SynthesisJournal of the National Cancer Institute2021
The Impact of Breast Density Information or Notification on Women's Cognitive, Psychological, and Behavioral Outcomes: A Systematic Review.
Synthesis in Journal of the National Cancer Institute, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Factors Influencing Primary Care Practitioners' Cancer Screening Recommendations for Older Adults: a Systematic Review.Journal of general internal medicine · 2023Pooled it
- Patient-Reported Factors Associated With Older Adults' Cancer Screening Decision-making: A Systematic Review.JAMA network open · 2021Pooled it
- Impact of population based breast density notification: multisite parallel arm randomised controlled trial in BreastScreen.BMJ (Clinical research ed.) · 2025Trial
- Trial
- Psychosocial outcomes and health service use after notifying women participating in population breast screening when they have dense breasts: a BreastScreen Queensland randomised controlled trial.The Medical journal of Australia · 2023Trial
- Australian Women's Intentions and Psychological Outcomes Related to Breast Density Notification and Information: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Effect of a Randomized Trial of a Web-Based Intervention on Patient-Provider Communication About Breast Density.Journal of women's health (2002) · 2021Trial
- Reply: Psychological Responses to Breast Density Notification: Empowerment or Anxiety?Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Psychological Responses to Breast Density Notification: Empowerment or Anxiety?Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Psychosocial Impact of Breast Density Notification Through Breast Cancer Screening: A Qualitative Interview Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Under-recognized risk factors and low perceived breast cancer risk among rural women in South-central China: A multisite cross-sectional study.Asia-Pacific journal of oncology nursing · 2025Article
- Article
- Perceptions of breast cancer risk after breast density notification in a population-based screening program.Breast cancer research and treatment · 2025Article
- Consumer perspective on breast density notification in Australia.Ecancermedicalscience · 2025Article
- Scientific uncertainty and perceived mammography benefits in women screened for breast cancer.Cancer causes & control : CCC · 2023Article
- Australian Women's Responses to Breast Density Information: A Content Analysis.International journal of environmental research and public health · 2023Article
- Perceptions of Breast Cancer Risks Among Women Receiving Mammograph Screening.JAMA network open · 2023Article
- Breast cancer worry, uncertainty, and perceived risk following breast density notification in a longitudinal mammography screening cohort.Breast cancer research : BCR · 2022Article
- Women's Breast Cancer Screening Confidence by Screening Modality and Breast Density: A Breast Cancer Surveillance Consortium Survey Study.Journal of women's health (2002) · 2022Article
- A systematic assessment of online international breast density information.Breast (Edinburgh, Scotland) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreast density (BD) is an independent risk factor for breast cancer and reduces the sensitivity of mammography. This systematic review aims to synthesize evidence from existing studies to understand the impact of BD information and/or notification on women's cognitive, psychological, and behavioral outcomes.
methodsStudies were identified via relevant database searches up to March 2020. Two authors evaluated the eligibility of studies with verification from the study team, extracted and crosschecked data, and assessed the risk of bias.
resultsOf the 1134 titles identified, 29 studies were included. Twenty-three studies were quantitative, including only 1 randomized controlled trial of women receiving BD information, and 6 were qualitative. Twenty-seven studies were conducted in the United States, with 19 conducted post-BD legislation. The overall results in terms of BD awareness, knowledge, attitudes, perceptions, and intentions were heterogeneous across included studies, with the strongest consistency demonstrated regarding the importance of communication with and involvement of health-care professionals. Together, the studies did, however, highlight that there is still limited awareness of BD in the community, especially in more socioeconomic disadvantaged communities, and limited knowledge about what BD means and the implications for women. Importantly, BD information in the context of overall breast cancer risk has not yet been studied.
conclusionsThere are important gaps in the understanding of the impact of BD information or notification on women and how best to communicate BD information to women. More high-quality evidence to inform both current and future practice related to BD is still needed.
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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.