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Re-attendance after false-positive screening mammography: a population-based study in the Netherlands

. 2013 Oct 15;109(8):2044-50. doi: 10.1038/bjc.2013.573. Epub 2013 Sep 19. Re-attendance after false-positive screening mammography: a population-based study in the Netherlands

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Re-attendance after false-positive screening mammography: a population-based study in the Netherlands

W Setz-Pels et al. Br J Cancer. 2013.

. 2013 Oct 15;109(8):2044-50. doi: 10.1038/bjc.2013.573. Epub 2013 Sep 19. Affiliation

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Abstract

Background: In the current study, mammography adherence of women who had experienced a false-positive referral is evaluated, with emphasis on the probability of receiving surveillance mammography outside the national screening programme.

Methods: We included 424,703 consecutive screens and collected imaging, biopsy and surgery reports of 3463 women who experienced a false-positive referral. Adherence to screening, both in and outside the screening programme, was evaluated.

Results: Two years after the false-positive referral, overall screening adherence was 94.6%, with 64.7% of women returning to the national screening programme, compared with 94.9% of women re-attending the screening programme after a negative screen (P<0.0001). Four years after the false-positive screen, the overall adherence had decreased to 85.2% (P<0.0001) with a similar proportion of the women re-attending the screening programme (64.4%) and a lower proportion (20.8%) having clinical surveillance mammography. Women who had experienced a false-positive screen at their first screening round were less likely to adhere to mammography than women with an abnormal finding at one of the following screening rounds (92.4% vs 95.5%, P<0.0001).

Conclusion: Overall screening adherence after previous false-positive referral was comparable to the re-attendance rate of women with a negative screen at 2-year follow-up. Overall adherence decreased 4 years after previous false-positive referral from 94.6% to 85.2%, with a relatively high estimate of women who continue with clinical surveillance mammography (20.8%). Women with false-positive screens should be made aware of the importance to re-attend future screening rounds, as a way to improve the effectiveness of the screening programme.

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Figures

Figure 1

Mammography screening outcome, 1995–2009. *4-year…

Figure 1

Mammography screening outcome, 1995–2009. *4-year follow-up complete for women screened until March 2008.

Figure 1

Mammography screening outcome, 1995–2009. *4-year follow-up complete for women screened until March 2008.

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