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False Positive Mammograms Raise Health Care Use
[04/19/2001; Reuters Health]
Screening mammograms that
indicate cancer but turn out to be untrue upon followup
can lead to an increase in women's use of medical services in
the year following the test, study findings suggest. An abnormal
result or ``false positive'' occurs in about 10% of screening
mammograms in the US, note Dr. Mary B. Barton of Harvard Medical
School (news - web sites) in Boston, Massachusetts and colleagues.
While a mammogram or X-ray of the breast does not actually diagnose
breast cancer, a positive result can lead to further tests that
can take weeks or months, Barton said. The study found that a
group of almost 500 women with false positive mammograms had
14% more doctor visits for reasons not related to their diagnosis
the year after their test. They were also about three times more
likely to visit doctors for breast-related concerns compared
with a group of women with normal mammograms.
While many breast-related
visits to doctors were initiated by other physicians, women themselves
initiated three times as many of these visits compared with women
with normal mammograms. ``I suspect...that for a substantial number
of women, having an abnormal mammogram is disrupting to their
emotional lives during the (procedure) and perhaps even after
the evaluation is complete,'' Barton told Reuters Health.
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5) ABSTRACT: Increased Patient Concern After False-positive Mammograms
[04/04/2001; Journal of General Internal Medicine]
OBJECTIVE: To measure how often a breast-related concern was documented
in medical records after screening mammography according to the
mammogram result (normal, or true-negative vs false-positive)
and to measure changes in health care utilization in the year
after the mammogram.
CONCLUSIONS: Clinicians document concern about breast cancer in
10% of women who have false-positive mammograms, and subsequent
use of health care services are increased among women with
false-positive mammogram results.
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 JNCI 3/02

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 Presentation at the 2002
American Roentgen Ray Society

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 Aftenposten, 3/11/04
BMJ

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