Women's attitudes to false positive mammography results

Godby, Carol Jean; A, Peticolas; Carter, J. M; Ghebrehewet, Sam; Woloshin, Steven; Schwartz, Lisa M.; Welch, H. Gilbert; Sox, Harold C.

doi:10.1136/bmj.321.7273.1409

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…From a patient‐centred perspective, the language used across sources (e.g. clinicians, leaflets) should be non‐ambiguous, coherent and understandable (Godby 2000, Prinjha et al. 2006).…”

Section: Discussionmentioning

confidence: 99%

The shifting nature of women’s experiences and perceptions of ductal carcinoma in situ

Kennedy

Harcourt

Rumsey

2011

Journal of Advanced Nursing

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kennedy f., harcourt d. & rumsey n. (2011) The shifting nature of women’s experiences and perceptions of ductal carcinoma in situ. Journal of Advanced Nursing 68(4), 856–867. Abstract Aim. This paper is a report of a descriptive qualitative study of the evolution of women’s perceptions and experiences of ductal carcinoma in situ from the period near to diagnosis to 1 year later. Background. Ductal carcinoma in situ is a non‐invasive breast condition where cancer cells are detected but confined to the ducts of the breast. With treatment, the condition has a positive prognosis but ironically patients undergo treatment similar to that for invasive breast cancer. There is a lack of longitudinal qualitative research studying women’s experiences of ductal carcinoma in situ, especially among newly diagnosed patients, and how experiences change over time. Methods. Forty‐five women took part in an initial interview following a diagnosis of ductal carcinoma in situ and 27 took part in a follow‐up interview 9–13 months later. Data were collected between January 2007 and October 2008. Transcripts were analysed using a hybrid approach to thematic analysis. Findings. Women’s early perceptions of ductal carcinoma in situ merged and sometimes conflicted with their lay beliefs of breast cancer. Perceptions and experiences of the condition shifted over time. These overriding aspects were evident in four themes identified across the interviews: (i) perceptions of ductal carcinoma in situ vs. breast cancer, (ii) from paradox to acceptance, (iii) personal impact, and (iv) support and interactions with others. Conclusion. This study represents one of the few longitudinal qualitative studies with newly diagnosed patients, capturing women’s initial and shifting experiences and perceptions of the condition. The issues identified need to be recognized in clinical practice and supported appropriately.

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Section: Discussionmentioning

confidence: 99%

The shifting nature of women’s experiences and perceptions of ductal carcinoma in situ

Kennedy

Harcourt

Rumsey

2011

Journal of Advanced Nursing

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“…15 The general inconsistency in language and terms used in DCIS has been reported to leave patients confused. 6,10 From a patient-centred perspective it is imperative that the language health professionals use to explain DCIS is understandable, coherent and consistent, 23,6 so that patients can clearly comprehend the condition and the rationale for the recommended treatment.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of ductal carcinoma in situ (DCIS) among UK health professionals

2009

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Ductal carcinoma in situ (DCIS) is a complex medical entity which presents challenges for the health professionals who manage the treatment and support of the increasing numbers of women diagnosed with the condition. Health professionals' perceptions and experiences of working with DCIS have rarely been explored, which this study sought to address. Two hundred and ninety-six UK health professionals involved with the treatment of DCIS patients were surveyed. Respondents had diverse perceptions of the condition. Explaining DCIS to patients was challenging for many respondents, and the terminology used varied considerably. This exploratory study highlights the substantial diversity in the perceptions and communication of DCIS among UK health professionals. The nature and implication of these variations and the professional challenges presented by DCIS warrant further exploration and debate in order to inform the provision of appropriate care, support and information to patients.

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“…In a cross‐sectional survey of 479 US women in 1997, only 6% reported that they had heard of DCIS and only 7% agreed that there are “some types of breast cancer that grow so slowly that even without treatment they would not affect a woman's health.”18 Among women who are diagnosed with DCIS, there is a lack of understanding of the disease entity, particularly with regard to the noninvasive nature and whether or not it is “cancer” or could spread to other places in a woman's body and become life‐threatening 19‐24. For example, in a letter to the BMJ , a patient with DCIS understandably bemoaned the fact that during one appointment with her physician, she was told both that she did have cancer and that she did not have cancer 20. Women's confusion is potentially compounded by the use of the term “carcinoma,” as this implies for many women that they have invasive breast cancer.…”

Section: Knowledge and Communication About Dcismentioning

confidence: 99%

Challenges in ductal carcinoma in situ risk communication and decision‐making

Partridge

Elmore

Saslow

et al. 2012

CA A Cancer J Clinicians

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In September 2010, the American Cancer Society and National Cancer Institute convened a conference to review current issues in DCIS risk communication and decision-making and to identify directions for future research. Specific topics included patient and healthcare provider knowledge and attitudes about DCIS and its treatment, how to explain DCIS to patients given the heterogeneity of the disease, consideration of nomenclature changes, and the utility of decision tools/aids. This report describes the proceedings of the workshop in the context of the current literature and discusses future directions. Evidence suggests that there is lack of clarity about the implications and risks of a diagnosis of DCIS, among patients, providers and researchers. Research is needed to understand better the biology and mechanisms of the progression of DCIS to invasive breast cancer and the factors which predict those subtypes of DCIS which do not progress, as well as efforts to improve communication and informed decision-making surrounding DCIS.

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Women's attitudes to false positive mammography results

Cited by 6 publications

References 4 publications

The shifting nature of women’s experiences and perceptions of ductal carcinoma in situ

The shifting nature of women’s experiences and perceptions of ductal carcinoma in situ

Perceptions of ductal carcinoma in situ (DCIS) among UK health professionals

Challenges in ductal carcinoma in situ risk communication and decision‐making

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