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How do we achieve informed choice for women considering breast screening?
Jolyn Hersch1, Jesse Jansen, Les Irwig
1Screening and Test Evaluation Program, Sydney School of Public Health, Edward Ford Bldg (A27), University of Sydney, NSW 2006, Australia. jolyn.hersch@sydney.edu.au
Women value breast screening for reassurance and avoiding regret, but awareness of overdetection is low. Providing balanced information supports informed choices in cancer screening programs.
Area of Science:
- Medical screening programs
- Public health
- Decision sciences
Background:
- Mammography and cancer screening are debated regarding benefits and harms.
- Informed choice is crucial for women considering breast screening.
Purpose of the Study:
- To discuss issues surrounding informed choice for women in breast screening programs.
- To explore women's attitudes towards screening and informed decision-making.
Main Methods:
- Review of qualitative and quantitative studies on women's attitudes.
- Analysis of factors influencing informed choice in breast screening.
Main Results:
- Women prioritize avoiding regret and value reassurance from normal screening results.
- Awareness of overdetection of indolent breast cancer is low among participants.
- Screening decisions are influenced by personal preferences and perceived benefits versus harms.
Conclusions:
- Balanced, accessible information is ethically required to support informed breast screening decisions.
- Many women desire more information and active participation in screening choices.
- Integrating clinical data with women's perspectives is essential for evaluating breast cancer screening.
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