Patient and Clinician Characteristics That Predict Breast Cancer Screening Behavior in 40–49-Year-Old Women

Authors

Sarina Schrager, University of Wisconsin Department of Family Medicine and Community HealthFollow
Claudia Evaristo, University of Wisconsin School of Medicine and Public HealthFollow
Terry Little, University of Wisconsin Department of RadiologyFollow
Lori DuBenske, University of Wisconsin Carbone Cancer CenterFollow
Elizabeth S. Burnside, University of Wisconsin Department of RadiologyFollow

Publication Date

10-18-2021

Keywords

breast cancer, screening, shared decision-making

Abstract

Guidelines recommend that clinicians practice shared decision-making (SDM) with women in their 40s to discuss breast cancer screening. Traditionally, SDM includes discussion of values and preferences to help determine a decision that is congruent with what the patient desires. We analyzed 54 women’s breast cancer screening decisions after a SDM conversation with their clinician. We looked at both patient and clinician characteristics that predicted whether or not a woman would get a screening mammogram. Women with a family history of breast cancer or who had a previous abnormal mammogram had higher rates of screening. Screening rates also varied widely between clinicians, raising the question of whether clinician attitudes impacted the SDM conversation.

Recommended Citation

Schrager S, Evaristo C, Little T, DuBenske L, Burnside ES. Patient and clinician characteristics that predict breast cancer screening behavior in 40–49-year-old women. J Patient Cent Res Rev. 2021;8:331-5. doi: 10.17294/2330-0698.1814