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Breast Density Notification: Current UK National Practice.

Jajini Varghese¹, Shireen Gohari², Fatima Regrag³

¹Breast Unit, Royal Free NHS Trust, London, United Kingdom; UCL Division of Surgery and Interventional Science, University College London, London, United Kingdom.

Clinical Breast Cancer

|June 8, 2021

Summary

This summary is machine-generated.

Clinician views on breast density notification vary. Most UK surgeons and radiologists surveyed want national guidelines for reporting and managing breast density due to its link to breast cancer risk.

Keywords:

Breast cancer Breast screening Density notification Health policy Mammographic density

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Area of Science:

Oncology
Radiology
Public Health

Background:

Increased breast density is a significant risk factor for breast cancer.
Dense breast tissue can obscure the detection of malignancies on mammograms.
Current practices for breast density notification and patient management in the UK are inconsistent.

Purpose of the Study:

To survey the opinions of UK radiologists and breast surgeons on breast density notification.
To understand clinician perspectives on informing patients about their breast density and associated risks.
To identify the need for national guidelines on breast density reporting and management.

Main Methods:

Two distinct surveys on breast density were distributed to members of the British Society of Breast Radiology and the Association of Breast Surgeons.
Surveys were conducted between May 2019 and May 2020.
A total of 232 completed questionnaires were analyzed, with responses from 109 surgeons and 123 radiologists.

Main Results:

Only 14% of surgeons and 50% of radiologists discussed increased cancer risk with patients.
20% of surgeons and 50% of radiologists recommended further imaging for patients with dense breasts.
A majority of surgeons (52%) and 28% of radiologists opposed informing patients due to lack of funded supplementary imaging.

Conclusions:

There is a significant divergence in how surgeons and radiologists approach breast density communication and management.
The majority of surveyed clinicians support the development of national guidelines for breast density reporting and patient management in the UK.
An urgent need for a national consensus on breast density notification exists to standardize care and address patient risk effectively.