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Showing content from http://www.ncbi.nlm.nih.gov/pubmed/28508184 below:

Nationwide cross-sectional adherence to mammography screening guidelines: national behavioral risk factor surveillance system survey results

Affiliations

• ¹ Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. narayaa1@mskcc.org.
• ² Johns Hopkins School of Medicine, 733 N. Broadway, Baltimore, MD, 21205, USA.
• ³ Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
• ⁴ Johns Hopkins Department of Radiology, 601 N. Caroline St., Baltimore, MD, 21231, USA.
• ⁵ Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

• PMID: 28508184
• DOI: 10.1007/s10549-017-4286-5

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Anand Narayan et al. Breast Cancer Res Treat. 2017 Aug.

• ¹ Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. narayaa1@mskcc.org.
• ² Johns Hopkins School of Medicine, 733 N. Broadway, Baltimore, MD, 21205, USA.
• ³ Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
• ⁴ Johns Hopkins Department of Radiology, 601 N. Caroline St., Baltimore, MD, 21231, USA.
• ⁵ Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.

• PMID: 28508184
• DOI: 10.1007/s10549-017-4286-5

Item in Clipboard

Purpose: Varying recommendations about breast cancer screening have generated much confusion about when and how often to undergo mammography screening, yet there is limited population-based data about the extent to which patients adhere to various mammographic screening guidelines in practice. Our purpose was to evaluate population-based adherence to mammographic screening using criteria from major guideline-producing organizations.

Methods: Women aged 40-74 in the 2014 Behavioral Risk Factor Surveillance System survey were included. Self-reported mammographic screening within 1 or 2 years, according to major guideline-producing organizations (American Cancer Society [ACS], US Preventative Services Task Force [USPSTF], American College of Radiology [ACR], American College of Obstetricians and Gynecologists [ACOG]) was calculated with logistic regression, adjusting for demographics and indices of access to health care.

Results: 159,123 women were included. By age category, cross-sectional adherence to USPSTF guidelines ranged from 76 to 81%, ACS (55-81%) and ACR/ACOG (45-64%) with increasing age being associated improved adherence. The highest proportions of women undergoing mammographic screening were seen in women ages 65-69 (66% within last year, 81% within last 2 years). Statistically significant predictors of adherence to mammography screening included increased income category (OR 1.08, 1.07-1.09), higher education category (OR 1.13, 1.11-1.16), and increased access to health care (OR 2.25, 1.94-2.60), adjusted for age categories.

Conclusions: Adherence to mammography screening was closest to USPSTF guidelines with 76-81% cross-sectional adherence. Frequency of screening increases with age with highest screening proportions in women ages 65-69 (66% within last year, 81% within last 2 years). For all screening guidelines, adherence to mammography screening remains poor in women with limited access to health insurance with less than half of women obtaining recommended screening.

Keywords: Adherence; Breast cancer; Guidelines; Mammography; Screening.

PubMed Disclaimer

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