Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk
Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk
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DOI：
10.1007/s10897-016-0050-y
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发表时间：
2017-08-01
影响因子：
1.9
通讯作者：
Bell, Jeffrey G.
中科院分区：
文献类型：
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作者：
Morman, Nichole A.;Byrne, Lindsey;Bell, Jeffrey G.
本研究的目的是评估乳腺癌风险评估（BCRA）在筛查乳房X线检查时的效用。BCRA显示癌症高风险的女性会收到一封信，其中包含乳房保健和遗传咨询（如适用）的说明。6个月后，这组接受调查，以评估他们的风险认知和他们的回忆，并遵守，建议。我们还探讨了其他变量的影响，如遗传咨询和医生与妇女沟通的建议。在BCRA之后，大多数高风险女性报告说，她们感知的癌症风险没有变化。一名妇女在BCRA后感知的癌症风险与她对乳房保健建议的回忆显着相关，但与依从性无关。遗传咨询的建议是没有显着相关的妇女的感知风险的癌症后BCRA。10%应该接受遗传咨询的女性实际上完成了预约。与医生讨论其BCRA结果的女性更愿意与医生进行为期六个月的乳房检查（53% vs 17%，p = 0.018）。总体而言，女性认为BCRA是有帮助的，不会引起过度的压力或焦虑。虽然队列的建议的依从性是次优的，医生与他们的病人的互动可能有积极的影响，他们的依从性。
The purpose of this study was to evaluate the utility of a breast cancer risk assessment (BCRA) at the time of screening mammogram. Women whose BCRA indicated a high risk for cancer received a letter with instructions for breast health care and genetic counseling if appropriate. After 6 months this group received surveys to evaluate their risk perception and their recall of, and compliance with, recommendations. We also explored the impact of other variables such as a recommendation for genetic counseling and physician communication with the women. After the BCRA, the majority of high risk women reported no change in their perceived risk of cancer. A woman's perceived risk of cancer after a BCRA was significantly associated with her recall of recommendations for breast health care, but not with compliance. A recommendation for genetic counseling was not significantly related to women's perceived risk of cancer after the BCRA. Ten percent of women who should have obtained genetic counseling actually completed an appointment. Women who discussed their BCRA results with their physicians were more compliant with a six month breast exam with a doctor (53% vs 17%, p = 0.018). Overall, women felt that the BCRA was helpful and did not cause undue stress or anxiety. Although the cohort's compliance with recommendations was suboptimal, physicians' interactions with their patients may have a positive influence on their compliance.