Breast cancer screening and cost-effectiveness; Policy alternatives, quality of life considerations and the possible impact of uncertain factors

1991 ◽  
Vol 49 (4) ◽  
pp. 531-537 ◽  
Author(s):  
Harry J. de Koning ◽  
B. Martin van Ineveld ◽  
Gerrit J. van Oortmarssen ◽  
J. C. J. M. de Haes ◽  
Hubertine J. A. Collette ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Policy Alternatives

Quality of Life and Breast Cancer Screening

1993 ◽  
pp. 131-141
Author(s):  
J. C. J. M. de Haes ◽  
H. J. de Koning
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Screening ◽  
Breast Cancer Screening

More Than Just a Mammogram: Breast Cancer Screening Perspectives of Relatives of Women With Intellectual Disability

2014 ◽  
Vol 52 (6) ◽  
pp. 444-455 ◽  
Author(s):  
Nechama W. Greenwood ◽  
Deborah Dreyfus ◽  
Joanne Wilkinson
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Health Care ◽  
Intellectual Disability ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Breast Cancer Mortality ◽  
Family Members ◽  
Well Being

Abstract Women with intellectual disability (ID) have similar rates of breast cancer as the general public, but higher breast cancer mortality and lower rates of regular screening mammography. Screening rates are lowest among women who live with their families. Though women with ID often make decisions in partnership with their relatives, we lack research related to family member perspectives on mammography. We conducted a qualitative study of family members of women with ID, with an interview guide focused on health care decision making and experiences, and breast cancer screening barriers, facilitators, and beliefs as related to their loved ones. Sixteen family members underwent semistructured interviews. Important themes included mammography as a reference point for other social and cultural concerns, such as their loved one's sexuality or what it means to be an adult woman; fear of having to make hard decisions were cancer to be diagnosed acting as a barrier to screening; a focus on quality of life; and desire for quality health care for their loved one, though quality care did not always equate to regular cancer screening. Adults with ID are valued members of their families, and their relatives are invested in their well-being. However, families fear the potentially complicated decisions associated with a cancer diagnosis and may choose to forgo screening due to misinformation and a focus on quality of life. Effective interventions to address disparities in mammography should focus on adults with ID and their families together, and incorporate the family context.

scholarly journals Overcoming Overdiagnosis: Women´s Preferences for Improving Breast Cancer Screening

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 38s-38s
Author(s):  
H.L. Bromley ◽  
T.E. Roberts ◽  
D. Petrie ◽  
B.G. Mann ◽  
D. Rea ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Ductal Carcinoma ◽  
Low Risk ◽  
Breast Cancers ◽  
Active Monitoring ◽  
The Impact

Background: Breast cancer screening is effective in reducing breast cancer mortality, but there is increasing concern that it may also lead to overdiagnosis; the detection and treatment of a cancer that would never have presented symptomatically during the woman's lifetime. Conservative management of low-risk breast cancer may reduce the harm of overdiagnosis resulting from mammographic screening programs, yet little is known about how such strategies might impact upon quality of life. Aim: To quantify women's preferences for managing low risk breast cancers identified by breast cancer screening. Methods: Utilities (measures of preference) were obtained from women with and without a history of breast cancer for seven health states reflecting low risk screen detected ductal carcinoma in situ (DCIS) using standard gambles. Demographics and a history of prior screening participation or breast cancer diagnosis were examined as predictors of screening and treatment pathway preferences. Results: Utilities were lower for breast cancers treated with mastectomy or invasive adjuvant treatment. The impact of active monitoring on quality of life was comparable to breast conserving surgery, although women in both patient and general population groups rated active monitoring more favorably as the risk of disease spread was decreased. There was some variation in ratings across patients suggesting that individual risk aversion does affect preferences for the type of conservative management valued. Conclusion: Overdiagnosis remains a challenge for improving the current breast cancer screening program. Active monitoring of low risk ductal carcinoma in situ may provide an acceptable solution for reducing the impact of overdiagnosis and overtreatment resulting from breast cancer screening on quality of life.

scholarly journals Design and respondent selection of a population-based study on associations between breast cancer screening, lifestyle and quality of life

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Tytti Sarkeala ◽  
Sirpa Heinävaara ◽  
Jonna Fredman ◽  
Satu Männistö ◽  
Riitta Luoto ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Population Based ◽  
Population Based Study ◽  
Selection Of

scholarly journals Cost-Effectiveness of Digital Mammography Breast Cancer Screening

2008 ◽  
Vol 148 (1) ◽  
pp. 1 ◽  
Author(s):  
Anna N.A. Tosteson ◽  
Natasha K. Stout ◽  
Dennis G. Fryback ◽  
Suddhasatta Acharyya ◽  
Benjamin A. Herman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cost Effectiveness ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Digital Mammography
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