ArticleBMJ open2018
Perceptions of overdetection of breast cancer among women 70 years of age and older in the USA: a mixed-methods analysis.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient preferences for breast cancer screening: a systematic review update to inform recommendations by the Canadian Task Force on Preventive Health Care.Systematic reviews · 2024Pooled it
- Patient-Reported Factors Associated With Older Adults' Cancer Screening Decision-making: A Systematic Review.JAMA network open · 2021Pooled it
- The effect of conflicting versus consistent messaging on older women's support for breast cancer screening cessation.Patient education and counseling · 2025Trial
- Trust in the healthcare system declines after exposure to information about the harms and benefits of breast cancer screening.Journal of health psychology · 2025Article
- Evaluation of how US women react to a decision aid informing them of the harms and benefits of mammography: a qualitative study.BMJ open · 2025Article
- Understanding motivations of older women to continue or discontinue breast cancer screening.medRxiv : the preprint server for health sciences · 2025Article
- Understanding motivations of older women to continue or discontinue breast cancer screening.PloS one · 2025Article
- Perspectives of international experts and the Danish citizens on the 'relevant knowledge' that citizens need for making informed choices about participation in cancer screening: Qualitative study.Patient education and counseling · 2025Article
- Scientific uncertainty and perceived mammography benefits in women screened for breast cancer.Cancer causes & control : CCC · 2023Article
- 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 · 2023Article
- Predictors of Nonadherence to Medications among Hypertensive Patients in Ghana: An Application of the Health Belief Model.International journal of hypertension · 2022Article
- A mixed-methods study of multi-level factors influencing mammography overuse among an older ethnically diverse screening population: implications for de-implementation.Implementation science communications · 2021Article
- Modifying a Mammography Decision Aid for Older Adult Women with Risk Factors for Low Health Literacy.Health literacy research and practice · 2021Article
- Authors' response.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Article
- Patients' views about screening for atrial fibrillation (AF): a qualitative study in primary care.BMJ open · 2020Article
- Women's Acceptance of Overdetection in Breast Cancer Screening: Can We Assess Harm-Benefit Tradeoffs?Medical decision making : an international journal of the Society for Medical Decision Making · 2020Article
- Resistance to discontinuing breast cancer screening in older women: A qualitative study.Psycho-oncology · 2018Article
- A Review of the Presentation of Overdiagnosis in Cancer Screening Patient Decision Aids.MDM policy & practiceReview
- Primary Care Providers' Perceptions of the Acceptability, Appropriateness, and Feasibility of a Mammography Decision Aid for Women Aged 75 and Older.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectivesCurrent research on the perceptions of overdiagnosis or overdetection of breast cancer has largely been conducted outside of the USA and with women younger than 70 years.Therefore, we explored older women's perceptions about the concept of overdetection of breast cancer and its influence on future screening intentions.
designMixed-methods analysis using purposive sampling based on race/ethnicity, age and educational level. Semistructured interviews, including two hypothetical scenarios illustrating benefits and harms of screening and overdetection, were analysed using inductive and deductive thematic approaches. An inferential clustering technique was used to assess overall patterns in narrative content by sociodemographic characteristics, personal screening preferences or understanding of overdetection.
settingHouston/Galveston, Texas, USA.
participants59 English-speaking women aged 70 years and older with no prior history of breast cancer.
resultsVery few women were familiar with the concept of overdetection and overtreatment. After the scenarios were presented, half of the women still demonstrated a lack of understanding of the concept of overdetection. Many women expressed suspicion of the concept, equating it to rationing. Women who showed understanding of overdetection were more likely to express an intent to discontinue screening, although 86% of the women stated that hearing about overdetection did not influence their screening decision. Themes identified did not differ by race/ethnicity, education, age or screening preferences. Differences were identified between women who understood overdetection and women who did not (
conclusionsMany older women did not understand the concept of overdetection, in addition to being suspicious of or resistant to the concept. Providing older women with descriptions of overdetection may not be sufficient to influence screening intentions.
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Registered trials
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.