OBJECTIVE: To understand mammographers' perception of individual women's breast cancer risk. MATERIALS AND METHODS: Radiologists interpreting screening mammography examinations completed a mailed survey consisting of questions pertaining to demographic and clinical practice characteristics, as well as 2 vignettes describing different risk profiles of women. Respondents were asked to estimate the probability of a breast cancer diagnosis in the next 5 years for each vignette. Vignette responses were plotted against mean recall rates in actual clinical practice. RESULTS: The survey was returned by 77% of eligible radiologists. Ninety-three percent of radiologists overestimated risk in the vignette involving a 70-year-old woman; 96% overestimated risk in the vignette involving a 41-year-old woman. Radiologists who more accurately estimated breast cancer risk were younger, worked full-time, were affiliated with an academic medical center, had fellowship training, had fewer than 10 years experience interpreting mammograms, and worked more than 40% of the time in breast imaging. However, only age was statistically significant. No association was found between radiologists' risk estimate and their recall rate. CONCLUSION: U.S. radiologists have a heightened perception of breast cancer risk.
OBJECTIVE: To understand mammographers' perception of individual women's breast cancer risk. MATERIALS AND METHODS: Radiologists interpreting screening mammography examinations completed a mailed survey consisting of questions pertaining to demographic and clinical practice characteristics, as well as 2 vignettes describing different risk profiles of women. Respondents were asked to estimate the probability of a breast cancer diagnosis in the next 5 years for each vignette. Vignette responses were plotted against mean recall rates in actual clinical practice. RESULTS: The survey was returned by 77% of eligible radiologists. Ninety-three percent of radiologists overestimated risk in the vignette involving a 70-year-old woman; 96% overestimated risk in the vignette involving a 41-year-old woman. Radiologists who more accurately estimated breast cancer risk were younger, worked full-time, were affiliated with an academic medical center, had fellowship training, had fewer than 10 years experience interpreting mammograms, and worked more than 40% of the time in breast imaging. However, only age was statistically significant. No association was found between radiologists' risk estimate and their recall rate. CONCLUSION: U.S. radiologists have a heightened perception of breast cancer risk.
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Authors: S H Taplin; M T Mandelson; C Anderman; E White; R S Thompson; D Timlin; E H Wagner Journal: Cancer Epidemiol Biomarkers Prev Date: 1997-08 Impact factor: 4.254
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Authors: Patricia A Carney; Erin J Aiello Bowles; Edward A Sickles; Berta M Geller; Stephen A Feig; Sara Jackson; David Brown; Andrea Cook; Bonnie C Yankaskas; Diana L Miglioretti; Joann G Elmore Journal: Acad Radiol Date: 2011-01-20 Impact factor: 3.173
Authors: Erin J Aiello Bowles; Edward A Sickles; Diana L Miglioretti; Patricia A Carney; Joann G Elmore Journal: AJR Am J Roentgenol Date: 2010-04 Impact factor: 3.959
Authors: Andrea J Cook; Joann G Elmore; Diana L Miglioretti; Edward A Sickles; Erin J Aiello Bowles; Gary R Cutter; Patricia A Carney Journal: J Clin Epidemiol Date: 2009-09-09 Impact factor: 6.437
Authors: Patricia A Carney; Joyce P Yi; Linn A Abraham; Diana L Miglioretti; Erin J Aiello; Martha S Gerrity; Lisa Reisch; Eric A Berns; Edward A Sickles; Joann G Elmore Journal: J Gen Intern Med Date: 2007-02 Impact factor: 5.128