author_facet Dabbous, Firas M.
Dolecek, Therese A.
Berbaum, Michael L.
Friedewald, Sarah M.
Summerfelt, Wm. Thomas
Hoskins, Kent
Rauscher, Garth H.
Dabbous, Firas M.
Dolecek, Therese A.
Berbaum, Michael L.
Friedewald, Sarah M.
Summerfelt, Wm. Thomas
Hoskins, Kent
Rauscher, Garth H.
author Dabbous, Firas M.
Dolecek, Therese A.
Berbaum, Michael L.
Friedewald, Sarah M.
Summerfelt, Wm. Thomas
Hoskins, Kent
Rauscher, Garth H.
spellingShingle Dabbous, Firas M.
Dolecek, Therese A.
Berbaum, Michael L.
Friedewald, Sarah M.
Summerfelt, Wm. Thomas
Hoskins, Kent
Rauscher, Garth H.
Cancer Epidemiology, Biomarkers & Prevention
Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
Oncology
Epidemiology
author_sort dabbous, firas m.
spelling Dabbous, Firas M. Dolecek, Therese A. Berbaum, Michael L. Friedewald, Sarah M. Summerfelt, Wm. Thomas Hoskins, Kent Rauscher, Garth H. 1055-9965 1538-7755 American Association for Cancer Research (AACR) Oncology Epidemiology http://dx.doi.org/10.1158/1055-9965.epi-16-0524 <jats:title>Abstract</jats:title> <jats:p>Background: Experiencing a false positive (FP) screening mammogram is economically, physically, and emotionally burdensome, which may affect future screening behavior by delaying the next scheduled mammogram or by avoiding screening altogether. We sought to examine the impact of a FP screening mammogram on the subsequent screening mammography behavior.</jats:p> <jats:p>Methods: Delay in obtaining subsequent screening was defined as any mammogram performed more than 12 months from index mammogram. The Kaplan–Meier (product limit) estimator and Cox proportional hazards model were used to estimate the unadjusted delay and the hazard ratio (HR) of delay of the subsequent screening mammogram within the next 36 months from the index mammogram date.</jats:p> <jats:p>Results: A total of 650,232 true negative (TN) and 90,918 FP mammograms from 261,767 women were included. The likelihood of a subsequent mammogram was higher in women experiencing a TN result than women experiencing a FP result (85.0% vs. 77.9%, P &amp;lt; 0.001). The median delay in returning to screening was higher for FP versus TN (13 months vs. 3 months, P &amp;lt; 0.001). Women with TN result were 36% more likely to return to screening in the next 36 months compared with women with a FP result HR = 1.36 (95% CI, 1.35–1.37). Experiencing a FP mammogram increases the risk of late stage at diagnosis compared with prior TN mammogram (P &amp;lt; 0.001).</jats:p> <jats:p>Conclusions: Women with a FP mammogram were more likely to delay their subsequent screening compared with women with a TN mammogram.</jats:p> <jats:p>Impact: A prior FP experience may subsequently increase the 4-year cumulative risk of late stage at diagnosis. Cancer Epidemiol Biomarkers Prev; 26(3); 397–403. ©2017 AACR.</jats:p> Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis Cancer Epidemiology, Biomarkers & Prevention
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series Cancer Epidemiology, Biomarkers & Prevention
source_id 49
title Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_unstemmed Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_full Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_fullStr Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_full_unstemmed Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_short Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_sort impact of a false-positive screening mammogram on subsequent screening behavior and stage at breast cancer diagnosis
topic Oncology
Epidemiology
url http://dx.doi.org/10.1158/1055-9965.epi-16-0524
publishDate 2017
physical 397-403
description <jats:title>Abstract</jats:title> <jats:p>Background: Experiencing a false positive (FP) screening mammogram is economically, physically, and emotionally burdensome, which may affect future screening behavior by delaying the next scheduled mammogram or by avoiding screening altogether. We sought to examine the impact of a FP screening mammogram on the subsequent screening mammography behavior.</jats:p> <jats:p>Methods: Delay in obtaining subsequent screening was defined as any mammogram performed more than 12 months from index mammogram. The Kaplan–Meier (product limit) estimator and Cox proportional hazards model were used to estimate the unadjusted delay and the hazard ratio (HR) of delay of the subsequent screening mammogram within the next 36 months from the index mammogram date.</jats:p> <jats:p>Results: A total of 650,232 true negative (TN) and 90,918 FP mammograms from 261,767 women were included. The likelihood of a subsequent mammogram was higher in women experiencing a TN result than women experiencing a FP result (85.0% vs. 77.9%, P &amp;lt; 0.001). The median delay in returning to screening was higher for FP versus TN (13 months vs. 3 months, P &amp;lt; 0.001). Women with TN result were 36% more likely to return to screening in the next 36 months compared with women with a FP result HR = 1.36 (95% CI, 1.35–1.37). Experiencing a FP mammogram increases the risk of late stage at diagnosis compared with prior TN mammogram (P &amp;lt; 0.001).</jats:p> <jats:p>Conclusions: Women with a FP mammogram were more likely to delay their subsequent screening compared with women with a TN mammogram.</jats:p> <jats:p>Impact: A prior FP experience may subsequently increase the 4-year cumulative risk of late stage at diagnosis. Cancer Epidemiol Biomarkers Prev; 26(3); 397–403. ©2017 AACR.</jats:p>
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author Dabbous, Firas M., Dolecek, Therese A., Berbaum, Michael L., Friedewald, Sarah M., Summerfelt, Wm. Thomas, Hoskins, Kent, Rauscher, Garth H.
author_facet Dabbous, Firas M., Dolecek, Therese A., Berbaum, Michael L., Friedewald, Sarah M., Summerfelt, Wm. Thomas, Hoskins, Kent, Rauscher, Garth H., Dabbous, Firas M., Dolecek, Therese A., Berbaum, Michael L., Friedewald, Sarah M., Summerfelt, Wm. Thomas, Hoskins, Kent, Rauscher, Garth H.
author_sort dabbous, firas m.
container_issue 3
container_start_page 397
container_title Cancer Epidemiology, Biomarkers & Prevention
container_volume 26
description <jats:title>Abstract</jats:title> <jats:p>Background: Experiencing a false positive (FP) screening mammogram is economically, physically, and emotionally burdensome, which may affect future screening behavior by delaying the next scheduled mammogram or by avoiding screening altogether. We sought to examine the impact of a FP screening mammogram on the subsequent screening mammography behavior.</jats:p> <jats:p>Methods: Delay in obtaining subsequent screening was defined as any mammogram performed more than 12 months from index mammogram. The Kaplan–Meier (product limit) estimator and Cox proportional hazards model were used to estimate the unadjusted delay and the hazard ratio (HR) of delay of the subsequent screening mammogram within the next 36 months from the index mammogram date.</jats:p> <jats:p>Results: A total of 650,232 true negative (TN) and 90,918 FP mammograms from 261,767 women were included. The likelihood of a subsequent mammogram was higher in women experiencing a TN result than women experiencing a FP result (85.0% vs. 77.9%, P &amp;lt; 0.001). The median delay in returning to screening was higher for FP versus TN (13 months vs. 3 months, P &amp;lt; 0.001). Women with TN result were 36% more likely to return to screening in the next 36 months compared with women with a FP result HR = 1.36 (95% CI, 1.35–1.37). Experiencing a FP mammogram increases the risk of late stage at diagnosis compared with prior TN mammogram (P &amp;lt; 0.001).</jats:p> <jats:p>Conclusions: Women with a FP mammogram were more likely to delay their subsequent screening compared with women with a TN mammogram.</jats:p> <jats:p>Impact: A prior FP experience may subsequently increase the 4-year cumulative risk of late stage at diagnosis. Cancer Epidemiol Biomarkers Prev; 26(3); 397–403. ©2017 AACR.</jats:p>
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spelling Dabbous, Firas M. Dolecek, Therese A. Berbaum, Michael L. Friedewald, Sarah M. Summerfelt, Wm. Thomas Hoskins, Kent Rauscher, Garth H. 1055-9965 1538-7755 American Association for Cancer Research (AACR) Oncology Epidemiology http://dx.doi.org/10.1158/1055-9965.epi-16-0524 <jats:title>Abstract</jats:title> <jats:p>Background: Experiencing a false positive (FP) screening mammogram is economically, physically, and emotionally burdensome, which may affect future screening behavior by delaying the next scheduled mammogram or by avoiding screening altogether. We sought to examine the impact of a FP screening mammogram on the subsequent screening mammography behavior.</jats:p> <jats:p>Methods: Delay in obtaining subsequent screening was defined as any mammogram performed more than 12 months from index mammogram. The Kaplan–Meier (product limit) estimator and Cox proportional hazards model were used to estimate the unadjusted delay and the hazard ratio (HR) of delay of the subsequent screening mammogram within the next 36 months from the index mammogram date.</jats:p> <jats:p>Results: A total of 650,232 true negative (TN) and 90,918 FP mammograms from 261,767 women were included. The likelihood of a subsequent mammogram was higher in women experiencing a TN result than women experiencing a FP result (85.0% vs. 77.9%, P &amp;lt; 0.001). The median delay in returning to screening was higher for FP versus TN (13 months vs. 3 months, P &amp;lt; 0.001). Women with TN result were 36% more likely to return to screening in the next 36 months compared with women with a FP result HR = 1.36 (95% CI, 1.35–1.37). Experiencing a FP mammogram increases the risk of late stage at diagnosis compared with prior TN mammogram (P &amp;lt; 0.001).</jats:p> <jats:p>Conclusions: Women with a FP mammogram were more likely to delay their subsequent screening compared with women with a TN mammogram.</jats:p> <jats:p>Impact: A prior FP experience may subsequently increase the 4-year cumulative risk of late stage at diagnosis. Cancer Epidemiol Biomarkers Prev; 26(3); 397–403. ©2017 AACR.</jats:p> Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis Cancer Epidemiology, Biomarkers & Prevention
spellingShingle Dabbous, Firas M., Dolecek, Therese A., Berbaum, Michael L., Friedewald, Sarah M., Summerfelt, Wm. Thomas, Hoskins, Kent, Rauscher, Garth H., Cancer Epidemiology, Biomarkers & Prevention, Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis, Oncology, Epidemiology
title Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_full Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_fullStr Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_full_unstemmed Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_short Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
title_sort impact of a false-positive screening mammogram on subsequent screening behavior and stage at breast cancer diagnosis
title_unstemmed Impact of a False-Positive Screening Mammogram on Subsequent Screening Behavior and Stage at Breast Cancer Diagnosis
topic Oncology, Epidemiology
url http://dx.doi.org/10.1158/1055-9965.epi-16-0524