Subsequent use of health screenings for women who were received accurate vs. inaccurate mammogram results

HM Epstein hmepstein at GMAIL.COM
Wed Jun 6 13:15:01 UTC 2018

Although this retrospective study primarily looked at participation in key health screenings among women 65 and older, using mammograms as a form of “gateway” screening, I’m grateful it sliced the positive mammogram results group into those who received a false-positive result from their mammograms vs. those who received a true-positive and also measured screenings from those who received negative results. 

Those of you with access can tell us if they sliced the negative results group into true-negative and false-negative as well. The abstract isn’t clear. 

In any case — even if they missed the over-diagnosed cohort — the study could give us a small window into healthcare attitudes of patients who were misdiagnosed. Those of you with research creds can tell us if the results can do that. 

If so, it would be wonderful if all retrospective studies automatically sliced the data this way. 

Having been one of those women (although NOT over 65) who received a false-positive result followed by a false-positive biopsy which comes with all the terror and expense of a true-positive result, I’m glad someone is looking at this. 


From STAT today:

Women are more likely to get other preventive care after a mammogram
New research suggests Medicare enrollees who get mammograms are more likely to get other preventive care, such as cervical cancer screenings. Researchers looked at data from more than 555,000 women age 65 and older and found that women who had a mammogram weremore likely to get a Pap smear, bone mass measurement, or flu vaccine in the next two years than women who didn’t. And women who received a false positive on a mammogram weren’t any less likely to get other preventive care, which the authors say is encouraging. They're hopeful the study could be a jumping-off point for research on how patient experiences with mammograms affect attitudes about other screenings. ​

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