Academic Journal
Breast density knowledge and willingness to delay treatment for pre-operative breast cancer imaging among women with a personal history of breast cancer.
| Title: | Breast density knowledge and willingness to delay treatment for pre-operative breast cancer imaging among women with a personal history of breast cancer. |
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| Authors: | Smith RE; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr. WTRB Level 5, Hinman Box 7251, NH 03756, Lebanon, NH, USA. Rebecca.E.Smith.gr@Dartmouth.edu., Sprague BL; Department of Surgery, University of Vermont Cancer Center, University of Vermont, Burlington, VT, USA., Henderson LM; School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Kerlikowske K; Departments of Medicine, and Epidemiology and Biostatistics, University of California, San Francisco, CA, USA., Miglioretti DL; Department of Public Health Sciences, University of California, Davis, CA, USA.; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Wernli KJ; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA., Onega T; Department of Population Health Science, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA., diFlorio-Alexander RM; Radiology Department, Dartmouth Health and Geisel School of Medicine at Dartmouth Lebanon, Lebanon, NH, USA.; Dartmouth Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA., Tosteson ANA; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, 1 Medical Center Dr. WTRB Level 5, Hinman Box 7251, NH 03756, Lebanon, NH, USA.; Dartmouth Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA. |
| Source: | Breast cancer research : BCR [Breast Cancer Res] 2024 Apr 29; Vol. 26 (1), pp. 73. Date of Electronic Publication: 2024 Apr 29. |
| Abstract: | Background: Following a breast cancer diagnosis, it is uncertain whether women's breast density knowledge influences their willingness to undergo pre-operative imaging to detect additional cancer in their breasts. We evaluated women's breast density knowledge and their willingness to delay treatment for pre-operative testing. Methods: We surveyed women identified in the Breast Cancer Surveillance Consortium aged ≥ 18 years, with first breast cancer diagnosed within the prior 6-18 months, who had at least one breast density measurement within the 5 years prior to their diagnosis. We assessed women's breast density knowledge and correlates of willingness to delay treatment for 6 or more weeks for pre-operative imaging via logistic regression. Results: Survey participation was 28.3% (969/3,430). Seventy-two percent (469/647) of women with dense and 11% (34/322) with non-dense breasts correctly knew their density (p < 0.001); 69% (665/969) of all women knew dense breasts make it harder to detect cancers on a mammogram; and 29% (285/969) were willing to delay treatment ≥ 6 weeks to undergo pre-operative imaging. Willingness to delay treatment did not differ by self-reported density (OR:0.99 for non-dense vs. dense; 95%CI: 0.50-1.96). Treatment with chemotherapy was associated with less willingness to delay treatment (OR:0.67; 95%CI: 0.46-0.96). Having previously delayed breast cancer treatment more than 3 months was associated with an increased willingness to delay treatment for pre-operative imaging (OR:2.18; 95%CI: 1.26-3.77). Conclusions: Understanding of personal breast density was not associated with willingness to delay treatment 6 or more weeks for pre-operative imaging, but aspects of a woman's treatment experience were. Clinicaltrials: GOV : NCT02980848 registered December 2, 2016. (© 2024. The Author(s).) |
| Publication Type: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 100927353 Publication Model: Electronic Cited Medium: Internet ISSN: 1465-542X (Electronic) Linking ISSN: 14655411 NLM ISO Abbreviation: Breast Cancer Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: London, UK : BioMed Central Ltd Original Publication: London, UK : Current Science, c1999- |
| MeSH Terms: | Breast Neoplasms*/diagnostic imaging , Breast Neoplasms*/psychology , Breast Neoplasms*/surgery , Breast Neoplasms*/diagnosis , Breast Density* , Health Knowledge, Attitudes, Practice* , Mammography*/psychology , Time-to-Treatment*, Humans ; Female ; Middle Aged ; Aged ; Adult ; Preoperative Care ; Surveys and Questionnaires ; Patient Acceptance of Health Care/psychology ; Patient Acceptance of Health Care/statistics & numerical data ; Early Detection of Cancer/psychology |
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| Grant Information: | P01 CA154292 United States CA NCI NIH HHS; PCS-1504-30370 United States PCORI Patient-Centered Outcomes Research Institute |
| Contributed Indexing: | Keywords: BCSC; Breast cancer; Breast density; Cancer screening; Cancer treatment; Patient-reported outcomes |
| Molecular Sequence: | ClinicalTrials.gov NCT02980848 |
| Entry Date(s): | Date Created: 20240429 Date Completed: 20240430 Latest Revision: 20240522 |
| Update Code: | 20240523 |
| PubMed Central ID: | PMC11057127 |
| DOI: | 10.1186/s13058-024-01820-x |
| PMID: | 38685119 |
| ISSN: | 1465-542X |
| DOI: | 10.1186/s13058-024-01820-x |
| Database: | MEDLINE |
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