Your browser doesn't support javascript.
loading
Patient Characteristics Associated With Patient-Reported Deterrents to Adjunct Breast Cancer Screening of Patients With Dense Breasts.
Miller, Matthew M; Repich, Kathy; Patrie, James T; Anderson, Roger T; Harvey, Jennifer A.
Afiliación
  • Miller MM; Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22903.
  • Repich K; Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22903.
  • Patrie JT; Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA.
  • Anderson RT; Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA.
  • Harvey JA; Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St, Charlottesville, VA 22903.
AJR Am J Roentgenol ; 217(5): 1069-1079, 2021 11.
Article en En | MEDLINE | ID: mdl-33147054
BACKGROUND. The success of adjunct breast cancer screening of women with dense breasts can be enhanced by identifying and addressing patient concerns regarding adjunct screening modalities. OBJECTIVE. The purpose of this study was to identify patient characteristics associated with patient-reported concerns about adjunct breast cancer screening to facilitate the development of a more effective screening model for women with dense breasts. METHODS. Patients with dense breasts completed surveys between March 2017 and February 2018 regarding factors that might deter them from adjunct screening and about which of three hypothetical screening examinations they might prefer. Additional patient data were extracted from medical records, and socioeconomic data were imputed from federal census data. Logistic regression analyses were conducted to identify associations between patient characteristics and patient attitudes toward adjunct screening. RESULTS. Surveys were completed by 508 women (median age, 59.0 years) with dense breasts. Lower confidence in the sensitivity of mammography of dense breasts was independently associated with lesser concern about adjunct screening examination time (1 divided by adjusted odds ratio [1/AOR], 0.55 [95% CI, 0.34-0.89]), additional imaging that could result (1/AOR, 0.51 [95% CI, 0.31-0.85]), and greater preference for a more sensitive hypothetical screening examination (1/AOR, 1.85 [95% CI, 1.20-2.86]). Concern about examination cost, the most commonly cited deterrent to adjunct screening (66.9%), was independently associated with younger age (1/AOR, 1.45 [95% CI, 1.01-2.08]) but not with imputed socioeconomic variables or other tested variables. Younger age was also associated with lesser concern about pain (1/AOR, 0.69 [95% CI, 0.48-0.99]), additional imaging that could result (1/AOR, 0.48 [95% CI, 0.31-0.76]), and IV contrast administration (1/AOR, 0.56 [95% CI, 0.37-0.83]). CONCLUSION. Younger age and lower confidence in the sensitivity of mammography among women with dense breasts are independently associated with lesser patient concern about common deterrents to adjunct breast cancer screening. Younger age is independently associated with greater concern about the cost of undergoing adjunct breast cancer screening. CLINICAL IMPACT. Concerns about adjunct screening may be reduced by educating patients about the lower sensitivity of mammography of dense breasts and by finding ways to address or mitigate the financial and daily-life impact of adjunct screening, especially for younger patients.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Mamografía / Aceptación de la Atención de Salud / Tamizaje Masivo / Detección Precoz del Cáncer / Prioridad del Paciente / Densidad de la Mama Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: AJR Am J Roentgenol Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias de la Mama / Mamografía / Aceptación de la Atención de Salud / Tamizaje Masivo / Detección Precoz del Cáncer / Prioridad del Paciente / Densidad de la Mama Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: AJR Am J Roentgenol Año: 2021 Tipo del documento: Article