Developing and testing a decision aid for use by providers in making recommendations: about mammography screening in older women

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
Diana M TisnadoSonja Rosen

Abstract

Breast cancer incidence increases with age, but many older women do not receive appropriate mammography screening. A tool to support provider decision making holds potential to help providers and patients reach the best-informed decisions possible. We developed and tested a decision aid (DA) for healthcare providers to use in mammography screening recommendations in older women. Literature review, expert opinion, focus groups, and pilot testing of the DA were conducted in a university ambulatory geriatrics practice. Provider evaluations of the DA after piloting were collected and analyzed. Geriatricians reported important factors in decision making included patient life-expectancy, preferences, cognitive function, and individualization. Geriatricians reported the DA would have helped them make recommendations for mammography screening in 66% of pilot cases. It was less helpful when there was more certainty regarding decision making.

References

Jan 1, 1994·Alzheimer Disease and Associated Disorders·G A Sachs
Jan 15, 1994·Annals of Internal Medicine·W A Satariano, D R Ragland
Jun 21, 2001·JAMA : the Journal of the American Medical Association·L C Walter, K E Covinsky
Jun 18, 2003·CA: a Cancer Journal for Clinicians·Robert A SmithUNKNOWN American Cancer Society Breast Cancer Advisory Group
Sep 29, 2004·Journal of the American Geriatrics Society·Mara A SchonbergMary B Hamel
Oct 1, 2005·The American Journal of Medicine·Louise C WalterMary B Barton
Feb 16, 2006·JAMA : the Journal of the American Medical Association·Sei J LeeKenneth E Covinsky
May 16, 2006·Journal of the American Medical Directors Association·Sonja Rosen, Nancy Weintraub
Jul 11, 2006·American Journal of Preventive Medicine·Christopher R KagayRebecca Smith-Bindman
Oct 24, 2007·Archives of Internal Medicine·Louise C Walter, Carmen L Lewis
Oct 24, 2007·Archives of Internal Medicine·Erin MathieuNehmat Houssami
Apr 23, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Brian D BadgwellGildy Babiera
Aug 28, 2009·Journal of Women's Health·Larissa Nekhlyudov, Clarence H Braddock
Jul 9, 2010·CA: a Cancer Journal for Clinicians·Ahmedin JemalElizabeth Ward

❮ Previous
Next ❯

Citations

Nov 26, 2015·Radiology·Stella K KangR Scott Braithwaite
Mar 15, 2015·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Joseph E Gaugler
Jul 23, 2015·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Minnie BluhmMaria Silveira
Jul 28, 2016·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Boon Peng Ng, Gail A Jensen
Jul 22, 2018·Journal of General Internal Medicine·Lori L DuBenskeElizabeth S Burnside
Jun 4, 2021·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Dongyu ZhangUNKNOWN Breast Cancer Surveillance Consortium

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
Karen E GrecoDeborah C Messecar
Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
Penny C SharpRita Freimanis
The New England Journal of Medicine
Robert A SmithMette Kalager
The New England Journal of Medicine
Archie Bleyer, H Gilbert Welch
The New England Journal of Medicine
Philippe Autier, Mathieu Boniol
© 2021 Meta ULC. All rights reserved