Breast Cancer Research and Treatment

, Volume 81, Issue 2, pp 107–115 | Cite as

Mammography Surveillance Following Breast Cancer

  • Berta M. Geller
  • Karla Kerlikowske
  • Patricia A. Carney
  • Linn A. Abraham
  • Bonnie C. Yankaskas
  • Stephen H. Taplin
  • Rachel Ballard-Barbash
  • Mark B. Dignan
  • Robert Rosenberg
  • Nicole Urban
  • William E. Barlow
Article

Abstract

Background. To describe when women diagnosed with breast cancer return for their first mammography, and to identify factors predictive of women returning for mammographic surveillance.

Methods. Women who underwent mammography at facilities participating in the National Cancer Institute's Breast Cancer Surveillance Consortium (BCSC) during 1996 and who were subsequently diagnosed with ductal carcinoma in situ or invasive breast cancer were included in this study. Data from seven mammography registries were linked to population-based cancer and pathology registries. Kaplan–Meier curves were used to depict the number of months from the breast cancer diagnosis to the first mammogram within the defined follow-up period. Demographic, disease and treatment variables were included in univariate and multivariate analyses to identify factors predictive of women returning for mammography.

Results. Of the 2503 women diagnosed with breast cancer, 78.1% returned for mammography examination between 7 and 30 months following the diagnosis. Mammography facilities indicated that 66.8% of mammography examinations were classified as screening. Multivariate analyses found that women were most likely to undergo surveillance mammography if they were diagnosed at ages 60–69 with Stage 0, I or II breast cancer and had received radiation therapy in addition to surgery.

Conclusions. While the majority of women return for mammographic surveillance following breast cancer, some important subgroups of women at higher risk for recurrence are less likely to return. Research is needed to determine why some women are not undergoing mammography surveillance after a breast cancer diagnosis and whether surveillance increases the chance of detecting tumors with a good prognosis.

breast cancer mammography recurrence screening surveillance 

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Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • Berta M. Geller
    • 1
  • Karla Kerlikowske
    • 2
    • 3
  • Patricia A. Carney
    • 4
  • Linn A. Abraham
    • 5
  • Bonnie C. Yankaskas
    • 6
  • Stephen H. Taplin
    • 5
  • Rachel Ballard-Barbash
    • 7
  • Mark B. Dignan
    • 8
  • Robert Rosenberg
    • 9
  • Nicole Urban
    • 10
  • William E. Barlow
    • 5
    • 11
  1. 1.Health Promotion Research, College of MedicineUniversity of VermontBurlington
  2. 2.Department of Epidemiology and BiostatisticsUniversity of CaliforniaSan Francisco
  3. 3.General Internal Medicine Section, Department of Veterans AffairsUniversity of CaliforniaSan Francisco
  4. 4.Norris Cotton Cancer Center/Dartmouth-Hitchcock Medical Center/Department of Community and Family MedicineDartmouth Medical SchoolLebanon
  5. 5.Center for Health StudiesGroup Health CooperativeSeattle
  6. 6.Department of RadiologyUniversity of North CarolinaChapel Hill
  7. 7.Applied Research Branch, CSRP, DCCPSNational Cancer InstituteBethesda
  8. 8.AMC Cancer CenterDenver
  9. 9.Department of RadiologyUniversity of New MexicoAlbuquerque
  10. 10.Fred Hutchinson Cancer Research Center, Division of Public HealthUniversity of WashingtonSeattleUSA
  11. 11.Department of BiostatisticsUniversity of WashingtonSeattleUSA

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