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Related Experiment Video

Updated: Jun 27, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
13:44

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

Informed decision making before initiating screening mammography: does it occur and does it make a difference?

Larissa Nekhlyudov1, Rong Li, Suzanne W Fletcher

  • 1Department of Ambulatory Care and Prevention, Harvard Medical School/Harvard Pilgrim Health Care, Boston, MA 02215, USA. larissa_nekhlyudov@harvardpilgrim.org

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|December 17, 2008
PubMed
Summary

Informed decision making for screening mammography is limited for women under 50. Discussing benefits, harms, and uncertainties did not decrease screening intentions, highlighting a need for better communication methods.

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Last Updated: Jun 27, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
13:44

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns

Published on: August 30, 2013

Area of Science:

  • Medical decision making
  • Preventive medicine
  • Health communication

Background:

  • Informed decision-making is recommended for women under 50 regarding screening mammography.
  • The extent of informed decision-making in clinical practice is not well understood.

Purpose of the Study:

  • To assess the level of informed decision-making among women aged 40-44 prior to their first screening mammogram.
  • To evaluate decisional conflict, satisfaction, knowledge, and intentions related to screening mammography.

Main Methods:

  • A mailed survey was administered to women aged 40-44 before their initial screening mammogram.
  • The survey assessed informed decision-making, decisional conflict, satisfaction, knowledge, and screening intentions.

Main Results:

  • Only 47% of women discussed benefits, 23% uncertainties, and 7% harms of screening mammography.
  • Women reporting limited information exchange and involvement experienced higher decisional conflict and dissatisfaction.
  • Limited knowledge was observed, but information provision did not reduce screening intentions.

Conclusions:

  • Informed decision-making for screening mammography is notably limited in the studied population.
  • Providing information on benefits and harms does not appear to decrease women's intentions to undergo screening.
  • Effective communication strategies are needed to enhance informed decision-making before screening mammography initiation.