PMID- 24159387
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20131025
LR  - 20211021
IS  - 2090-3170 (Print)
IS  - 2090-3189 (Electronic)
IS  - 2090-3189 (Linking)
VI  - 2013
DP  - 2013
TI  - Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They 
      Stay the Same.
PG  - 327567
LID - 10.1155/2013/327567 [doi]
LID - 327567
AB  - Purpose. In November 2009, the U.S. Preventative Service Task Force (USPSTF) 
      revised their breast cancer screening guidelines. We evaluated the pattern of 
      screening subsequent to the altered guidelines in a cohort of women. Methods. Our 
      database was queried for the following variables: age, race, method of diagnosis, 
      mass palpability, screening frequency, histology, and stage. Statistical analyses 
      were performed using Pearson's chi-square and Fisher's exact tests. Results. 1112 
      women were diagnosed with breast cancer from January 2010 to 2012. The median age 
      at diagnosis was 60 years. Most cancers were detected on mammography (61%). The 
      majority of patients had invasive ductal carcinoma (59%), stage 0 (23%), and 
      stage 1 (50%) cancers. The frequency of screening did not change significantly 
      over time (P = 0.30). However, nonregular screeners had an increased risk of 
      being diagnosed with later stage breast cancer (P < 0.001) and were more likely 
      to present with a palpable mass compared to regular screeners (56% versus 21%; P 
      < 0.001). Conclusions. In our study, screening behavior did not significantly 
      change in the years following the USPSTF guidelines. These results suggest that 
      women who are not screened annually are at increased risk of a delay in breast 
      cancer diagnosis, which may impact treatment options and outcomes.
FAU - Friedman, Erica B
AU  - Friedman EB
AD  - Department of Surgery, NYU Langone Medical Center, 160 East 34th Street, 4th 
      Floor, 550 First Avenue, New York, NY 10016, USA.
FAU - Chun, Jennifer
AU  - Chun J
FAU - Schnabel, Freya
AU  - Schnabel F
FAU - Schwartz, Shira
AU  - Schwartz S
FAU - Law, Sidney
AU  - Law S
FAU - Billig, Jessica
AU  - Billig J
FAU - Ivanoff, Erin
AU  - Ivanoff E
FAU - Moy, Linda
AU  - Moy L
FAU - Axelrod, Deborah
AU  - Axelrod D
FAU - Guth, Amber
AU  - Guth A
LA  - eng
PT  - Journal Article
DEP - 20130918
PL  - Egypt
TA  - Int J Breast Cancer
JT  - International journal of breast cancer
JID - 101568103
PMC - PMC3789493
EDAT- 2013/10/26 06:00
MHDA- 2013/10/26 06:01
PMCR- 2013/09/18
CRDT- 2013/10/26 06:00
PHST- 2013/07/22 00:00 [received]
PHST- 2013/08/20 00:00 [accepted]
PHST- 2013/10/26 06:00 [entrez]
PHST- 2013/10/26 06:00 [pubmed]
PHST- 2013/10/26 06:01 [medline]
PHST- 2013/09/18 00:00 [pmc-release]
AID - 10.1155/2013/327567 [doi]
PST - ppublish
SO  - Int J Breast Cancer. 2013;2013:327567. doi: 10.1155/2013/327567. Epub 2013 Sep 
      18.