Risk Factors for Late Screening Mammography
Risk Factors for Late Screening Mammography
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DOI：
10.1067/j.cpradiol.2017.10.014
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发表时间：
2019-01-01
影响因子：
1.4
通讯作者：
Gridley, Daniel G.
中科院分区：
文献类型：
--
作者：
Davis, John;Liang, Juliana;Gridley, Daniel G.
背景：乳腺癌在美国女性癌症中发病率最高。先前的研究表明，筛查性乳房X光检查有助于降低乳腺癌死亡率。本研究的目的是澄清为什么晚筛查可能会发生在高危人群中。材料和方法：本研究是一项前瞻性的横断面研究，包括758例患者介绍到我们的放射科常规筛查乳腺X线摄影谁完成了30个问题的调查，关于个人特征和乳腺X线摄影史。单变量和多变量logistic回归进行，以确定是否与晚screening.Results：758例患者，184（24%）是不符合筛查乳腺X线摄影指导方针的调查反应。晚期筛查的风险因素包括年龄较小（P = 0.001），白色人种（P = 0.03），自我报告缺乏经济手段或健康保险（P = 0.005），对既往乳房X线检查经验缺乏满意度（P = 0.001），医生的乳房X线摄影教育不足（P = 0.001）和对筛查性乳腺X线摄影指南缺乏认识/理解（P = 0.002）。尽管有些是医生控制之外的，但其他可能会受到影响：关于筛查乳腺X线摄影指南的患者教育，以及患者对乳腺X线摄影体验的满意度。这项研究强调了与患者沟通和教育的重要性。(C)2017爱思唯尔公司All rights reserved.
Background: Breast cancer has the highest incidence of cancers in women in the United States. Previous research has shown that screening mammography contributes to reduced breast cancer mortality. This study aimed to clarify why late screening might occur in an at-risk population.Materials and Methods: This study was a prospective cross-sectional study including 758 patients presenting to our radiology department for routine screening mammography who completed a 30-question survey regarding personal characteristics and mammography history. Univariate and multivariate logistic regression were performed to determine whether survey responses correlated with late screening.Results: Of the 758 patients, 184 (24%) were noncompliant with screening mammography guidelines. Risk factors for late screening included younger age (P = 0.001), white race ethnicity (P = 0.03), self-reported lack of financial means or health insurance (P = 0.005), lack of satisfaction with a previous mammogram experience (P = 0.001), inadequate mammography education by a physician (P = 0.001), and lack of awareness/comprehension of screening mammography guidelines (P = 0.002).Conclusion: Many factors contribute to late screening mammography. Although some are outside physician control, others can be influenced: patient education regarding screening mammography guidelines, and patient satisfaction with the mammography experience. This study highlights the importance of communication with and education of patients. (C) 2017 Elsevier Inc. All rights reserved.