Breast Cancer Screening in Older Women: The Importance of Shared Decision Making

Journal of the American Board of Family Medicine: JABFM

article

Sarina Schrager¹  Viktoriya Ovsepyan²  Elizabeth Burnside³ 

[1] From the University of Wisconsin Department of Family Medicine and Community Health;the University of Wisconsin School of Medicine and Public Health;the University of Wisconsin Department of Radiology

关键词: Breast Cancer;    Communication;    Early Detection of Cancer;    Incidence;    Mammography;    Primary Health Care;    Risk Assessment;    Shared Decision Making;   

DOI  :  10.3122/jabfm.2020.03.190380

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Incidence of breast cancer increases with age up until age 80. Screening mammography has demonstrated efficacy in decreasing mortality from breast cancer among women between 50 and 74 years of age. However, most major organizations do not include women over 74 in their recommendations due to the lack of evidence in this age-group. This article will review current recommendations for breast cancer screening in women over the age of 74. It will also present clear guidelines for primary care clinicians to follow that incorporate shared decision-making techniques, tools for estimating the risks and benefits of screening mammography, and strategies for integrating a patient's life expectancy and comorbidities into the decision-making process. We also emphasize the importance of using thoughtful communication strategies to fully engage older women in the breast cancer screening discussion.

【 授权许可】

CC BY