Evidence map›Paper›PMID 29575590›Full record

ArticlePsycho-oncology2018

Resistance to discontinuing breast cancer screening in older women: A qualitative study.

Ashley J Housten, Monique R Pappadis, Shilpa Krishnan, Susan C Weller, Sharon H Giordano, Therese B Bevers, Robert J Volk, Diana S Hoover

Abstract read
In one paragraph

Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Women's experiences of age-related discontinuation from mammography screening: A qualitative interview study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ashley J HoustenDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-7379-0678
Monique R PappadisDivision of Rehabilitation Sciences, School of Health Professions, The University of Texas Medical Branch, Galveston, TX, USA.ORCID 0000-0003-4742-4380
Shilpa KrishnanSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Susan C WellerSealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA.
Sharon H GiordanoDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Therese B BeversDepartment of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Robert J VolkDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Diana S HooverDepartment of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
R25 SUPPLEMENT IN GENETIC EPIDEMIOLOGY EDUCATIONR25CA057730 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHANG, SHINE · 1992 to 2016
$18.6M
Patient Centered Outcomes Research in the ElderlyR24HS022134 · AHRQ · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GOODWIN, MD, JAMES S. · 2013 to 2017
$4.8M
Postdoctoral Training in Cancer Prevention and ControlT32CA190194 · NCI · WASHINGTON UNIVERSITY · PI GRAHAM A. COLDITZ, AIMEE S JAMES · 2014 to 2026
$4.7M
Health Literacy and Smoking Cessation in Low-SES, Diverse SmokersK23DA040933 · NIDA · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HOOVER, DIANA STEWART · 2016 to 2018
$500k
Breast Cancer Screening: Priorities and Attitudes of Diverse Women Under 50K99MD011485 · NIMHD · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HOUSTEN, ASHLEY · 2017 to 2018
$177k
ACL HHS 90SFGE0002AHRQ HHS R24 HS022134NCI NIH HHS P30 CA016672NCI NIH HHS R25 CA057730NCI NIH HHS T32 CA190194NIA NIH HHS P30 AG024832NIDA NIH HHS K23 DA040933NIMHD NIH HHS K99 MD011485NIMHD NIH HHS L60 MD009326
6 · The paper itself

Abstract

objectiveScreening mammography is associated with reduced breast cancer-specific mortality; however, among older women, evidence suggests that the potential harms of screening may outweigh the benefits. We used a qualitative approach to examine the willingness of older women from different racial/ethnic groups to discontinue breast cancer screening.

methodsWomen ≥70 years of age who reported having a screening mammogram in the past 3 years and/or reported that they intended to continue screening in the future were recruited for in-depth interviews. Participants who intended to continue screening were asked to describe how the following hypothetical scenarios would impact a decision to discontinue screening: health concerns or limited life expectancy, a physician's recommendation to discontinue, reluctance to undergo treatment, and recommendations from experts or governmental panels to stop screening. Semi-structured, face-to-face interviews were audio-recorded. Data coding and analysis followed inductive and deductive approaches.

resultsRegardless of the scenario, participants (n = 29) expressed a strong intention to continue screening. Based on the hypothetical physician recommendations, intentions to continue screening appeared to remain strong. They did not envision a change in their health status that would lead them to discontinue screening and were skeptical of expert/government recommendations. There were no differences observed according to age, race/ethnicity, or education.

conclusionsAmong older women who planned to continue screening, intentions to continue breast cancer screening appear to be highly resilient and resistant to recommendations from physicians or expert/government panels.

Indexed as

Decision MakingAgedAged, 80 and overBreast NeoplasmsEarly Detection of CancerFemaleHealth StatusHumansLife ExpectancyMammographyMiddle AgedPatient Acceptance of Health CareQualitative Researchagedbreastcancercultural diversityearly detection of canceroncologyqualitativerace/ethnicitywomen

Identifiers

PMID29575590
PMCPMC5986612

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.