Nav: Home

Women more likely to use other preventive health services after mammography

June 05, 2018

OAK BROOK, Ill. - Medicare beneficiaries who undergo breast cancer screening with mammography are more likely than unscreened women to undergo other preventive health services like screening for cervical cancer and osteoporosis, according to a major new study appearing online in the journal Radiology. Researchers found that even false-positive mammography findings did not reduce the likelihood of women utilizing these other preventive services.

Mammography is among the most commonly offered preventive services for women ages 40 years and older, making it a potentially significant influencer of adherence to other preventive services guidelines. However, little is known about the association between screening mammography and use of a variety of preventive services in the Medicare population, along with the impact of false-positive mammographic findings on preventive services use.

For the new study, researchers from NYU School of Medicine in New York, Emory University in Atlanta, and the Harvey L. Neiman Health Policy Institute in Reston, Va., set out to learn more about these associations.

"There were two overarching ideas to this study," said Stella Kang, M.D., M.Sc., assistant professor of radiology and population health at NYU School of Medicine. "First, we wanted to examine the potential for a patient's experience with one screening to influence appointments with other preventive services. Second, we wanted to see how the potential harms from false-positive findings might influence preventive service use."

Dr. Kang and colleagues compared preventive services utilization among 185,625 women who underwent mammography from 2010 to 2014 with that of a control group who did not have screening mammography. They zeroed in on the relationship between screening status and the probabilities of undergoing Pap smear, bone mass measurement, or influenza vaccination in the two years after mammography. The researchers also looked for a possible association between false-positive mammography results and subsequent use of the same non-mammographic preventive services. In theory, false positives, which require additional examinations and create added stress for the patient, might create negative associations with preventives services.

The results showed that women who underwent mammography screening, with either positive or negative results, were significantly more likely than unscreened women to later utilize Pap smear, bone mass measurement and influenza vaccine services. In women who had not undergone these preventive measures in the two years prior to screening mammography, utilization of all three services after false-positive mammography screening was no different than after a true-negative screening.

"It's encouraging that women for whom services are received through Medicare are not showing significant signs of any negative influence from mammography," Dr. Kang said. "If anything, the experience of breast cancer screening is potentially encouraging, as it appears to increase awareness of other preventive services."

There are a number of possible reasons for the increased odds of preventive services utilization, the researchers said. Adherence to screening mammography guidelines suggests a patient may be more proactive about her health in general, and referring physicians may consider a patient's willingness to undergo mammography as indicative of an understanding or acceptance of the favorable benefit-risk profile of recommended preventive services.

"Our theory is that when patients are counseled about mammography screening, this represents an opportunity for the physician to bring up other preventive services and the health benefits of these services for women in their age group," Dr. Kang said. "So a patient's interest in breast cancer services specifically could raise awareness in preventive services overall."

In the future, the researchers plan to look at mammography's effects on the utilization of other recommended preventive services, such as colorectal cancer screening.
-end-
"Use of Breast Cancer Screening and Its Association with Later Use of Preventive Services among Medicare Beneficiaries." Collaborating with Dr. Kang were Miao Jiang, Ph.D., Richard Duszak, Jr., M.D., Samantha L. Heller, Ph.D., M.D., Danny R. Hughes, Ph.D., and Linda Moy, M.D.

Radiology is edited by David A. Bluemke, M.D., Ph.D., University of Wisconsin School of Medicine and Public Health, Madison, Wis., and owned and published by the Radiological Society of North America, Inc. (http://RSNA.org/radiology)

RSNA is an association of over 54,200 radiologists, radiation oncologists, medical physicists and related scientists promoting excellence in patient care and health care delivery through education, research and technologic innovation. The Society is based in Oak Brook, Ill. (RSNA.org)

For patient-friendly information on mammography, visit RadiologyInfo.org.

Radiological Society of North America

Related Cervical Cancer Articles:

Stress in cervical cancer patients associated with higher risk of cancer-specific mortality
Psychological stress was associated with a higher risk of cancer-specific mortality in women diagnosed with cervical cancer.
Cost-effectiveness analysis of 12 cervical cancer screenings
This cost-effectiveness analysis incorporates women's preferences and estimates quality of life and economic outcomes for 12 cervical cancer screening strategies.
Urine test could prevent cervical cancer
Urine testing may be as effective as the smear test at preventing cervical cancer, according to new research by University of Manchester scientists.
Cervical cancer subtype rising in some sub-populations
A new study reports that a type of cervical cancer that is less amenable to Pap testing is increasing in several subpopulations of women, pointing to the growing importance of human papillomavirus (HPV) testing and vaccination
Cervical cancer is more aggressive when human papillomavirus is not detected
Cervical cancer negative for the human papillomavirus (HPV) is rare but more aggressive: it is more frequently diagnosed at advanced stages, with more metastasis and reduced survival.
USPSTF recommendation statement on screening for cervical cancer
The US Preventive Services Task Force (USPSTF) has updated its recommendations regarding screening for cervical cancer, with the recommendations and type of screening method varying depending on the woman's age and other factors.
Does HPV vaccination prevent the development of cervical cancer?
New evidence published today in the Cochrane Library shows that human papilloma virus (HPV) vaccines protect against cervical lesions in young women, particularly in those who are vaccinated between the ages of 15 and 26.
There's a better way to screen for cervical cancer
A new study in the Journal of the National Cancer Institute indicates that high-quality cervical cancer screening can be done effectively using a completely automated approach.
Self-sampling identifies twice as many women at risk of cervical cancer
Using self-sampling followed by HPV testing, more than twice as many women at risk of developing cervical cancer could be identified and offered preventive treatment.
Berry gives boost to cervical cancer therapy
According to the Centers for Disease Control and Prevention, approximately 12,000 women in the United States are diagnosed with cervical cancer each year.
More Cervical Cancer News and Cervical Cancer Current Events

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Rethinking Anger
Anger is universal and complex: it can be quiet, festering, justified, vengeful, and destructive. This hour, TED speakers explore the many sides of anger, why we need it, and who's allowed to feel it. Guests include psychologists Ryan Martin and Russell Kolts, writer Soraya Chemaly, former talk radio host Lisa Fritsch, and business professor Dan Moshavi.
Now Playing: Science for the People

#538 Nobels and Astrophysics
This week we start with this year's physics Nobel Prize awarded to Jim Peebles, Michel Mayor, and Didier Queloz and finish with a discussion of the Nobel Prizes as a way to award and highlight important science. Are they still relevant? When science breakthroughs are built on the backs of hundreds -- and sometimes thousands -- of people's hard work, how do you pick just three to highlight? Join host Rachelle Saunders and astrophysicist, author, and science communicator Ethan Siegel for their chat about astrophysics and Nobel Prizes.