Walker Meghan J, Chiarelli Anna M, Mirea Lucia, Glendon Gord, Ritvo Paul, Andrulis Irene L, Knight Julia A
Prevention and Cancer Control, Cancer Care Ontario, Toronto, ON, Canada M5G 2L7 ; Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada M5T 3M7.
ISRN Oncol. 2013 Aug 1;2013:810573. doi: 10.1155/2013/810573. eCollection 2013.
Evidence of the accuracy of self-reported mammography use among women with familial breast cancer risk is limited. This study examined the accuracy of self-reported screening mammography dates in a cohort of 1,114 female relatives of breast cancer cases, aged 26 to 73 from the Ontario site of the Breast Cancer Family Registry. Self-reported dates were compared to dates abstracted from imaging reports. Associations between inaccurate recall and subject characteristics were assessed using multinomial regression. Almost all women (95.2% at baseline, 98.5% at year 1, 99.8% at year 2) accurately reported their mammogram use within the previous 12 months. Women at low familial risk (OR = 1.77, 95% CI: 1.00-3.13), who reported 1 or fewer annual visits to a health professional (OR = 1.97, 95% CI: 1.15, 3.39), exhibited a lower perceived breast cancer risk (OR = 1.90, 95% CI: 1.15, 3.15), and reported a mammogram date more than 12 months previous (OR = 5.22, 95% CI: 3.10, 8.80), were significantly more likely to inaccurately recall their mammogram date. Women with varying levels of familial risk are accurate reporters of their mammogram use. These results present the first evidence of self-reported mammography recall accuracy among women with varying levels of familial risk.
有家族性乳腺癌风险的女性自我报告的乳房X光检查使用准确性的证据有限。本研究在乳腺癌家族登记处安大略站点的1114名年龄在26至73岁的乳腺癌病例女性亲属队列中,检验了自我报告的筛查乳房X光检查日期的准确性。将自我报告的日期与从影像报告中提取的日期进行比较。使用多项回归评估不准确回忆与受试者特征之间的关联。几乎所有女性(基线时为95.2%,第1年为98.5%,第2年为99.8%)都准确报告了她们在过去12个月内的乳房X光检查使用情况。家族风险较低的女性(比值比=1.77,95%置信区间:1.00 - 3.13)、报告每年看医疗专业人员1次或更少的女性(比值比=1.97,95%置信区间:1.15,3.39)、认为乳腺癌风险较低的女性(比值比=1.90,95%置信区间:1.15,3.15)以及报告乳房X光检查日期超过12个月前的女性(比值比=5.22,95%置信区间:3.10,8.80),更有可能不准确地回忆她们的乳房X光检查日期。不同家族风险水平的女性是其乳房X光检查使用情况的准确报告者。这些结果首次提供了不同家族风险水平女性自我报告乳房X光检查回忆准确性的证据。