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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Under utilization of surveillance mammography among older breast cancer survivors
Journal of General Internal Medicine, Volume 23, No. 2, Year 2008
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Description
BACKGROUND: Annual surveillance mammography is recommended for follow-up of women with a history of breast cancer. We examined surveillance mammography among breast cancer survivors who were enrolled in integrated healthcare systems. METHODS: Women in this study were 65 or older when diagnosed with early stage invasive breast cancer (N=1,762). We assessed mammography use during 4 years of follow-up, using generalized estimating equations to account for repeated measurements. RESULTS: Eighty-two percent had mammograms during the first year after treatment; the percentage declined to 68.5% in the fourth year of follow-up. Controlling for age and comorbidity, women who were at higher risk of recurrence by being diagnosed at stage II or receiving breast-conserving surgery (BCS) without radiation therapy were less likely to have yearly mammograms (compared to stage I, odds ratio [OR] for stage IIA 0.72, confidence interval [CI] 0.59, 0.87, OR for stage IIB 0.75, CI 0.57, 1.0; compared to BCS with radiation, OR 0.58, CI 0.43, 0.77). Women with visits to a breast cancer surgeon or oncologist were more likely to receive mammograms (OR for breast cancer surgeon 6.0, CI 4.9, 7.4, OR for oncologist 7.4, CI 6.1, 9.0). CONCLUSIONS: Breast cancer survivors who are at greater risk of recurrence are less likely to receive surveillance mammograms. Women without a visit to an oncologist or breast cancer surgeon during a year have particularly low rates of mammography. Improvements to surveillance care for breast cancer survivors may require active participation by primary care physicians and improvements in cancer survivorship programs by healthcare systems. © 2007 Society of General Internal Medicine.
Authors & Co-Authors
Doubeni, Chyke A.
United States, Worcester
University of Massachusetts Chan Medical School
Fox, Matthew P.
United States, Boston
School of Public Health
Buist, Diana S.M.
United States, Seattle
Group Health Center for Health Studies
Lash, Timothy Lee
United States, Boston
School of Public Health
United States, Boston
Boston University Chobanian & Avedisian School of Medicine
Statistics
Citations: 71
Authors: 4
Affiliations: 8
Identifiers
Doi:
10.1007/s11606-007-0471-2
ISSN:
15251497
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Participants Gender
Female