Randomized Trial of Personalized Breast Density and Breast Cancer Risk Notification

Haas, Jennifer S.; Giess, Catherine S.; Harris, K. A.; Ansolabehere, Julia; Kaplan, Celia P.

doi:10.1007/s11606-018-4622-4

Cited by 16 publications

(13 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One qualitative study of Spanish-speaking women in Massachusetts demonstrated that among women with no previous knowledge of breast density who received notification letters in English, the result was confusion and misinterpretation. 29 Other studies examining the method of breast density information delivery found an increase in knowledge of breast density for women who were shown a short, personalized video after mammography 30 as well as increased rates of supplemental ultrasound screening in women whose notification letters were followed by a courtesy call. 31 Our study had a high response rate; however, our survey may be affected by a self-selection bias, and nonresponders may be different from responders in terms of their activities around breast density legislation.…”

Section: Discussionmentioning

confidence: 99%

Understanding the response of mammography facilities to breast density notification

Henderson

Marsh

Earnhardt

et al. 2020

Cancer

View full text Add to dashboard Cite

BACKGROUND: State-specific breast density notification legislation requires that women undergoing mammography be informed about breast density, with variation among states. Because mammography facilities are among the main points of contact for women undergoing mammography, research is needed to understand how facilities communicate information on breast density, cancer risk, and supplemental screening to women. METHODS: A cross-sectional, 50-item, mailed survey of 156 American College of Radiology-certified mammography facilities in North Carolina was conducted in 2017 via the Tailored Design Method. Breast density notification practices, supplemental screening services, and patient educational materials were compared by supplemental screening availability via t tests and chi-square tests. RESULTS: All responding facilities (n = 94; 60.3% response rate) notified women of their breast density in the mammography results letter. Breast cancer risk assessments were performed by 36.2% of the facilities, with risk information communicated in the final radiology report for the referring provider to discuss with the woman (79.4%) or in the results letter (58.8%). Supplemental breast cancer screening was offered by 63.8% of the facilities, with use based on multiple factors, including recommendations from the referring physician (63.3%) or reading radiologist (63.3%), breast density (48.3%), other risk factors (48.3%), and patient request (40.0%). Although 75.0% of the facilities offered breast density educational materials, only 36.6% offered educational materials on supplemental screening. CONCLUSIONS: In a state with a breast density notification law, mammography facilities communicate breast density, cancer risk, and supplemental screening information to women through various approaches. When supplemental screening is offered, facilities use multiple decision-making criteria rather than breast density alone.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding the response of mammography facilities to breast density notification

Henderson

Marsh

Earnhardt

et al. 2020

Cancer

View full text Add to dashboard Cite

show abstract

“…19 One tool to provide personalized risk information based on the BCSC's breast cancer risk calculator in combination with breast density notification improved women's knowledge and recognition of risk and prompted them to discuss options with their primary care providers (PCP). 20 More research is needed to understand the tool's usefulness for women from a variety of backgrounds, how prepared PCPs or other providers are to answer questions or assist women in making decisions, [21][22][23] and impacts on subsequent screening.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Perception of Breast Density, Screening Mammography, and Supplemental Screening: in Search of “Informed”

et al. 2019

View full text Add to dashboard Cite

“…The importance of breast density and its relationship to increased breast cancer risk 18 and a reduction of sensitivity of mammography 22 are evidenced by mammographic breast density (MBD) notification laws in the United States mandating the reporting of mammographic breast density in 32 states. 22 Insurance cover in six of the abovementioned states is also mandated for supplemental screening. 23 Mammography providers in PNG do not routinely report on breast density or notify women of their individual breast density, nor is supplemental screening (MRI, ultrasound or tomosynthesis) routinely encouraged.…”

Section: Breast Densitymentioning

confidence: 99%

“…The Tabár classification system categorises five types of parenchymal patterns: Patterns I, II and III are associated with a low risk for malignancy while Patterns IV and V have a high risk. The importance of breast density and its relationship to increased breast cancer risk 18 and a reduction of sensitivity of mammography 22 are evidenced by mammographic breast density (MBD) notification laws in the United States mandating the reporting of mammographic breast density in 32 states 22 . Insurance cover in six of the abovementioned states is also mandated for supplemental screening 23 .…”

Section: Introductionmentioning

confidence: 99%

Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis

Pape

Spuur

Wilkinson

et al. 2020

J of Medical Radiation Sci

View full text Add to dashboard Cite

Introduction: Women with increased breast density are at increased risk of breast cancer. The aim of this research is to evidence for the first time the mammographic breast findings of Papua New Guinean (PNG) women and the relationship between Breast Imaging-Reporting and Data System (BI-RADS) assessment, mammographic parenchymal patterns (MPPs) and age. Methods: A retrospective analysis of 1357 mammograms of women imaged at the Pacific International Hospital (PIH) from August 2006 to July 2010 was undertaken. Mammographic findings were categorised using the BI-RADS Atlasâ 5th Edition. MPPs were recorded for each woman using the Tab ar Pattern I-V classification system. Age was recorded in years. Statistical analysis was by descriptive analysis and Kruskal-Wallis with Dunn's post-test and Spearman's rho correlation for inferential analysis. Results: True pathological findings (benign and malignant); BI-RADS 2-5 were noted in 111 women (8.2%); 1242 (91.5%) were negative. BI-RADS categories for malignancy were reported in 16 (88.9%) of women aged 30 to 60 years. The lower risk Tab ar Type I, II and III MPPs were associated with 94.4% (n = 17) of malignancies. Linear correlations between variables were weak and not statistically significant: age and Tab ar pattern r = 0.031, P = 0.0261; age and BI-RADS r = 0.018, P = 0.517; Tab ar pattern and BI-RADS r = 0.020, P = 0.459 (n = 1357). Conclusion: There was no correlation demonstrated between BI-RADS category, age and MPP. Importantly, there was no correlation demonstrated between BI-RADS categories 4 and 5 for breast malignancy and high-risk Tab ar Type IV and V MPPs. The results of this study again reflect that the incidence of breast cancer in PNG cannot be explained by breast density and suggest that any formalised screening program in PNG has a target age group aimed at women younger than that of Western screening programs.

show abstract

Randomized Trial of Personalized Breast Density and Breast Cancer Risk Notification

Abstract: Brief, personalized videos following mammography can improve knowledge of MBD and personal risk of breast cancer compared to a legislatively mandated informational letter. Trial Registration Clinicaltrials.gov (NCT02986360).

Cited by 16 publications

References 18 publications

Understanding the response of mammography facilities to breast density notification

Understanding the response of mammography facilities to breast density notification

Knowledge and Perception of Breast Density, Screening Mammography, and Supplemental Screening: in Search of “Informed”

Correlation of the BI‐RADS assessment categories of Papua New Guinean women with mammographic parenchymal patterns, age and diagnosis

Contact Info

Product

Resources

About