Systematic review on women's values and preferences concerning breast cancer screening and diagnostic services

Psycho-oncology
Alexander G MathioudakisPablo Alonso-Coello

Abstract

There is still lack of consensus on the benefit-harm balance of breast cancer screening. In this scenario, women's values and preferences are crucial for developing health-related recommendations. In the context of the European Commission Initiative on Breast Cancer, we conducted a systematic review to inform the European Breast Guidelines. We searched Medline and included primary studies assessing women's values and preferences regarding breast cancer screening and diagnosis decision making. We used a thematic approach to synthesise relevant data. The quality of evidence was determined with GRADE, including GRADE CERQual for qualitative research. We included 22 individual studies. Women were willing to accept the psychological and physical burden of breast cancer screening and a significant risk of overdiagnosis and false-positive mammography findings, in return for the benefit of earlier diagnosis. The anxiety engendered by the delay in getting results of diagnostic tests was highlighted as a significant burden, emphasising the need for rapid and efficient screening services, and clear and efficient communication. The confidence in the findings was low to moderate for screening and moderate for diagnosis, predominantly becaus...Continue Reading

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Citations

Sep 21, 2019·The British Journal of Radiology·Almir Gv BitencourtElizabeth A Morris
Apr 16, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
Nov 26, 2019·Annals of Internal Medicine·Holger J SchünemannUNKNOWN European Commission Initiative on Breast Cancer (ECIBC) Contributor Group
Jan 11, 2021·European Journal of Radiology·Pascal A T Baltzer
Jan 31, 2021·The Breast : Official Journal of the European Society of Mastology·H Amarens GeuzingeUNKNOWN FaMRIsc study group
Feb 23, 2021·The Breast : Official Journal of the European Society of Mastology·Barbara J FuegerPascal A T Baltzer
Mar 1, 2021·International Journal of Medical Informatics·Marzieh EsmaeiliSharareh R Niakan Kalhori
Feb 20, 2021·Journal of Multidisciplinary Healthcare·Sara ShamimHanne Konradsen
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Jun 23, 2021·Journal of the American College of Radiology : JACR·Debra L MonticcioloDana Smetherman
Apr 20, 2021·Journal of the National Cancer Institute·Jolyn HerschKirsten McCaffery

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Methods Mentioned

BETA
biopsies
biopsy

Software Mentioned

GRADE
CERQual
Ovid

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