Evidence map›Paper›PMID 35616300›Full record

ArticleCancer medicine2022

"It's something I'll do until I die": A qualitative examination into why older women in the U.S. continue screening mammography.

Laura E Brotzman, Rachel C Shelton, Jessica D Austin, Carmen B Rodriguez, Mariangela Agovino, Nathalie Moise, Parisa Tehranifar

Abstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Trial
  2. Article
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  4. Article
  5. 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
  6. Article
  7. Article
  8. Article
  9. Review
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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

7 authors.

Laura E BrotzmanDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.ORCID 0000-0003-3243-0913
Rachel C SheltonDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.ORCID 0000-0001-6496-6339
Jessica D AustinDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York, USA.ORCID 0000-0001-8286-7801
Carmen B RodriguezDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
Mariangela AgovinoDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
Nathalie MoiseDepartment of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Parisa TehranifarHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0002-0605-3934

Funding

Interdisciplinary Research Training on Health and AgingT32AG027708 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lindsay C Kobayashi, Briana Mezuk · 2008 to 2026
$2.7M
De-implementation of Mammography Overuse in Primary Care SettingsR01CA255382 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOISE, NATHALIE, SHELTON, RACHEL C · 2021 to 2025
$2.6M
Summer Training Program in Integrative Methods for Mental and Physical HealthR25MH136652 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Briana Mezuk · 2024 to 2026
$441k
NCI NIH HHS R01 CA255382NIA NIH HHS T32 AG027708NIMH NIH HHS R25 MH136652
6 · The paper itself

Abstract

backgroundProfessional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, routine mammography remains widely used in older women. We examined older women's experiences, beliefs, and opinions about screening mammography in relation to aging and health.

methodsWe performed thematic analysis of transcribed semi-structured interviews with 19 women who had a recent screening visit at a mammography clinic in New York City (average age: 75 years, 63% Hispanic, 53% ≤high school education).

resultsThree main themes emerged: (1) older women typically perceive mammograms as a positive, beneficial, and routine component of care; (2) participation in routine mammography is reinforced by factors at interpersonal, provider, and healthcare system levels; and (3) older women do not endorse discontinuation of screening mammography due to advancing age or poor health, but some may be receptive to reducing screening frequency. Only a few older women reported having discussed mammography cessation or the potential harms of screening with their providers. A few women reported they would insist on receiving mammography even without a provider recommendation.

conclusionsOlder women's positive experiences and views, as well as multilevel and frequently automated cues toward mammography are important drivers of routine screening in older women. These findings suggest a need for synergistic patient, provider, and system level strategies to reduce mammography overuse in older women.

Indexed as

Breast NeoplasmsMammographyAgedEarly Detection of CancerFemaleHumansLife ExpectancyMass Screeningagingbreast cancerde-implementationoverscreeningqualitativescreening mammography

Identifiers

PMID35616300
PMCPMC9582674

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Registered trials

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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.