Mammography surveillance following breast cancer

Berta M. Geller, Karla Kerlikowske, Patricia (Patty) Carney, Linn A. Abraham, Bonnie C. Yankaskas, Stephen H. Taplin, Rachel Ballard-Barbash, Mark B. Dignan, Robert Rosenberg, Nicole Urban, William E. Barlow

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background. To describe when women diagnosed with breast cancer return for their first mammography, and to identify factors predictive of women returning for mammographic surveillance. Methods. Women who underwent mammography at facilities participating in the National Cancer Institute's Breast Cancer Surveillance Consortium (BCSC) during 1996 and who were subsequently diagnosed with ductal carcinoma in situ or invasive breast cancer were included in this study. Data from seven mammography registries were linked to population-based cancer and pathology registries. Kaplan-Meier curves were used to depict the number of months from the breast cancer diagnosis to the first mammogram within the defined follow-up period. Demographic, disease and treatment variables were included in univariate and multivariate analyses to identify factors predictive of women returning for mammography. Results. Of the 2503 women diagnosed with breast cancer, 78.1% returned for mammography examination between 7 and 30 months following the diagnosis. Mammography facilities indicated that 66.8% of mammography examinations were classified as screening. Multivariate analyses found that women were most likely to undergo surveillance mammography if they were diagnosed at ages 60-69 with Stage 0, I or II breast cancer and had received radiation therapy in addition to surgery. Conclusions. While the majority of women return for mammographic surveillance following breast cancer, some important subgroups of women at higher risk for recurrence are less likely to return. Research is needed to determine why some women are not undergoing mammography surveillance after a breast cancer diagnosis and whether surveillance increases the chance of detecting tumors with a good prognosis.

Original languageEnglish (US)
Pages (from-to)107-115
Number of pages9
JournalBreast Cancer Research and Treatment
Volume81
Issue number2
DOIs
StatePublished - Sep 2003
Externally publishedYes

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Mammography
Breast Neoplasms
Registries
Multivariate Analysis
Carcinoma, Intraductal, Noninfiltrating
National Cancer Institute (U.S.)
Neoplasms
Radiotherapy
Demography
Pathology
Recurrence
Research

Keywords

  • Breast cancer
  • Mammography
  • Recurrence
  • Screening
  • Surveillance

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Geller, B. M., Kerlikowske, K., Carney, P. P., Abraham, L. A., Yankaskas, B. C., Taplin, S. H., ... Barlow, W. E. (2003). Mammography surveillance following breast cancer. Breast Cancer Research and Treatment, 81(2), 107-115. https://doi.org/10.1023/A:1025794629878

Mammography surveillance following breast cancer. / Geller, Berta M.; Kerlikowske, Karla; Carney, Patricia (Patty); Abraham, Linn A.; Yankaskas, Bonnie C.; Taplin, Stephen H.; Ballard-Barbash, Rachel; Dignan, Mark B.; Rosenberg, Robert; Urban, Nicole; Barlow, William E.

In: Breast Cancer Research and Treatment, Vol. 81, No. 2, 09.2003, p. 107-115.

Research output: Contribution to journalArticle

Geller, BM, Kerlikowske, K, Carney, PP, Abraham, LA, Yankaskas, BC, Taplin, SH, Ballard-Barbash, R, Dignan, MB, Rosenberg, R, Urban, N & Barlow, WE 2003, 'Mammography surveillance following breast cancer', Breast Cancer Research and Treatment, vol. 81, no. 2, pp. 107-115. https://doi.org/10.1023/A:1025794629878
Geller BM, Kerlikowske K, Carney PP, Abraham LA, Yankaskas BC, Taplin SH et al. Mammography surveillance following breast cancer. Breast Cancer Research and Treatment. 2003 Sep;81(2):107-115. https://doi.org/10.1023/A:1025794629878
Geller, Berta M. ; Kerlikowske, Karla ; Carney, Patricia (Patty) ; Abraham, Linn A. ; Yankaskas, Bonnie C. ; Taplin, Stephen H. ; Ballard-Barbash, Rachel ; Dignan, Mark B. ; Rosenberg, Robert ; Urban, Nicole ; Barlow, William E. / Mammography surveillance following breast cancer. In: Breast Cancer Research and Treatment. 2003 ; Vol. 81, No. 2. pp. 107-115.
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abstract = "Background. To describe when women diagnosed with breast cancer return for their first mammography, and to identify factors predictive of women returning for mammographic surveillance. Methods. Women who underwent mammography at facilities participating in the National Cancer Institute's Breast Cancer Surveillance Consortium (BCSC) during 1996 and who were subsequently diagnosed with ductal carcinoma in situ or invasive breast cancer were included in this study. Data from seven mammography registries were linked to population-based cancer and pathology registries. Kaplan-Meier curves were used to depict the number of months from the breast cancer diagnosis to the first mammogram within the defined follow-up period. Demographic, disease and treatment variables were included in univariate and multivariate analyses to identify factors predictive of women returning for mammography. Results. Of the 2503 women diagnosed with breast cancer, 78.1{\%} returned for mammography examination between 7 and 30 months following the diagnosis. Mammography facilities indicated that 66.8{\%} of mammography examinations were classified as screening. Multivariate analyses found that women were most likely to undergo surveillance mammography if they were diagnosed at ages 60-69 with Stage 0, I or II breast cancer and had received radiation therapy in addition to surgery. Conclusions. While the majority of women return for mammographic surveillance following breast cancer, some important subgroups of women at higher risk for recurrence are less likely to return. Research is needed to determine why some women are not undergoing mammography surveillance after a breast cancer diagnosis and whether surveillance increases the chance of detecting tumors with a good prognosis.",
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AU - Taplin, Stephen H.

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N2 - Background. To describe when women diagnosed with breast cancer return for their first mammography, and to identify factors predictive of women returning for mammographic surveillance. Methods. Women who underwent mammography at facilities participating in the National Cancer Institute's Breast Cancer Surveillance Consortium (BCSC) during 1996 and who were subsequently diagnosed with ductal carcinoma in situ or invasive breast cancer were included in this study. Data from seven mammography registries were linked to population-based cancer and pathology registries. Kaplan-Meier curves were used to depict the number of months from the breast cancer diagnosis to the first mammogram within the defined follow-up period. Demographic, disease and treatment variables were included in univariate and multivariate analyses to identify factors predictive of women returning for mammography. Results. Of the 2503 women diagnosed with breast cancer, 78.1% returned for mammography examination between 7 and 30 months following the diagnosis. Mammography facilities indicated that 66.8% of mammography examinations were classified as screening. Multivariate analyses found that women were most likely to undergo surveillance mammography if they were diagnosed at ages 60-69 with Stage 0, I or II breast cancer and had received radiation therapy in addition to surgery. Conclusions. While the majority of women return for mammographic surveillance following breast cancer, some important subgroups of women at higher risk for recurrence are less likely to return. Research is needed to determine why some women are not undergoing mammography surveillance after a breast cancer diagnosis and whether surveillance increases the chance of detecting tumors with a good prognosis.

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