Patient-Reported Breast Density Awareness and Knowledge after Breast Density Legislation Passage
Patient-Reported Breast Density Awareness and Knowledge after Breast Density Legislation Passage
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DOI：
10.1016/j.acra.2018.07.004
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发表时间：
2019-06-01
影响因子：
4.8
通讯作者：
Saksena, Mansi
中科院分区：
文献类型：
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作者：
Miles, Randy C.;Lehman, Constance;Saksena, Mansi
基本原理和目标：为了确定乳腺密度和乳腺密度立法的妇女接受常规乳房X光检查后，通过马萨诸塞州乳腺密度legislation.Materials和方法的认识和知识：一项调查评估乳腺密度的认识和知识管理的所有妇女接受筛查乳房X光检查超过两个独立的1周期间在一个学术医疗中心实施强制性乳腺密度通知。调查问题询问社会人口学因素，乳腺密度的知识，立法意识，医疗决策intention.Results：在1000调查收件人，338（33.8%）返回他们的调查。大多数妇女（207/338; 61.2%）对收到乳腺密度通知函感到惊讶，并且不知道（302/338; 89.9%）新实施的乳腺密度立法。大多数（185/338; 54.7%）调查受访者自我报告有致密乳房。只有61.1%（113/185）的致密乳房女性报告其个人乳房密度增加乳腺癌风险，而只有60.0%（78/130）的非致密乳房女性报告其个人乳房密度不增加乳腺癌风险。致密和非致密乳房的妇女之间的显着差异，观察有关的意图，以跟进与保健医生（118/185; 63.8% vs. 66/130; 50.8%，p = 0.03）和基于个人乳腺密度的补充筛查必要性的观点（83/185; 45.1% vs. 20/130; 15.4%，p < 0.01）.结论：尽管自2009年以来实施了州乳腺密度法，但在接受乳房X光检查的妇女中，关于乳腺密度的混淆和错误信息仍然存在。可能需要更有效地告知患者的创新工具，以改善沟通和患者对乳腺密度和后续乳腺护理管理的理解。
Rationale and Objectives: To determine awareness and knowledge of breast density and breast density legislation among women receiving routine mammography following passage of Massachusetts breast density legislation.Materials and Methods: A survey assessing breast density awareness and knowledge was administered to all women receiving screening mammography over two separate 1 -week periods at an academic medical center following implementation of mandatory breast density notification. Survey questions queried socio demographic factors, breast density knowledge, legislation awareness, and medical decision making intent.Results: Of 1000 survey recipients, 338 (33.8%) returned their survey. Most women were surprised (207/338; 61.2%) to receive their breast density notification letter and unaware (302/338; 89.9%) of newly implemented breast density legislation. The majority (185/338; 54.7%) of survey respondents self-reported having dense breasts. Only 61.1% (113/185) of women with dense breasts reported that their personal breast density increased breast cancer risk, while only 60.0% (78/130) of women with non dense breasts reported that their personal breast density did not increase breast cancer risk. Significant differences between women with dense and nondense breasts were observed related to intention to follow-up with a health practitioner (118/185; 63.8% vs. 66/130; 50.8%, p = 0.03) and views on necessity of supplemental screening based on personal breast density (83/185; 45.1% vs. 20/130; 15.4%, p < 0.01).Conclusions: Despite implementation of state breast density laws since 2009, confusion and misinformation about breast density persists among women receiving mammography screening. Innovative tools that more effectively inform patients, may be required to improve communication and patient understanding about breast density and subsequent breast care management.