期刊
BREAST
卷 22, 期 4, 页码 389-394出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.breast.2013.03.003
关键词
Mammography; Pain; Breast cancer; Screening; Participation
资金
- National Awareness and Early Diagnosis Initiative (NAEDI)
- National Cancer Research Institute (NCRI)
- consists of Cancer Research UK
- Department of Health (England)
- Economic and Social Research Council
- Health & Social Care RD Division
- Public Health Agency (Northern Ireland)
- National Institute for Social Care and Health Research (Wales)
- Scottish Government
- Chief Scientist Office [NMAHP1] Funding Source: researchfish
Uptake is crucial to reducing breast cancer mortality through screening. This review synthesised all available evidence on mammography pain as a deterrent to subsequent breast screening. Ten databases were searched. Studies containing empirical data relating mammography pain to breast screening reattendance were included (n = 20). In the most robust studies asking women why they had not reattended, 25%-46% cited pain, equivalent to approximately 47,000-87,000 women per year in England. The most robust evidence for an association between pain experienced at a previous mammogram and subsequent rates of re-attendance suggests that women who previously experienced pain are more likely than those who did not to fail to re-attend: RR 1.34 (95% CI: 0.94-1.91). The complexity of the pain phenomenon and of screening behaviours must be recognised. However, there is sufficient evidence to conclude that painful mammography contributes to non-re-attendance. Given the importance of cumulative participation, effective pain-reducing interventions in mammography are needed. (C) 2013 Elsevier Ltd. All rights reserved.
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