有乳腺癌病史的妇女对乳房密度的了解以及是否愿意推迟乳腺癌术前成像治疗

IF 6.1 1区 医学 Q1 ONCOLOGY Breast Cancer Research Pub Date : 2024-04-29 DOI:10.1186/s13058-024-01820-x
Rebecca E. Smith, Brian L. Sprague, Louise M. Henderson, Karla Kerlikowske, Diana L. Miglioretti, Karen J. Wernli, Tracy Onega, Roberta M. diFlorio-Alexander, Anna N.A. Tosteson
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引用次数: 0

摘要

在确诊乳腺癌后,妇女的乳房密度知识是否会影响她们是否愿意接受术前成像以检测乳房中是否存在其他癌症,这一点尚不确定。我们评估了女性对乳腺密度知识的了解程度以及她们是否愿意推迟治疗以进行术前检测。我们调查了乳腺癌监测联盟中年龄≥18岁、在过去6-18个月内首次诊断出乳腺癌、在诊断前5年内至少进行过一次乳腺密度测量的女性。我们通过逻辑回归评估了妇女对乳腺密度的了解程度以及是否愿意推迟治疗 6 周或更长时间进行术前成像的相关因素。调查参与率为 28.3%(969/3,430)。72%(469/647)的致密乳房女性和11%(34/322)的非致密乳房女性正确了解自己的乳房密度(P < 0.001);69%(665/969)的女性知道致密乳房会使乳房X光检查更难发现癌症;29%(285/969)的女性愿意推迟治疗≥6周进行术前成像。推迟治疗的意愿并不因自我报告的密度而异(非致密与致密的OR:0.99;95%CI: 0.50-1.96)。接受化疗的患者推迟治疗的意愿较低(OR:0.67;95%CI:0.46-0.96)。曾推迟乳腺癌治疗超过 3 个月与因术前成像而推迟治疗的意愿增加有关(OR:2.18;95%CI:1.26-3.77)。对个人乳房密度的了解与为进行术前成像而推迟治疗 6 周或更长时间的意愿无关,但妇女的治疗经历却与之相关。NCT02980848于2016年12月2日注册。
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Breast density knowledge and willingness to delay treatment for pre-operative breast cancer imaging among women with a personal history of breast cancer
Following a breast cancer diagnosis, it is uncertain whether women’s breast density knowledge influences their willingness to undergo pre-operative imaging to detect additional cancer in their breasts. We evaluated women’s breast density knowledge and their willingness to delay treatment for pre-operative testing. We surveyed women identified in the Breast Cancer Surveillance Consortium aged ≥ 18 years, with first breast cancer diagnosed within the prior 6–18 months, who had at least one breast density measurement within the 5 years prior to their diagnosis. We assessed women’s breast density knowledge and correlates of willingness to delay treatment for 6 or more weeks for pre-operative imaging via logistic regression. Survey participation was 28.3% (969/3,430). Seventy-two percent (469/647) of women with dense and 11% (34/322) with non-dense breasts correctly knew their density (p < 0.001); 69% (665/969) of all women knew dense breasts make it harder to detect cancers on a mammogram; and 29% (285/969) were willing to delay treatment ≥ 6 weeks to undergo pre-operative imaging. Willingness to delay treatment did not differ by self-reported density (OR:0.99 for non-dense vs. dense; 95%CI: 0.50–1.96). Treatment with chemotherapy was associated with less willingness to delay treatment (OR:0.67; 95%CI: 0.46–0.96). Having previously delayed breast cancer treatment more than 3 months was associated with an increased willingness to delay treatment for pre-operative imaging (OR:2.18; 95%CI: 1.26–3.77). Understanding of personal breast density was not associated with willingness to delay treatment 6 or more weeks for pre-operative imaging, but aspects of a woman’s treatment experience were. NCT02980848 registered December 2, 2016.
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来源期刊
Breast Cancer Research
Breast Cancer Research 医学-肿瘤学
自引率
0.00%
发文量
76
期刊介绍: Breast Cancer Research is an international, peer-reviewed online journal, publishing original research, reviews, editorials and reports. Open access research articles of exceptional interest are published in all areas of biology and medicine relevant to breast cancer, including normal mammary gland biology, with special emphasis on the genetic, biochemical, and cellular basis of breast cancer. In addition to basic research, the journal publishes preclinical, translational and clinical studies with a biological basis, including Phase I and Phase II trials.
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