Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands
Aim: A false positive (FP) referral after screening mammography may influence a woman's likelihood to re-attend the screening program. The impact of having a FP result in the first or subsequent screening round on re-attendance after a FP result was investigated. In addition, we aimed to study...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Breast |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S096097762400033X |
| _version_ | 1797247918071087104 |
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| author | Adri C. Voogd Zsófi Molnar Joost Nederend Robert-Jan Schipper Luc J.A. Strobbe Lucien E.M. Duijm |
| author_facet | Adri C. Voogd Zsófi Molnar Joost Nederend Robert-Jan Schipper Luc J.A. Strobbe Lucien E.M. Duijm |
| author_sort | Adri C. Voogd |
| collection | DOAJ |
| description | Aim: A false positive (FP) referral after screening mammography may influence a woman's likelihood to re-attend the screening program. The impact of having a FP result in the first or subsequent screening round on re-attendance after a FP result was investigated. In addition, we aimed to study differences in re-attendance rates between women who underwent non-invasive and invasive additional examinations as part of the diagnostic work-up following a FP referral. Methods: A consecutive series of 13,597 women with a FP referral following biennial screening mammography in the south of the Netherlands between 2009 and 2019 was included. Results: The screening re-attendance rate was 81.2% after a FP referral, and 91.3% when also including women who had clinical mammographic follow-up. Women who received a FP referral in the first screening round were less likely to re-attend the screening programme in the following three years, compared to those with a FP test in any subsequent round (odds ratio (OR): 0.59, 95%-confidence interval (CI): 0.51–0.69). Women with a FP referral who underwent invasive examinations after referral were less likely to re-attend the screening programme than those who only received additional imaging (OR, 0.48; 95% CI 0.36–0.64). Conclusion: Women with a FP referral are less likely to re-attend the screening programme if this referral occurs at their first screening round or when they undergo invasive diagnostic workup. Hospitals and screening organizations should prioritize informing women about the importance of re-attending the programme following a FP referral. |
| first_indexed | 2024-03-07T14:29:40Z |
| format | Article |
| id | doaj.art-08f5b1e5ea1f4f3fb90c7b97394703f0 |
| institution | Directory Open Access Journal |
| issn | 1532-3080 |
| language | English |
| last_indexed | 2024-04-24T20:06:19Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Breast |
| spelling | doaj.art-08f5b1e5ea1f4f3fb90c7b97394703f02024-03-24T06:56:33ZengElsevierBreast1532-30802024-04-0174103702Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the NetherlandsAdri C. Voogd0Zsófi Molnar1Joost Nederend2Robert-Jan Schipper3Luc J.A. Strobbe4Lucien E.M. Duijm5Department of Epidemiology, Maastricht University, PO Box 616, 6200 MD, Maastricht, the Netherlands; Corresponding author. Maastricht University, Department of Epidemiology, P.O. Box 616, 6200 MD, Maastricht, the Netherlands.Department of Epidemiology, Maastricht University, PO Box 616, 6200 MD, Maastricht, the NetherlandsDepartment of Radiology, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the NetherlandsDepartment of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, the NetherlandsDepartment of Surgery, Canisius Wilhelmina Hospital, Weg Door Jonkerbos 100, 6532 SZ, Nijmegen, the NetherlandsDepartment of Radiology, Canisius Wilhelmina Hospital, Weg Door Jonkerbos 100, 6532 SZ, Nijmegen, the NetherlandsAim: A false positive (FP) referral after screening mammography may influence a woman's likelihood to re-attend the screening program. The impact of having a FP result in the first or subsequent screening round on re-attendance after a FP result was investigated. In addition, we aimed to study differences in re-attendance rates between women who underwent non-invasive and invasive additional examinations as part of the diagnostic work-up following a FP referral. Methods: A consecutive series of 13,597 women with a FP referral following biennial screening mammography in the south of the Netherlands between 2009 and 2019 was included. Results: The screening re-attendance rate was 81.2% after a FP referral, and 91.3% when also including women who had clinical mammographic follow-up. Women who received a FP referral in the first screening round were less likely to re-attend the screening programme in the following three years, compared to those with a FP test in any subsequent round (odds ratio (OR): 0.59, 95%-confidence interval (CI): 0.51–0.69). Women with a FP referral who underwent invasive examinations after referral were less likely to re-attend the screening programme than those who only received additional imaging (OR, 0.48; 95% CI 0.36–0.64). Conclusion: Women with a FP referral are less likely to re-attend the screening programme if this referral occurs at their first screening round or when they undergo invasive diagnostic workup. Hospitals and screening organizations should prioritize informing women about the importance of re-attending the programme following a FP referral.http://www.sciencedirect.com/science/article/pii/S096097762400033XBreast carcinomaMammographyScreeningPopulation-basedFalse-positive testFollow-up |
| spellingShingle | Adri C. Voogd Zsófi Molnar Joost Nederend Robert-Jan Schipper Luc J.A. Strobbe Lucien E.M. Duijm Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands Breast Breast carcinoma Mammography Screening Population-based False-positive test Follow-up |
| title | Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands |
| title_full | Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands |
| title_fullStr | Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands |
| title_full_unstemmed | Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands |
| title_short | Predictors of re-attendance at biennial screening mammography following a false positive referral: A study among women in the south of the Netherlands |
| title_sort | predictors of re attendance at biennial screening mammography following a false positive referral a study among women in the south of the netherlands |
| topic | Breast carcinoma Mammography Screening Population-based False-positive test Follow-up |
| url | http://www.sciencedirect.com/science/article/pii/S096097762400033X |
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