Update on mammography trends

Breen, Nancy; Gentleman, Jane F.; Schiller, Jeannine S.

doi:10.1002/cncr.25679

Cited by 133 publications

(51 citation statements)

References 22 publications

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“…1 Yet, even though population utilization rates have become relatively high in the past 20 years, the increase seems to have plateaued. 2-4 The plateau has been attributed to a small decrease in the percent of recent mammography among women who were considered to be early adopters of mammography (women age 50-64, insured women, women with higher incomes and white women). 4,5 In addition, pockets of low utilization remain, such as the uninsured, those who have no source of usual care or use an emergency department as their main source of care, women with less than a high school education, and women living in the United States for less than 10 years.…”

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confidence: 99%

“…2-4 The plateau has been attributed to a small decrease in the percent of recent mammography among women who were considered to be early adopters of mammography (women age 50-64, insured women, women with higher incomes and white women). 4,5 In addition, pockets of low utilization remain, such as the uninsured, those who have no source of usual care or use an emergency department as their main source of care, women with less than a high school education, and women living in the United States for less than 10 years. 6 Precise specification of groups with low utilization allows us to identify their salient barriers and facilitators, which better informs intervention audience targeting and the content of intervention messages and materials.…”

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confidence: 99%

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Continuum of Mammography Use among US Women: Classification Tree Analysis

et al. 2014

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Objectives To identify women with low mammography utilization. Methods: We used Classification Tree Analysis among women aged 42-80 from the 2008 Behavioral Risk Factor Surveillance System (N = 169,427) to identify sub-groups along a continuum of screening. Results Women with neither a primary care provider nor health insurance had the lowest utilization (33.9%) and were 2.8% of the sample. Non-smoking women aged 55-80, with a primary care provider, health insurance, and income of $75,000 or more had the highest utilization (90.7%) and comprised 5% of the sample. Conclusion As access to primary care providers and health insurance increases with the Affordable Care act, classification tree analyses may help to identify women of high priority for intervention.

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Continuum of Mammography Use among US Women: Classification Tree Analysis

et al. 2014

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“…Second, the stable trends in incidence rates may reflect improved sensitivity of mammography without influence of HT, as HT increases breast density (16) and compromises the diagnostic performance of mammograms and breast biopsies (17). It may also in part reflect the relatively stable rates of screening mammography in the United States since 2000 (18). Although incidence rates for ERþ tumors stabilized (overall) or increased (ages 40-49), rates for ERÀ breast cancer rates generally decreased during 2003 to 2007 among NH white women.…”

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confidence: 99%

Breast Cancer Incidence Rates in U.S. Women Are No Longer Declining

DeSantis

Howlader

Cronin

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

135

105

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Background: Several publications reported breast cancer incidence rates continued to decrease among white women, following the decline of about 7% from 2002 to 2003. However, none of these reports exclusively examined the trend after 2003. In this paper, we examined breast cancer incidence rates among non-Hispanic (NH) white women from 2003 to 2007 to determine whether the decrease in breast cancer incidence rates indeed persisted through 2007. In addition, we present breast cancer incidence trends for NH black and Hispanic women and postmenopausal hormone use for all three racial/ethnic groups.Methods: Breast cancer incidence rates were calculated by race/ethnicity, age and ER status using data from the Surveillance, Epidemiology, and End Results Impact: Further studies are needed to better understand the recent breast cancer trends. Cancer Epidemiol Biomarkers Prev; 20(5); 733-9. Ó2011 AACR.

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“…Although the magnitude of the mortality benefit associated with mammography has been debated for many years (Gotzsche & Olsen, 2000; Gotzsche & Nielsen, 2011), most evidence-based guidelines continue to recommend regular screening for women starting at age 40 or 50 (Humphrey et al, 2002; Nelson et al, 2009; Smith, Brooks, Cokkinides, Saslow, & Brawley, 2013). From 1987 to 2003, mammography use increased in the United States, after which the biennial rate leveled off at about 70% for women 50 and older (Breen, Wagener, Brown, Davis, & Ballard-Barbash, 2001, Breen, Gentleman, & Schiller, 2011; Brown et al, 2014; Centers for Disease Control and Prevention [CDC], 2012). …”

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confidence: 99%

“…We know from surveys that most age-eligible women in the United States receive screening mammograms (Breen et al, 2011; CDC, 2012). However, we do not know what proportion of those women received abnormal results, underwent additional evaluation, and were subsequently diagnosed with cancer.…”

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confidence: 99%

Non-normal Screening Mammography Results, Lumpectomies, and Breast Cancer Reported by California Women, 2001–2009

Irvin

Breen

Meissner

et al. 2015

Women's Health Issues

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Background Although screening mammography may contribute to decreases in breast cancer mortality in a population, it may also increase the risk of false positives, anxiety, and unnecessary and costly medical procedures in individuals. We report trends in self-reported non-normal screening mammography results, lumpectomies, and breast cancer in a representative sample of California women. Methods Data were obtained from the 2001, 2005, and 2009 cross-sectional California Health Interview Surveys (CHIS) and weighted to the California population. CHIS employed a multistage sampling design to administer telephone surveys in 6 languages. Our study sample was restricted to women 40 years and older who reported a screening mammogram in the past 2 years. Sample sizes were 13,974 in 2001, 12,069 in 2005, and 15,552 in 2009. Women reporting non-normal results were asked whether they had an operation to remove the lump and, if so, whether the lump was confirmed as malignant. Findings Between 2001 and 2009, the percent of California women who reported having been diagnosed with breast cancer was relatively stable. For each of the three age groups studied, the percentage of non-normal mammography results increased and the percentages of lumpectomies decreased and, for every woman reporting a diagnosis of breast cancer, three women reported a lumpectomy that turned out not to be cancer. This ratio was greater for younger women and less for older women. Conclusions Despite relatively constant rates of breast cancer diagnosis from 2001 to 2009, the percentage of non-normal mammography results increased and lumpectomies declined.

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Update on mammography trends

Cited by 133 publications

References 22 publications

Continuum of Mammography Use among US Women: Classification Tree Analysis

Continuum of Mammography Use among US Women: Classification Tree Analysis

Breast Cancer Incidence Rates in U.S. Women Are No Longer Declining

Non-normal Screening Mammography Results, Lumpectomies, and Breast Cancer Reported by California Women, 2001–2009

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