https://scholars.lib.ntu.edu.tw/handle/123456789/540655
標題: | Women with abnormal screening mammography lost to follow-up An experience from Taiwan | 作者: | Kuo C.-S. Chen G.-R. Hung S.-H. Liu Y.-L. KUO-CHIN HUANG SHAO-YI CHENG |
公開日期: | 2016 | 出版社: | Lippincott Williams and Wilkins | 卷: | 95 | 期: | 24 | 起(迄)頁: | e3889 | 來源出版物: | Medicine (United States) | 摘要: | Breast cancer has the highest incidence among all cancers for women in Taiwan. The current screening policy in Taiwan suggested a biennialmammography for allwomen 40 to 69 years of age.A recommendation for additional testing is recommended forwomen with a BI-RADS result of 0 or 4; a request made via postal mail. Approximately 20% of high-risk patients do not receive additional follow-up. Therefore, we aimed to explore the causes of these patients being lost to follow-up, despite an abnormal mammogram. Two questionnaires were designed separately according to the conceptual framework of the Health BeliefModel. Study participants, women whoreceived a screeningmammography at the National TaiwanUniversity Hospital in 2011 with a BI-RADof 0 or 4,were interviewed via telephone. The dependent variable was receipt of follow-up or not. The analyses were performed by using χ2 tests and logistic regressionmodels. In total, 528 women were enrolled in the study: 51.2%in BI-RADS0 group and 56.6%in BI-RADS4, respectively. In the BI-RADS 0 group, those patients who received a follow-up examination cited the most likely causes to be physician suggestion, health implications, and concerns regarding breast cancer. Patients who did not receive a follow-up examination cited a lack of time and a perception of good personal health as primary reasons. In the BI-RADS 4 group, those patients who received a follow-up examination cited the physician's recommendation and a recognition of the importance of follow-up examinations. Patients who did not receive a follow-up examination cited having received follow-up at another hospital and a desire for a second opinion. In the BI-RADS 0 group, multivariate analysis showed that patients with higher scores in the "perceived benefits" domain were statisticallymore likely to receive a follow-up examination. There was no significant difference in perceived threats, perceived barriers, action cues, or self-efficacy between groups. We conclude that additional education to raise breast cancer awareness in the general public and healthcare providers will be needed to improve the rate of follow-up examinations after an abnormal screening mammogram. ? 2016 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976389245&doi=10.1097%2fMD.0000000000003889&partnerID=40&md5=5a9d14eb152789afe094366f4a5b2ca1 https://scholars.lib.ntu.edu.tw/handle/123456789/540655 |
ISSN: | 0025-7974 | DOI: | 10.1097/MD.0000000000003889 | SDG/關鍵字: | adult; Article; association; awareness; breast cancer; conceptual framework; female; follow up; Health Belief Model; health education; high risk patient; human; major clinical study; mammography; perception; priority journal; questionnaire; self concept; Taiwan; telephone interview; aged; Breast Neoplasms; early cancer diagnosis; incidence; mammography; mass screening; middle aged; procedures; retrospective study; Adult; Aged; Breast Neoplasms; Early Detection of Cancer; Female; Humans; Incidence; Lost to Follow-Up; Mammography; Mass Screening; Middle Aged; Retrospective Studies; Surveys and Questionnaires; Taiwan |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。