Evidence map›Paper›PMID 32430383›Full record

ReviewJournal of the American Board of Family Medicine : JABFM

Breast Cancer Screening in Older Women: The Importance of Shared Decision Making.

Sarina Schrager, Viktoriya Ovsepyan, Elizabeth Burnside

Abstract readCase ReportsReview
In one paragraph

Review in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Social Drivers of Guideline-Discordant Breast Cancer Screening by Age and Mortality Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Article
  6. Patient, facility, and community determinants of timely follow up after abnormal screening mammograms in Appalachia: A multilevel analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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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

3 authors.

Sarina SchragerFrom the University of Wisconsin Department of Family Medicine and Community Health, Madison (SS); the University of Wisconsin School of Medicine and Public Health, Madison (VO); and the University of Wisconsin Department of Radiology, Madison (EB). sbschrag@wisc.edu.
Viktoriya OvsepyanFrom the University of Wisconsin Department of Family Medicine and Community Health, Madison (SS); the University of Wisconsin School of Medicine and Public Health, Madison (VO); and the University of Wisconsin Department of Radiology, Madison (EB).
Elizabeth BurnsideFrom the University of Wisconsin Department of Family Medicine and Community Health, Madison (SS); the University of Wisconsin School of Medicine and Public Health, Madison (VO); and the University of Wisconsin Department of Radiology, Madison (EB).

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Mentoring And Research In Patient-Oriented Breast Cancer DiagnosisK24CA194251 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BURNSIDE, ELIZABETH S · 2015 to 2019
$963k
NCATS NIH HHS UL1 TR002373NCI NIH HHS K24 CA194251NCI NIH HHS P30 CA014520
6 · The paper itself

Abstract

Incidence of breast cancer increases with age up until age 80. Screening mammography has demonstrated efficacy in decreasing mortality from breast cancer among women between 50 and 74 years of age. However, most major organizations do not include women over 74 in their recommendations due to the lack of evidence in this age-group. This article will review current recommendations for breast cancer screening in women over the age of 74. It will also present clear guidelines for primary care clinicians to follow that incorporate shared decision-making techniques, tools for estimating the risks and benefits of screening mammography, and strategies for integrating a patient's life expectancy and comorbidities into the decision-making process. We also emphasize the importance of using thoughtful communication strategies to fully engage older women in the breast cancer screening discussion.

Indexed as

Decision Making, SharedAgedAged, 80 and overBreast NeoplasmsDecision MakingEarly Detection of CancerFemaleHumansMammographyUnited StatesBreast CancerCommunicationEarly Detection of CancerIncidenceMammographyPrimary Health CareRisk AssessmentShared Decision Making

Identifiers

PMID32430383
PMCPMC7822071

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.