Mammography Pain in Breast Cancer Survivors

描述(申请人提供)：乳房X光检查对于乳腺癌幸存者早期发现复发或新发癌症仍然很重要。然而，数据显示，多达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)确定乳腺癌幸存者在乳房X光检查期间疼痛增加的相关因素，包括持续的乳房疼痛、癌症相关的痛苦和疼痛灾难，以及2)确定与随后的乳房X光检查使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、与癌症相关的痛苦以及持续乳房疼痛的疼痛灾难的评估。女性将在手术后立即完成乳房X光检查疼痛的评估。下一年将对没有癌症复发的妇女使用乳房X光检查进行评估。这项研究将为以下方面提供新的有价值的信息：1)确定乳腺癌幸存者在乳房X光检查过程中疼痛的高风险；2)确定不太可能进行后续乳房X光检查的女性；3)开发提高重复乳房X光检查利用率的策略。

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.