| Breast cancer yield for screening mammographic examinations with recommendation for short-interval follow-up. | |
| | |
MedLine Citation:
|
PMID: 15734926 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To compare cancer yield for screening examinations with recommendation for short-interval follow-up after diagnostic imaging work-up versus after screening mammography only. MATERIALS AND METHODS: From January 1996 to December 1999, Breast Imaging Reporting and Data System assessments and recommendations were collected prospectively for 1,171,792 screening examinations in 758,015 women aged 40-89 years at seven mammography registries in Breast Cancer Surveillance Consortium. Registries obtained waiver of signed consent or collected signed consent in accordance with institutional review boards at each location. Diagnosis of invasive cancer or ductal carcinoma in situ within 24 months of screening examination and tumor stage and size for invasive cancer were determined through linkage to pathology database or tumor registry. chi2 test was used to determine significant differences between groups. RESULTS: Overall, 5.2% of first and 1.7% of subsequent screens included recommendation for short-interval follow-up, which was similar to likelihood of recommendation for diagnostic evaluation (first screens, 4.6%; subsequent, 2.6%). Most recommendations for short-interval follow-up were based on screening mammography alone (86.2% of first screens, 77.5% of subsequent). Yield of cancer for screening examinations with probably benign finding (PBF) and recommendation for short-interval follow-up based on screening mammography alone tended to be lower than in those with PBF and recommendation for short-interval follow-up after additional work-up (first screens: 0.54% vs 0.96%, P=.10; subsequent: 1.50% vs 1.73%, P=.26). Proportion of stage II and higher disease tended to be higher for examinations with PBF and recommendation for short-interval follow-up based on screening mammography alone compared with those recommended for short-interval follow-up after additional work-up (first screens: 34.7% vs 24.4%, P=.43; subsequent: 27.5% vs 19.2%, P=.13). CONCLUSION: Many first screening examinations include recommendation for short-interval follow-up based on screening mammography alone. Cancer yield for these examinations is low and is lower than that with diagnostic work-up prior to short-interval follow-up recommendation. Absence of diagnostic work-up prior to short-interval follow-up recommendation may result in periodic surveillance of a high proportion of benign lesions. |
| | |
Authors:
|
Karla Kerlikowske; Rebecca Smith-Bindman; Linn A Abraham; Constance D Lehman; Bonnie C Yankaskas; Rachel Ballard-Barbash; William E Barlow; Jennifer H Voeks; Berta M Geller; Patricia A Carney; Edward A Sickles |
Related Documents
:
|
20597136 - Healthcare use after screening for lung cancer. 12359856 - Costs and benefits of different strategies to screen for cervical cancer in less-develo... 10774956 - Laboratory screening for erythropoietin abuse in sport: an emerging challenge. 15236196 - A critical review of the diagnosis and management of barrett's esophagus: the aga chica... 23365496 - Cancer of the cervix - from bleak past to bright future; a review, with an emphasis on ... 7537666 - A retrospective analysis of the cost effectiveness of treatment with metastron in patie... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Radiology Volume: 234 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 2005 Mar |
Date Detail:
|
Created Date: 2005-02-28 Completed Date: 2005-04-12 Revised Date: 2012-07-02 |
Medline Journal Info:
|
Nlm Unique ID: 0401260 Medline TA: Radiology Country: United States |
Other Details:
|
Languages: eng Pagination: 684-92 Citation Subset: AIM; IM |
Affiliation:
|
Dept of Medicine and Epidemiology and Biostatistics, Univ of California, San Francisco, CA 94121, USA. kerliko@itsa.ucsf.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Breast Neoplasms / epidemiology, radiography* Carcinoma, Intraductal, Noninfiltrating / epidemiology, radiography Chi-Square Distribution Female Humans Mammography / standards* Mass Screening Middle Aged Neoplasm Staging Predictive Value of Tests Prospective Studies Registries Time Factors |
| Grant Support | |
ID/Acronym/Agency:
|
R01 CA080888/CA/NCI NIH HHS; U01 CA086082/CA/NCI NIH HHS; U01CA63731/CA/NCI NIH HHS; U01CA63736/CA/NCI NIH HHS; U01CA63740/CA/NCI NIH HHS; U01CA70013/CA/NCI NIH HHS; U01CA70040/CA/NCI NIH HHS; U01CA86076/CA/NCI NIH HHS; U01CA86082/CA/NCI NIH HHS |
| Comments/Corrections | |
Comment In:
|
Radiology. 2005 Oct;237(1):371; author reply 371-3
[PMID:
16183942
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Perfusion imaging of the liver: current challenges and future goals.
Next Document: Assessing cervical spine stability in obtunded blunt trauma patients: review of medical literature.