Danila Cristina Paquier Sala, L. Silva, M. F. P. Okuno, Ana A. Baumann
{"title":"A scoping review of excessive use of mammography screening","authors":"Danila Cristina Paquier Sala, L. Silva, M. F. P. Okuno, Ana A. Baumann","doi":"10.37689/acta-ape/2023arspe0237733","DOIUrl":null,"url":null,"abstract":"Objectives: To identify how scholars define excessive screening for women without risk of developing breast cancer, examine the determinants (barriers and facilitators) of excessive use of mammography screening, and describe the rates of observations of excessive use mammography screening.\n\nMethods: Scoping review based on a search in May 2022 in six electronic health databases and libraries. Articles included were peer-reviewed articles, in any language and year of publication.\n\nResults: In a sample of 18 articles, published from 1991 onwards, most of them from the United States, the excessive use of mammography were defined as the intention or performance of mammography outside the recommended age or interval range, among women with limited life expectancy, in coexisting, organized and opportunistic programs. The rates of observations of excessive use of mammography screening in the selected studies ranged from 1.4% to 87,2%. Facilitators for excessive mammography are related concerns of getting cancer; to the medical advice, especially from specialists; and to the increased access to tests. The most exposed to excessive screening are women with higher levels of education and income. Barriers for excessive mammography included guidance in consultations about the harm of mammography and life expectancy by general practitioners, particularly those in primary care.\n\nConclusion: Our study identified that the excessive use of mammography screening has a high prevalence when done as screening and is permeated by multi-level factors. Our list of determinants can provide some guidance for future studies aiming to de-implement the low-value care of excessive mammography screening.","PeriodicalId":6891,"journal":{"name":"Acta Paulista De Enfermagem","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Paulista De Enfermagem","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.37689/acta-ape/2023arspe0237733","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To identify how scholars define excessive screening for women without risk of developing breast cancer, examine the determinants (barriers and facilitators) of excessive use of mammography screening, and describe the rates of observations of excessive use mammography screening.
Methods: Scoping review based on a search in May 2022 in six electronic health databases and libraries. Articles included were peer-reviewed articles, in any language and year of publication.
Results: In a sample of 18 articles, published from 1991 onwards, most of them from the United States, the excessive use of mammography were defined as the intention or performance of mammography outside the recommended age or interval range, among women with limited life expectancy, in coexisting, organized and opportunistic programs. The rates of observations of excessive use of mammography screening in the selected studies ranged from 1.4% to 87,2%. Facilitators for excessive mammography are related concerns of getting cancer; to the medical advice, especially from specialists; and to the increased access to tests. The most exposed to excessive screening are women with higher levels of education and income. Barriers for excessive mammography included guidance in consultations about the harm of mammography and life expectancy by general practitioners, particularly those in primary care.
Conclusion: Our study identified that the excessive use of mammography screening has a high prevalence when done as screening and is permeated by multi-level factors. Our list of determinants can provide some guidance for future studies aiming to de-implement the low-value care of excessive mammography screening.
期刊介绍:
Acta Paulista de Enfermagem – (Acta Paul Enferm.), ISSN 1982-0194, is a [bilingual] technical-scientific electronic publication of the Escola Paulista de Enfermagem – EPE, Universidade Federal de São Paulo – UNIFESP.
Our mission: To disseminate the scientific knowledge generated within the rigor of research and ethics methodology.
Our objective: To publish results of original research for advancement of practices of clinical, surgical, and management nursing, as well as education, research, and information and communication technology.