Perspectives on mammography after receipt of secondary screening owing to a false positive.
Perspectives on mammography after receipt of secondary screening owing to a false positive.
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乳房X线摄影的观点因假阳性而接受继发性筛查。
DOI：
10.1016/j.whi.2014.11.003
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Siminoff LA
中科院分区：
文献类型：
--
作者：
Thomson MD;Siminoff LA
由于存在潜在危害的风险，包括心理困扰以及接触与 FP 和过度诊断相关的不必要程序，乳房 X 线摄影筛查作为早期检测的有效工具的实用性受到争议。然而，关于女性参与乳房X光检查项目的经历、价值观或偏好的研究却很少。我们的目的是探索女性对 FP 乳房 X 光检查的实际体验，以及她们对近期经历的价值、风险和益处的看法。我们对 40 名最近接受过 FP 乳房 X 光检查的女性进行了半结构化访谈。访谈被逐字记录和转录。使用定向内容分析来识别和探索主要主题。还评估了乳腺癌风险的知识。 60% (n=24) 的女性对接受 FP 乳房 X 光检查产生了极大的担忧。然而，尽管存在担忧，70% 的人仍然认为乳房 X 光检查是必要的。女性还表示，这一经历激发了人们对额外癌症预防活动的更大兴趣（32.5%；n=13），三分之一的女性表示需要更多有关乳房 X 线摄影筛查的风险和益处的信息。不到四分之一的女性 (22.5%；n=9) 正确识别了女性终生患乳腺癌的风险，20% (n=8) 的女性高估了这种风险，57.5% (n=23) 的女性低估了这种风险。女性报告需要更多关于乳房 X 光检查筛查的风险和益处的信息，但也认为 FP 是可接受的风险。此外，我们的结果表明乳腺癌筛查计划可能提供独特的机会来提供额外的乳腺癌预防干预措施。
The utility of mammography screening as an efficacious tool for early detection is being contested due to the risk of potential harms including psychological distress and exposure to unnecessary procedures associated with FPs and over-diagnosis. Yet there is little research regarding women’s experiences, values or preferences for participating in mammography programs. Our aim was to explore women’s actual experiences of a FP mammography screen and their perceptions of the value, risks and benefits given their recent experience. We conducted semi-structured interviews with 40 women who experienced a recent FP mammogram. Interviews were recorded and transcribed verbatim. A directed content analysis was used to identify and explore primary themes. Knowledge of breast cancer risk was also assessed. Receiving a FP mammography screen generated significant worry among 60% (n=24) of women. Yet 70% maintained that mammography screening was necessary despite the worry incurred. Women also described the experience as stimulating greater interest in additional cancer prevention activities (32.5%; n=13) and one third discussed needing more information about the risks and benefits of mammography screening. Less than one quarter of women (22.5%; n=9) correctly identified a women’s lifetime risk of developing breast cancer, 20% (n=8) overestimated and 57.5% (n=23) underestimated this risk. Women reported needing more information about the risks and benefits of mammography screening but also considered FPs an acceptable risk. Further, our results suggest that breast cancer screening programs may provide a unique opportunity to deliver additional breast cancer prevention interventions.
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