Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same
Purpose. In November 2009, the U.S. Preventative Service Task Force (USPSTF) revised their breast cancer screening guidelines. We evaluated the pattern of screening subsequent to the altered guidelines in a cohort of women. Methods. Our database was queried for the following variables: age, race, m...
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Hindawi Publishing Corporation
2013
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789493/ |
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pubmed-37894932013-10-24 Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same Friedman, Erica B. Chun, Jennifer Schnabel, Freya Schwartz, Shira Law, Sidney Billig, Jessica Ivanoff, Erin Moy, Linda Axelrod, Deborah Guth, Amber Clinical Study Purpose. In November 2009, the U.S. Preventative Service Task Force (USPSTF) revised their breast cancer screening guidelines. We evaluated the pattern of screening subsequent to the altered guidelines in a cohort of women. Methods. Our database was queried for the following variables: age, race, method of diagnosis, mass palpability, screening frequency, histology, and stage. Statistical analyses were performed using Pearson's chi-square and Fisher's exact tests. Results. 1112 women were diagnosed with breast cancer from January 2010 to 2012. The median age at diagnosis was 60 years. Most cancers were detected on mammography (61%). The majority of patients had invasive ductal carcinoma (59%), stage 0 (23%), and stage 1 (50%) cancers. The frequency of screening did not change significantly over time (P = 0.30). However, nonregular screeners had an increased risk of being diagnosed with later stage breast cancer (P < 0.001) and were more likely to present with a palpable mass compared to regular screeners (56% versus 21%; P < 0.001). Conclusions. In our study, screening behavior did not significantly change in the years following the USPSTF guidelines. These results suggest that women who are not screened annually are at increased risk of a delay in breast cancer diagnosis, which may impact treatment options and outcomes. Hindawi Publishing Corporation 2013 2013-09-18 /pmc/articles/PMC3789493/ /pubmed/24159387 http://dx.doi.org/10.1155/2013/327567 Text en Copyright © 2013 Erica B. Friedman et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Friedman, Erica B. Chun, Jennifer Schnabel, Freya Schwartz, Shira Law, Sidney Billig, Jessica Ivanoff, Erin Moy, Linda Axelrod, Deborah Guth, Amber |
| spellingShingle |
Friedman, Erica B. Chun, Jennifer Schnabel, Freya Schwartz, Shira Law, Sidney Billig, Jessica Ivanoff, Erin Moy, Linda Axelrod, Deborah Guth, Amber Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| author_facet |
Friedman, Erica B. Chun, Jennifer Schnabel, Freya Schwartz, Shira Law, Sidney Billig, Jessica Ivanoff, Erin Moy, Linda Axelrod, Deborah Guth, Amber |
| author_sort |
Friedman, Erica B. |
| title |
Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| title_short |
Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| title_full |
Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| title_fullStr |
Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| title_full_unstemmed |
Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same |
| title_sort |
screening prior to breast cancer diagnosis: the more things change, the more they stay the same |
| description |
Purpose. In November 2009, the U.S. Preventative Service Task Force (USPSTF) revised their breast cancer screening guidelines. We evaluated the pattern of screening subsequent to the altered guidelines in a cohort of women. Methods. Our database was queried for the following variables: age, race, method of diagnosis, mass palpability, screening frequency, histology, and stage. Statistical analyses were performed using Pearson's chi-square and Fisher's exact tests. Results. 1112 women were diagnosed with breast cancer from January 2010 to 2012. The median age at diagnosis was 60 years. Most cancers were detected on mammography (61%). The majority of patients had invasive ductal carcinoma (59%), stage 0 (23%), and stage 1 (50%) cancers. The frequency of screening did not change significantly over time (P = 0.30). However, nonregular screeners had an increased risk of being diagnosed with later stage breast cancer (P < 0.001) and were more likely to present with a palpable mass compared to regular screeners (56% versus 21%; P < 0.001). Conclusions. In our study, screening behavior did not significantly change in the years following the USPSTF guidelines. These results suggest that women who are not screened annually are at increased risk of a delay in breast cancer diagnosis, which may impact treatment options and outcomes. |
| publisher |
Hindawi Publishing Corporation |
| publishDate |
2013 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789493/ |
| _version_ |
1612016003755016192 |