidelines and recent issues are summarized, updates of guidelines for testing for early breast cancer detection by the US Preventive Services Task Force and for prevention and early detection of cervical cancer from the American College of Obstetricians and Gynecologists are addressed, and the most recent data from the National Health Interview Survey pertaining to participation rates in cancer screening are described. CA Cancer J Clin 2010; 60:99-119.

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“…Asking a stratified sample of 479 American women, Schwartz et al [9] found that very few had ever heard of potential harms except from false positives. Ninety-two percent believed that mammography could not harm a woman without breast cancer.…”

Section: What Are the Harms Of Mammography Screening?mentioning

confidence: 99%

“There is nothing to worry about”: Gynecologists’ counseling on mammography

Wegwarth

Gigerenzer

2011

Patient Education and Counseling

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US women's attitudes to false-positive mammography results and detection of ductal carcinoma in situ: cross-sectional survey

Cited by 98 publications

References 21 publications

The challenge of being diagnosed and treated for ductal carcinoma in situ (DCIS)

The challenge of being diagnosed and treated for ductal carcinoma in situ (DCIS)

Cancer Screening in the United States, 2010: A Review of Current American Cancer Society Guidelines and Issues in Cancer Screening

“There is nothing to worry about”: Gynecologists’ counseling on mammography

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