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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prospective Study of Factors Predicting Adherence to Surveillance Mammography in Women Treated for Breast Cancer</title>
<author><name sortKey="Shelby, Rebecca A" sort="Shelby, Rebecca A" uniqKey="Shelby R" first="Rebecca A." last="Shelby">Rebecca A. Shelby</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Scipio, Cindy D" sort="Scipio, Cindy D" uniqKey="Scipio C" first="Cindy D." last="Scipio">Cindy D. Scipio</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Somers, Tamara J" sort="Somers, Tamara J" uniqKey="Somers T" first="Tamara J." last="Somers">Tamara J. Somers</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soo, Mary Scott" sort="Soo, Mary Scott" uniqKey="Soo M" first="Mary Scott" last="Soo">Mary Scott Soo</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weinfurt, Kevin P" sort="Weinfurt, Kevin P" uniqKey="Weinfurt K" first="Kevin P." last="Weinfurt">Kevin P. Weinfurt</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Keefe, Francis J" sort="Keefe, Francis J" uniqKey="Keefe F" first="Francis J." last="Keefe">Francis J. Keefe</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22331949</idno>
<idno type="pmc">3295570</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295570</idno>
<idno type="RBID">PMC:3295570</idno>
<idno type="doi">10.1200/JCO.2010.34.4333</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">002F40</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F40</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prospective Study of Factors Predicting Adherence to Surveillance Mammography in Women Treated for Breast Cancer</title>
<author><name sortKey="Shelby, Rebecca A" sort="Shelby, Rebecca A" uniqKey="Shelby R" first="Rebecca A." last="Shelby">Rebecca A. Shelby</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Scipio, Cindy D" sort="Scipio, Cindy D" uniqKey="Scipio C" first="Cindy D." last="Scipio">Cindy D. Scipio</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Somers, Tamara J" sort="Somers, Tamara J" uniqKey="Somers T" first="Tamara J." last="Somers">Tamara J. Somers</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Soo, Mary Scott" sort="Soo, Mary Scott" uniqKey="Soo M" first="Mary Scott" last="Soo">Mary Scott Soo</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Weinfurt, Kevin P" sort="Weinfurt, Kevin P" uniqKey="Weinfurt K" first="Kevin P." last="Weinfurt">Kevin P. Weinfurt</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Keefe, Francis J" sort="Keefe, Francis J" uniqKey="Keefe F" first="Francis J." last="Keefe">Francis J. Keefe</name>
<affiliation><nlm:aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Clinical Oncology</title>
<idno type="ISSN">0732-183X</idno>
<idno type="eISSN">1527-7755</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>This prospective study examined the factors that predicted sustained adherence to surveillance mammography in women treated for breast cancer.</p>
</sec>
<sec><title>Methods</title>
<p>Breast cancer survivors (N = 204) who were undergoing surveillance mammography completed questionnaires assessing mammography-related anticipatory anxiety, persistent breast pain, mammography pain, and catastrophic thoughts about mammography pain. Adherence to mammography in the following year was assessed.</p>
</sec>
<sec><title>Results</title>
<p>In the year after study entry, 84.8% of women (n = 173) returned for a subsequent mammogram. Unadjusted associations showed that younger age, shorter period of time since surgery, and having upper extremity lymphedema were associated with lower mammography adherence. Forty percent of women reported moderate to high levels of mammography pain (score of ≥ 5 on a 0 to 10 scale). Although mammography pain was not associated with adherence, higher levels of mammography-related anxiety and pain catastrophizing were associated with not returning for a mammogram (<italic>P</italic>
< .05). The impact of anxiety on mammography use was mediated by pain catastrophizing (indirect effect, <italic>P</italic>
< .05).</p>
</sec>
<sec><title>Conclusion</title>
<p>Findings suggest that women who are younger, closer to the time of surgery, or have upper extremity lymphedema may be less likely to undergo repeated mammograms. It may be important for health professionals to remind selected patients directly that some women avoid repeat mammography and to re-emphasize the value of mammography for women with a history of breast cancer. Teaching women behavioral techniques (eg, redirecting attention) or providing medication for reducing anxiety could be considered for women with high levels of anxiety or catastrophic thoughts related to mammography.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Clin. Oncol</journal-id>
<journal-id journal-id-type="hwp">jco</journal-id>
<journal-id journal-id-type="pmc">jco</journal-id>
<journal-id journal-id-type="publisher-id">JCO</journal-id>
<journal-title-group><journal-title>Journal of Clinical Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0732-183X</issn>
<issn pub-type="epub">1527-7755</issn>
<publisher><publisher-name>American Society of Clinical Oncology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22331949</article-id>
<article-id pub-id-type="pmc">3295570</article-id>
<article-id pub-id-type="publisher-id">44333</article-id>
<article-id pub-id-type="doi">10.1200/JCO.2010.34.4333</article-id>
<article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>Bc1</subject>
<subject>Epid3</subject>
</subj-group>
<subj-group subj-group-type="heading"><subject>Original Reports</subject>
<subj-group><subject>Breast Cancer</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Prospective Study of Factors Predicting Adherence to Surveillance Mammography in Women Treated for Breast Cancer</article-title>
<alt-title alt-title-type="short">Mammography Adherence After Breast Cancer Treatment</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Shelby</surname>
<given-names>Rebecca A.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Scipio</surname>
<given-names>Cindy D.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Somers</surname>
<given-names>Tamara J.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soo</surname>
<given-names>Mary Scott</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Weinfurt</surname>
<given-names>Kevin P.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Keefe</surname>
<given-names>Francis J.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<aff id="aff1">All authors: Duke University Medical Center, Durham, NC.</aff>
</contrib-group>
<author-notes><corresp id="cor1">Corresponding author: Rebecca A. Shelby, PhD, Duke University Medical Center, 2200 W Main St, Ste 340, Durham, NC 27705; e-mail: <email>shelb003@mc.duke.edu</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>10</day>
<month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub"><day>13</day>
<month>2</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>10</day>
<month>3</month>
<year>2013</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the
. </pmc-comment>
<volume>30</volume>
<issue>8</issue>
<fpage>813</fpage>
<lpage>819</lpage>
<history><date date-type="received"><day>7</day>
<month>1</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>20</day>
<month>12</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© 2012 by American Society of Clinical Oncology</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="zlj00812000813.pdf"></self-uri>
<abstract><sec><title>Purpose</title>
<p>This prospective study examined the factors that predicted sustained adherence to surveillance mammography in women treated for breast cancer.</p>
</sec>
<sec><title>Methods</title>
<p>Breast cancer survivors (N = 204) who were undergoing surveillance mammography completed questionnaires assessing mammography-related anticipatory anxiety, persistent breast pain, mammography pain, and catastrophic thoughts about mammography pain. Adherence to mammography in the following year was assessed.</p>
</sec>
<sec><title>Results</title>
<p>In the year after study entry, 84.8% of women (n = 173) returned for a subsequent mammogram. Unadjusted associations showed that younger age, shorter period of time since surgery, and having upper extremity lymphedema were associated with lower mammography adherence. Forty percent of women reported moderate to high levels of mammography pain (score of ≥ 5 on a 0 to 10 scale). Although mammography pain was not associated with adherence, higher levels of mammography-related anxiety and pain catastrophizing were associated with not returning for a mammogram (<italic>P</italic>
< .05). The impact of anxiety on mammography use was mediated by pain catastrophizing (indirect effect, <italic>P</italic>
< .05).</p>
</sec>
<sec><title>Conclusion</title>
<p>Findings suggest that women who are younger, closer to the time of surgery, or have upper extremity lymphedema may be less likely to undergo repeated mammograms. It may be important for health professionals to remind selected patients directly that some women avoid repeat mammography and to re-emphasize the value of mammography for women with a history of breast cancer. Teaching women behavioral techniques (eg, redirecting attention) or providing medication for reducing anxiety could be considered for women with high levels of anxiety or catastrophic thoughts related to mammography.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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