Mammography Pain in Breast Cancer Survivors

描述（由申请人提供）：乳腺X线摄影对于乳腺癌幸存者中复发或新发癌症的早期检测仍然很重要。然而，数据显示，高达45%的乳腺癌幸存者没有接受推荐的年度乳房X光检查。这项拟议的研究旨在：1）确定与乳腺癌幸存者在乳房X线摄影期间疼痛增加相关的因素，包括持续的乳房疼痛、癌症相关的痛苦和疼痛灾难化; 2）确定与后续乳房X线摄影利用率较低相关的因素。我们将在放射科诊所评估乳腺癌幸存者（N=200）。在乳房X光检查之前，女性将完成对当前乳房疼痛，癌症相关痛苦以及持续乳房疼痛的疼痛灾难性评估。妇女将在手术后立即完成乳房X光检查疼痛评估。将在下一年评估没有癌症复发的妇女对乳房X线摄影的使用情况。这项研究将提供新的和有价值的信息，1）确定乳腺癌幸存者在乳房X光检查期间疼痛的高风险，2）确定不太可能接受后续乳房X光检查的女性，3）制定策略，以提高重复乳房X光检查的利用率。

DESCRIPTION (provided by applicant): Mammography remains important for the early detection of recurrent or new cancer among breast cancer survivors. Yet, data suggest that up to 45 percent of breast cancer survivors do not undergo recommended annual mammography. The proposed study aims to 1) identify factors associated with increased pain during mammography among breast cancer survivors including ongoing breast pain, cancer-related distress, and pain catastrophizing, and 2) identify factors associated with lower subsequent mammography utilization. We will assess breast cancer survivors (N=200) in the radiology clinic. Prior to mammography, women will complete an assessment of current breast pain, cancer-related distress, and pain catastrophizing about ongoing breast pain. Women will complete an assessment of mammography pain immediately following the procedure. Utilization of mammography will be assessed in the following year among women without cancer recurrence. This study will provide new and valuable information for 1) identifying breast cancer survivors at high risk for pain during their mammogram, 2) identifying women who are less likely to undergo subsequent mammography, and 3) developing strategies to improve repeated mammography utilization.