Supplemental breast cancer screening after negative mammography in U.S. women with dense breasts.

IF 9.9 1区 医学 Q1 ONCOLOGY
Victoria M Foster, Amy Trentham-Dietz, Natasha K Stout, Christoph I Lee, Laura E Ichikawa, Joanna Eavey, Louise Henderson, Diana L Miglioretti, Anna N A Tosteson, Erin A Bowles, Karla Kerlikowske, Brian L Sprague
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Abstract

The extent and determinants of supplemental screening among women with dense breasts are unclear. We evaluated a retrospective cohort of 498,855 women aged 40-74 years with heterogeneously or extremely dense breasts who obtained 1,176,251 negative screening mammography examinations during 2011-2019 in the United States. Overall, 2.8% and 0.3% of mammograms had supplemental ultrasound or MRI within one year, respectively. Onsite availability was associated with ultrasound (odds ratio [OR]=4.35; 95%CI : 4.21-4.49) but not MRI (OR = 0.94; 95%CI : 0.85-1.04). Facility academic affiliation and for-profit status were inversely associated with supplemental ultrasound (OR = 0.53; 95%CI : 0.49-0.57 and OR = 0.83; 95%CI : 0.81-0.86, respectively) and positively associated with supplemental MRI (OR = 3.04; 95%CI : 2.86-3.46 and OR = 1.88; 95%CI : 1.66-2.12, respectively). Supplemental screening was more likely to occur after passage of state-specific density notification laws than before passage (OR = 3.56; 95%CI 3.30-3.84 and OR = 1.79; 95%CI 1.60-2.00, respectively). These results show that supplemental breast imaging utilization has been uncommon and was related to facility factors and density legislation.

美国致密乳房妇女在乳房 X 射线照相检查阴性后的补充乳腺癌筛查。
致密乳房女性补充筛查的程度和决定因素尚不清楚。我们对一个回顾性队列进行了评估,该队列中有 498,855 名年龄在 40-74 岁之间、乳房密度不均或极度致密的女性,她们在 2011-2019 年期间在美国接受了 1,176,251 次乳房 X 光阴性筛查。总体而言,分别有 2.8% 和 0.3% 的乳房 X 光检查在一年内进行了补充超声波或核磁共振成像。现场可用性与超声波有关(几率比 [OR]=4.35; 95%CI : 4.21-4.49),但与核磁共振成像无关(OR = 0.94; 95%CI : 0.85-1.04)。医疗机构的学术属性和营利性与补充超声波检查成反比(OR = 0.53; 95%CI : 0.49-0.57 和 OR = 0.83; 95%CI : 0.81-0.86),而与补充磁共振成像检查成正比(OR = 3.04; 95%CI : 2.86-3.46 和 OR = 1.88; 95%CI : 1.66-2.12)。补充筛查在特定州密度通知法通过后比通过前更有可能发生(OR = 3.56; 95%CI 3.30-3.84 和 OR = 1.79; 95%CI 1.60-2.00)。这些结果表明,补充乳腺成像的使用并不常见,而且与设施因素和密度立法有关。
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来源期刊
CiteScore
17.00
自引率
2.90%
发文量
203
审稿时长
4-8 weeks
期刊介绍: The Journal of the National Cancer Institute is a reputable publication that undergoes a peer-review process. It is available in both print (ISSN: 0027-8874) and online (ISSN: 1460-2105) formats, with 12 issues released annually. The journal's primary aim is to disseminate innovative and important discoveries in the field of cancer research, with specific emphasis on clinical, epidemiologic, behavioral, and health outcomes studies. Authors are encouraged to submit reviews, minireviews, and commentaries. The journal ensures that submitted manuscripts undergo a rigorous and expedited review to publish scientifically and medically significant findings in a timely manner.
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