Journal ArticleDOI
Mammography Before Diagnosis Among Women Age 80 Years and Older With Breast Cancer
Brian D. Badgwell,Sharon H. Giordano,Zhigang Z. Duan,Shenying Fang,Isabelle Bedrosian,Henry Mark Kuerer,S. Eva Singletary,Kelly K. Hunt,Gabriel N. Hortobagyi,Gildy Babiera +9 more
TLDR
Regular mammography among women >or= 80 years of age was associated with earlier disease stage, although improved survival remains difficult to demonstrate.Abstract:
Purpose Screening mammography guidelines for patients age 80 years and older are variable. We determined the effect of mammography use on stage at breast cancer diagnosis and survival among women of this age range. Patients and Methods We used the linked Surveillance, Epidemiology, and End Results–Medicare database to evaluate 12,358 women ≥ 80 years of age diagnosed with breast cancer between 1996 and 2002. Patients were grouped according to number of mammograms during the 60 months before diagnosis: nonusers (0 mammograms), irregular users (one to two mammograms), and regular users (three or more mammograms). Effects of mammography on disease stage (I to IIa v IIb to IV) and survival were determined by logistic regression and Cox proportional hazards analyses. Results Percentages of women with nonuse, irregular use, and regular use of mammography during the 5 years preceding diagnosis were 49%, 29%, and 22%, respectively. On multivariate analysis, patients were 0.37 times less likely to present with lat...read more
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Journal ArticleDOI
Screening for breast cancer: an update for the U.S. Preventive Services Task Force.
TL;DR: New studies and evidence gaps that were unresolved at the time of the 2002 USPSTF recommendation are focused on, including the effectiveness of mammography screening in decreasing breast cancer mortality among average-risk women aged 40 to 49 years and 70 years or older.
Journal ArticleDOI
Effects of Mammography Screening Under Different Screening Schedules: Model Estimates of Potential Benefits and Harms
Jeanne S. Mandelblatt,Kathleen A. Cronin,S. L. Bailey,Donald A. Berry,Harry J. de Koning,Gerrit Draisma,Hui Huang,Sandra J. Lee,Mark F. Munsell,Sylvia K. Plevritis,Peter M. Ravdin,Clyde B. Schechter,Bronislava M. Sigal,Michael A. Stoto,Natasha K. Stout,Nicolien T. van Ravesteyn,John Venier,Marvin Zelen,Eric J. Feuer +18 more
TL;DR: To inform the USPSTF recommendations about breast cancer screening, Mandelblatt and colleagues developed 6 models of breast cancer incidence and mortality in the United States and estimated benefit to patients.
Journal ArticleDOI
Screening for Breast Cancer: Systematic Evidence Review Update for the US Preventive Services Task Force
Heidi D Nelson,Kari Tyne,Arpana Naik,Christina Bougatsos,Benjamin Chan,Peggy Nygren,Linda Humphrey +6 more
TL;DR: This systematic review is an update of evidence since the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation on breast cancer screening that concluded that routine screening for breast cancer is a good idea.
Journal ArticleDOI
Screening Mammography in Older Women: A Review
TL;DR: Providing information about life expectancy along with potential benefits and harms of screening may help older women's decision-making about screening mammography, and should emphasize increased potential harms from screening and highlight health promotion measures likely to be beneficial over the short term.
Journal ArticleDOI
Tailored Supplemental Screening for Breast Cancer: What Now and What Next?
TL;DR: This article reviews breast cancer risk assessment and the rationale for current screening guidelines, including when to consider using supplemental screening with MRI or sonography in addition to mammography, and discusses other emerging technologies.
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