Evidence map›Paper›PMID 38578209›Full record

ArticleRadiology. Imaging cancer2024

Long-term Mammography Screening Trends and Predictors of Return to Screening after the COVID-19 Pandemic: Results from a Statewide Registry.

Brian L Sprague, Sarah A Nowak, Thomas P Ahern, Sally D Herschorn, Peter A Kaufman, Catherine Odde, Hannah Perry, Michelle M Sowden, Pamela M Vacek, Donald L Weaver

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Radiology. Imaging cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Individual-Level Trends in Mammography Screening over 14 years: Results from an All-Payer Statewide Claims Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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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

10 authors at 2 institutions in 2 countries.

Brian L SpragueFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).ORCID 0000-0001-7948-8317
Sarah A NowakFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Thomas P AhernFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Sally D HerschornFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).ORCID 0000-0002-9193-6490
Peter A KaufmanFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Catherine OddeFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Hannah PerryFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).ORCID 0000-0001-8889-9927
Michelle M SowdenFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Pamela M VacekFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
Donald L WeaverFrom the Department of Surgery (B.L.S., T.P.A., M.M.S.), Department of Radiology (B.L.S., S.D.H., H.P.), University of Vermont Cancer Center (B.L.S., S.A.N., T.P.A., S.D.H., P.A.K., H.P., M.M.S., P.M.V., D.L.W.), Department of Pathology and Laboratory Medicine (S.A.N., D.L.W.), Department of Medicine (P.A.K.), and Department of Biostatistics (P.M.V.), University of Vermont Larner College of Medicine, 1 S Prospect St, UHC Bldg Rm 4425, Burlington, VT 05401; and Bachelor of Individualized Studies Program, College of Liberal Arts, University of Minnesota, Minneapolis, Minn (C.O.).
University of Vermont · USUniversity of Minnesota · US

Funding

Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KARLA M KERLIKOWSKE · 2011 to 2026
$52.9M
Understanding Factors Influencing COVID-19 Testing and Vaccination in Immigrant Low-income and Homeless Populations and Testing Targeted InterventionsU54GM115516 · NIGMS · MAINEHEALTH · PI CLIFFORD JAMES ROSEN · 2017 to 2026
$51.6M
Using Dengue Controlled Human Infection Model to Identify Adaptive Immune Correlates of ProtectionP20GM125498 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Ellen Kozelka · 2018 to 2026
$24.9M
Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2013 to 2022
$21.3M
Vermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4M
Identifying effective risk-based supplemental ultrasound screening strategies for women with dense breastsR01CA248068 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Diana L Miglioretti, Brian L Sprague · 2020 to 2026
$5.1M
NCCDPHP CDC HHS U58 DP003911NCI NIH HHS P01 CA154292NCI NIH HHS R01 CA248068NCI NIH HHS U54 CA163303NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P20 GM125498NIGMS NIH HHS U54 GM115516
6 · The paper itself

Abstract

Purpose To evaluate long-term trends in mammography screening rates and identify sociodemographic and breast cancer risk characteristics associated with return to screening after the COVID-19 pandemic. Materials and Methods In this retrospective study, statewide screening mammography data of 222 384 female individuals aged 40 years or older (mean age, 58.8 years ± 11.7 [SD]) from the Vermont Breast Cancer Surveillance System were evaluated to generate descriptive statistics and Joinpoint models to characterize screening patterns during 2000-2022. Log-binomial regression models estimated associations of sociodemographic and risk characteristics with post-COVID-19 pandemic return to screening. Results The proportion of female individuals in Vermont aged 50-74 years with a screening mammogram obtained in the previous 2 years declined from a prepandemic level of 61.3% (95% CI: 61.1%, 61.6%) in 2019 to 56.0% (95% CI: 55.7%, 56.3%) in 2021 before rebounding to 60.7% (95% CI: 60.4%, 61.0%) in 2022. Screening adherence in 2022 remained substantially lower than that observed during the 2007-2010 apex of screening adherence (66.1%-67.0%). Joinpoint models estimated an annual percent change of -1.1% (95% CI: -1.5%, -0.8%) during 2010-2022. Among the cohort of 95 644 individuals screened during January 2018-March 2020, the probability of returning to screening during 2020-2022 varied by age (eg, risk ratio [RR] = 0.94 [95% CI: 0.93, 0.95] for age 40-44 vs age 60-64 years), race and ethnicity (RR = 0.84 [95% CI: 0.78, 0.90] for Black vs White individuals), education (RR = 0.84 [95% CI: 0.81, 0.86] for less than high school degree vs college degree), and by 5-year breast cancer risk (RR = 1.06 [95% CI: 1.04, 1.08] for very high vs average risk). Conclusion Despite a rebound to near prepandemic levels, Vermont mammography screening rates have steadily declined since 2010, with certain sociodemographic groups less likely to return to screening after the pandemic.

Indexed as

Breast NeoplasmsCOVID-19Early Detection of CancerFemaleHumansMammographyMiddle AgedPandemicsRegistriesRetrospective StudiesRisk FactorsBreastEpidemiologyHealth Policy and PracticeMammographyNeoplasms-PrimaryScreening

Identifiers

PMID38578209
PMCPMC11148837
OpenAlexW4394005517

What OpenQuestion holds

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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.