Internationally, screening programmes and clinical practice guidelines recommend when older adults should stop cancer screening using upper age limits, but it is unknown how older adults view these recommendations. The obective of this study is to examine older adults’ views and experiences about continuing or [...]
High breast density on mammography is a well-established risk factor for a breast cancer diagnosis. There is interest in whether breast density might also predict how aggressive a breast cancer is, including the likelihood of causing death. If mammographic features at the time of cancer [...]
Robust evidence regarding the benefits and harms of notifying Australian women when routine breast screening identifies that they have dense breasts is needed for informing future mammography population screening practice and policy. The objective of this study is to assess the psychosocial and health services [...]
Primary care practitioners (PCPs) play a key role in cancer screening decisions for older adults (≥ 65 years), but recommendations vary by cancer type and jurisdiction. The purpose of this study is to examine the factors influencing PCPs’ recommendations for breast, cervical, prostate, and colorectal cancer [...]
Overdiagnosis is a concept central to making informed breast cancer screening decisions, and yet when provided information about overdiagnosis, some people are skeptical. This research developed a measure that assessed different ways in which people might express skepticism about overdiagnosis (reactance, self-exemption, disbelief, source derogation [...]
Although women were positive about the potential of breast screening AI, they argued strongly that humans must remain as central actors in breast screening systems and consistently expressed high expectations of the performance of breast screening AI. Women expected clear lines of responsibility for decision-making, [...]
Truncated follow-up, if less than one year to the next surveillance mammogram, enabled second breast cancers to be associated with a single preceding mammogram and resulted in more accurate estimates of diagnostic performance for national benchmarks.
Robust evidence regarding the benefits and harms of notifying Australian women when routine breast screening identifies that they have dense breasts is needed for informing future mammography population screening practice and policy. Objectives of this RCT are to assess the psychosocial and health services use [...]
We found that public awareness of DCIS remains very low, but women developed reasonable understanding of DCIS following a short informational presentation. There was substantial support for offering the option of de-escalated treatment for low-risk DCIS, especially among older women. If clinical trials are to [...]
As new evidence emerges from prospective trials of AI for breast screening, population screening programmes and imaging services there will also be a need to consider participants’ views and expectations of AI performance before it can be implemented in screening. Maintaining public trust in cancer [...]