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Varghese J, Gohari S, Regrag F, Rizki H, Faheem M, Al Naqqash A, Johnson L, Ledwidge S, Hu J, Dickens R, Wilkinson M, Jones L, Suaris T. Breast Density Notification: Current UK National Practice. Clin Breast Cancer 2021; 22:e101-e107. [PMID: 34099394 DOI: 10.1016/j.clbc.2021.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 04/24/2021] [Accepted: 04/26/2021] [Indexed: 11/03/2022]
Abstract
Increased breast density is a risk factor for breast cancer and can mask cancer on mammography. This survey attempts to understand clinician views regarding breast density notification in the United Kingdom. Two separate breast density surveys were distributed to radiologists and breast surgeons between May 2019 and May 2020. Invited participants were members of the British Society of Breast Radiology and the Association of Breast Surgeons. We received 232 completed questionnaires from 109 surgeons (71%) and 123 radiologists (41%). Fourteen percent of the surgeons reported discussing the increased risk of developing cancer with their patients, and 20% of the surgeons recommended further imaging compared with 50% of the radiologists. Fifty-two percent of surgeons and 28% of radiologists felt women should not be informed of their breast density scores considering the lack of National Health Service-funded supplementary imaging. Almost all respondents of this survey called for guidelines regarding the reporting and management of UK patients with increased breast density (90%). Density notification is becoming increasingly central to breast screening, and our results highlight an urgent need for a national consensus.
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Affiliation(s)
- Jajini Varghese
- Breast Unit, Royal Free NHS Trust, London, United Kingdom; UCL Division of Surgery and Interventional Science, University College London, London, United Kingdom
| | - Shireen Gohari
- General Surgery, Royal Sussex County Hospital, Brighton, United Kingdom
| | - Fatima Regrag
- Breast Unit, St. Barts NHS Trust, London, United Kingdom
| | - Hirah Rizki
- Breast Unit, Royal Marsden NHS Foundation Trust, London, United Kingdom
| | - Michael Faheem
- Breast Unit, St. Barts NHS Trust, London, United Kingdom
| | - Ahmed Al Naqqash
- UCL Division of Surgery and Interventional Science, University College London, London, United Kingdom.
| | - Laura Johnson
- Breast Unit, St. Barts NHS Trust, London, United Kingdom
| | | | - Jennifer Hu
- Breast Unit, St. Barts NHS Trust, London, United Kingdom
| | - Robert Dickens
- Radiology Department, Western Sussex Hospitals NHS Foundation Trust, West Sussex, United Kingdom
| | | | - Louise Jones
- Barts and The London School of Medicine and Dentistry, Blizard Institute, London, United Kingdom
| | - Tamara Suaris
- Radiology Department, St. Barts NHS Trust, London, United Kingdom
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