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Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community

PURPOSE: The objective of this study was to examine patterns of mammography screening prior to breast cancer diagnosis in all women with breast cancer in a Kansas community. METHODS: The study population included 508 women in the Kansas Cancer Registry database diagnosed with breast cancer between 2...

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Autores principales: Lai, S, Molnar, K, Huang, L, Garimella, S, Enko, M, Pordell, P, White, A, Senkomago, V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194054/
https://www.ncbi.nlm.nih.gov/pubmed/37206957
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author Lai, S
Molnar, K
Huang, L
Garimella, S
Enko, M
Pordell, P
White, A
Senkomago, V
author_facet Lai, S
Molnar, K
Huang, L
Garimella, S
Enko, M
Pordell, P
White, A
Senkomago, V
author_sort Lai, S
collection PubMed
description PURPOSE: The objective of this study was to examine patterns of mammography screening prior to breast cancer diagnosis in all women with breast cancer in a Kansas community. METHODS: The study population included 508 women in the Kansas Cancer Registry database diagnosed with breast cancer between 2013-2014 who were patients and residents of a defined area at the time of diagnosis. Screening history within 4 years of diagnosis was obtained. Poisson regression analysis was used to examine the relationship between sociodemographic factors and biennial screening. RESULTS: About 41.5% of women received at least biennial screening, while 22.1% received less than biennial screening and 36.4% had no screening. About 40% of women aged 50-64, 50.4% aged 65-74, and 48.3% aged 75-84 received biennial screening (p=0.002). Women diagnosed with in-situ and localized breast cancers had significantly higher proportions of biennial screening (46.7% and 48.6%, respectively; p < 0.001). Average tumor size was 15.7, 17.4, and 24.4 mm, for women who received at least biennial, some, and no screening, respectively (p < 0.001). Results from Poisson regression analysis showed the adjusted relative risk associated with rural/mixed residence at diagnosis and Medicaid beneficiary was 0.45 and 0.40 (p=0.003 and p=0.032) respectively. CONCLUSIONS: Biennial mammography screening was associated with lower breast cancer stage and smaller tumor size, illustrating the importance of screening as early detection. Different outreach strategies may be necessary to reach women within varied age groups or geographical regions to help increase the number of women who remain up-to-date with mammography screening.
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spelling pubmed-101940542023-05-18 Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community Lai, S Molnar, K Huang, L Garimella, S Enko, M Pordell, P White, A Senkomago, V Prev Med Community Health Article PURPOSE: The objective of this study was to examine patterns of mammography screening prior to breast cancer diagnosis in all women with breast cancer in a Kansas community. METHODS: The study population included 508 women in the Kansas Cancer Registry database diagnosed with breast cancer between 2013-2014 who were patients and residents of a defined area at the time of diagnosis. Screening history within 4 years of diagnosis was obtained. Poisson regression analysis was used to examine the relationship between sociodemographic factors and biennial screening. RESULTS: About 41.5% of women received at least biennial screening, while 22.1% received less than biennial screening and 36.4% had no screening. About 40% of women aged 50-64, 50.4% aged 65-74, and 48.3% aged 75-84 received biennial screening (p=0.002). Women diagnosed with in-situ and localized breast cancers had significantly higher proportions of biennial screening (46.7% and 48.6%, respectively; p < 0.001). Average tumor size was 15.7, 17.4, and 24.4 mm, for women who received at least biennial, some, and no screening, respectively (p < 0.001). Results from Poisson regression analysis showed the adjusted relative risk associated with rural/mixed residence at diagnosis and Medicaid beneficiary was 0.45 and 0.40 (p=0.003 and p=0.032) respectively. CONCLUSIONS: Biennial mammography screening was associated with lower breast cancer stage and smaller tumor size, illustrating the importance of screening as early detection. Different outreach strategies may be necessary to reach women within varied age groups or geographical regions to help increase the number of women who remain up-to-date with mammography screening. 2023-02-12 /pmc/articles/PMC10194054/ /pubmed/37206957 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Lai, S
Molnar, K
Huang, L
Garimella, S
Enko, M
Pordell, P
White, A
Senkomago, V
Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title_full Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title_fullStr Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title_full_unstemmed Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title_short Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community
title_sort patterns of mammography screening in women with breast cancer in a kansas community
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194054/
https://www.ncbi.nlm.nih.gov/pubmed/37206957
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