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Systematic review on women's values and preferences concerning breast cancer screening and diagnostic services
Systematic review on women's values and preferences concerning breast cancer screening and diagnostic services
- Source :
- Psycho-Oncology, Mathioudakis, A G, Salakari, M, Pylkkanen, L, Saz-Parkinson, Z, Bramesfeld, A, Deandrea, S, Lerda, D, Neamtiu, L, Pardo-Hernandez, H, Solà, I & Alonso-Coello, P 2019, ' Systematic review on women's values and preferences concerning breast cancer screening and diagnostic services ', Psycho-oncology . https://doi.org/10.1002/pon.5041, https://doi.org/10.1002/pon.5041
- Publication Year :
- 2018
-
Abstract
- Background: There is still lack of consensus on the benefit-harm balance of breast cancer screening. In this scenario, women's values and preferences are crucial for developing health-related recommendations. In the context of the European Commission Initiative on Breast Cancer, we conducted a systematic review to inform the European Breast Guidelines. Methods: We searched Medline and included primary studies assessing women's values and preferences regarding breast cancer screening and diagnosis decision making. We used a thematic approach to synthesise relevant data. The quality of evidence was determined with GRADE, including GRADE CERQual for qualitative research. Results: We included 22 individual studies. Women were willing to accept the psychological and physical burden of breast cancer screening and a significant risk of overdiagnosis and false-positive mammography findings, in return for the benefit of earlier diagnosis. The anxiety engendered by the delay in getting results of diagnostic tests was highlighted as a significant burden, emphasising the need for rapid and efficient screening services, and clear and efficient communication. The confidence in the findings was low to moderate for screening and moderate for diagnosis, predominantly because of methodological limitations, lack of adequate understanding of the outcomes by participants, and indirectness. Conclusions: Women value more the possibility of an earlier diagnosis over the risks of a false-positive result or overdiagnosis. Concerns remain that women may not understand the concept of overdiagnosis. Women highly value time efficient screening processes and rapid result delivery and will accept some discomfort for the peace of mind screening may provide.
- Subjects :
- medicine.medical_specialty
Decision Making
MEDLINE
Reviews
Experimental and Cognitive Psychology
Context (language use)
Breast Neoplasms
Review
Anxiety
03 medical and health sciences
Breast cancer screening
0302 clinical medicine
Breast cancer
breast cancer
Medicine
Mammography
Humans
cancer
030212 general & internal medicine
Overdiagnosis
diagnostic services
Early Detection of Cancer
Qualitative Research
patient‐centred care
medicine.diagnostic_test
business.industry
Communication
practice guideline
screening
Cancer
Patient Preference
Middle Aged
medicine.disease
Psychiatry and Mental health
patient-centred care
Oncology
030220 oncology & carcinogenesis
Family medicine
oncology
Female
business
patient preference
Stress, Psychological
Qualitative research
Subjects
Details
- ISSN :
- 10991611
- Volume :
- 28
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Psycho-oncology
- Accession number :
- edsair.doi.dedup.....0d0f3a66e554ce4c7bfcd9bea4c91281
- Full Text :
- https://doi.org/10.1002/pon.5041