Screening

Implementation of risk stratification within bowel cancer screening: a community jury study exploring public acceptability and communication needs – Lily C. Taylor, Rebecca A. Dennison, Simon J. Griffin, et al.

2023-10-23T15:12:48+11:00Bowel cancer, Health literacy, Publications, Screening|

Risk stratification of bowel cancer screening was acceptable to the informed public. Using data within the current system (age, sex and screening results) was considered an obvious next step and collecting additional data for lifestyle and/or genetic risk assessment was also preferable to age-based screening. [...]

Australian women’s judgements about using artificial intelligence to read mammograms in breast cancer screening – Stacy M. Carter, Lucy Carolan, Yves Saint James Aquino, et al.

2023-10-23T15:12:18+11:00AI, Breast cancer, Publications, Screening|

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, [...]

AI for mammography screening: enter evidence from prospective trials – Nehmat Houssami & M. Luke Marinovich

2023-10-18T14:14:00+11:00AI, Breast cancer, Cancer, Publications, Screening|

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 [...]

Two-year follow-up of participants in the BreastScreen Victoria pilot trial of tomosynthesis versus mammography: breast density-stratified screening outcomes – Nehmat Houssami et al

2023-06-28T16:10:21+10:00Breast cancer, Breast density, Cancer, Imaging, Overdiagnosis, Publications, Screening|

This follow-up study of BreastScreen Victoria’s pilot trial of digital breast tomosynthesis aimed to report interval cancer rates, screening sensitivity, and density-stratified outcomes for tomosynthesis vs mammography screening.

Towards consensus on managing high mammographic density in population breast screening? – Alberto Stefano Tagliafico & Nehmat Houssami

2023-06-28T16:05:03+10:00Breast cancer, Breast density, Cancer, Diagnostic system, Imaging, Publications, Screening|

On the basis of evidence from the Dense RCT, the recommendation for broader offer of MRI screening for those with dense breasts may be considered premature by some but tardy by others – what cannot be contested however is that screening tests should be acceptable, [...]

Screening and diagnostic breast MRI: how do they impact surgical treatment? Insights from the MIPA study – Andrea Cozzi et al

2023-06-28T13:24:42+10:00Breast cancer, Cancer, Imaging, Overdiagnosis, Overtreatment, Publications, Screening, Surgery|

Objectives: To report mastectomy and reoperation rates in women who had breast MRI for screening (S-MRI subgroup) or diagnostic (D-MRI subgroup) purposes, using multivariable analysis for investigating the role of MRI referral/nonreferral and other covariates in driving surgical outcomes.

Quantifying the psychological and behavioural consequences of a diagnostic label for non-cancer conditions: systematic review – Rebecca Sims et al

2023-06-27T17:14:41+10:00Cancer, Disease labels, Overdiagnosis, Publications, Screening|

The impacts of screening asymptomatic, non-cancer health conditions are not universally positive. Limited research exists regarding longer-term impacts. Well-designed, high-quality studies further investigating these impacts are required to assist development of protocols that minimise psychological distress following diagnosis.

Factors Influencing Primary Care Practitioners’ Cancer Screening Recommendations for Older Adults: a Systematic Review – Jenna Smith et al

2023-06-27T17:08:38+10:00Breast cancer, Cancer, Cervical Cancer, Overdiagnosis, Overtreatment, Prostate cancer, Publications, Screening, Shared decision making|

Deciding whether it is worthwhile to advise older adults (aged ≥ 65 years) to continue or stop cancer screening is not straightforward for primary care practitioners (PCPs). At a population level, there is evidence that the benefit/harm trade-off of cancer screening becomes less favorable in older adults. The [...]

“I haven’t had that information, even though I think I’m really well-informed about most things”: a qualitative focus group study on Australian women’s understanding and views of potentially modifiable risk factors for breast cancer – Brooke Nickel et al

2023-06-27T17:09:41+10:00Breast cancer, Cancer, Health literacy, Publications, Risk, Screening|

Building health literacy about potentially modifiable risk factors for breast cancer may help to empower women to make more informed decisions about their breast health; however there has been limited qualitative research on this topic. This study aimed to explore current knowledge, understanding and experience [...]

Should low-risk DCIS lose the cancer label? An evidence review – Tara Ma et al

2023-06-27T17:09:59+10:00Breast cancer, Cancer, Disease labels, Overdiagnosis, Overtreatment, Publications, Screening|

Population mammographic screening for breast cancer has led to large increases in the diagnosis and treatment of ductal carcinoma in situ (DCIS). Active surveillance has been proposed as a management strategy for low-risk DCIS to mitigate against potential overdiagnosis and overtreatment. However, clinicians and patients [...]

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