Physician Recommendations for Mammography in Women Aged 70 and Older
Article first published online: 25 SEP 2008
© 2008, Copyright the Authors. Journal compilation © 2008, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 56, Issue 11, pages 2100–2106, November 2008
How to Cite
Kapp, J. M., LeMaster, J. W., Zweig, S. C. and Mehr, D. R. (2008), Physician Recommendations for Mammography in Women Aged 70 and Older. Journal of the American Geriatrics Society, 56: 2100–2106. doi: 10.1111/j.1532-5415.2008.01964.x
- Issue published online: 3 NOV 2008
- Article first published online: 25 SEP 2008
- mass screening;
- practice guidelines;
- breast neoplasms;
OBJECTIVES: To estimate the percentage of U.S. women aged 70 and older who reported a recent mammography recommendation and to identify whether factors suggesting limited life expectancy, such as comorbidities, are associated with a lower probability of a reported recommendation.
DESIGN: A national, population-based, cross-sectional survey.
SETTING: United States.
PARTICIPANTS: There were 1,782 screen-eligible women 70 and older who responded to the National Health Interview Survey in 2005 and met eligibility criteria, including reporting at least one doctor visit in the previous 12 months. Weighted, these women represented almost 9.3 million women nationally.
MEASUREMENTS: Multiple logistic regression was used to examine the relationship between demographic, comorbidity, and health services utilization variables on self-reported physician recommendation for a mammogram.
RESULTS: More than half (58.9%) of the sample reported a recent mammography recommendation (63.0% of those aged 70 to 79 and 51.5% of those aged 80 and older). The strongest multivariable association suggested that women who reported a recent clinical breast examination (CBE) had 5.9 times greater odds of reporting a mammography recommendation than women who reported never having a CBE.
CONCLUSION: This study failed to find negative associations between factors suggesting limited life expectancy and a recent mammography recommendation. Instead, findings revealed a strong positive association between a recent CBE and mammography recommendation. Findings may suggest that recent clinical interactions weigh more heavily on a decision to recommend mammography to older, screen-eligible women than considerations for the woman's overall long-term health or may reflect a greater perceived or actual recall of physician recommendations from women with a recent CBE.