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Women with benign breast disease after surgery 'significantly' less likely to follow annual imaging surveillance - Radiology Business

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Women with benign disease after breast-conserving surgery are “significantly” less likely to adhere to annual surveillance imaging, according to a new analysis published Thursday in JACR.

Black women and Medicare beneficiaries were also less likely to return for yearly diagnostic mammography, and Johns Hopkins Medicine experts believe concerted effort is needed to address this concern among underserved populations.

“We are optimistic that this study may provide evidence to support the return to annual screening mammography sooner in practices’ postsurgical surveillance protocols for breast cancer survivors and encourage more targeted retention interventions for women with benign breast diseases,” Derek Nguyen, MD, a diagnostic radiology resident with the Baltimore-based institution, and co-authors wrote Aug. 5. “This could not only result in improving the quality of individualized follow-up surveillance after [breast-conserving surgery], but also present an opportunity to close disparity gaps preventing patient follow-up with annual mammography recommendations.”

There were more than 3.8 breast cancer survivors in the U.S. as of February, with mortality rates declining over the decades due to advancements in diagnostics and treatment. But lifetime risk for local recurrence can land as high as 15% among survivors, underlining the importance of consistent imaging checkups. Variance in postsurgical surveillance protocols—due to a lack of uniform recommendations—also creates opportunities for lapses in adherence, the authors noted.

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