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Psychooncology. 2010 Oct;19(10):1026-34. doi: 10.1002/pon.1676.

Meta-analyses of the effect of false-positive mammograms on generic and specific psychosocial outcomes.

Author information

1
Memorial Sloan-Kettering Cancer Center, Department of Epidemiology and Biostatistics, New York, NY 10021, USA. salzt@mskcc.org

Abstract

OBJECTIVES:

While a previous meta-analysis found that false-positive mammography results affect women's likelihood of returning for screening, effects on well being have yet to be meta-analyzed. We investigated whether the effects of false-positive mammograms on women's well-being are limited to outcomes specific to breast cancer.

METHODS:

We searched MEDLINE for studies of the psychosocial effects of false-positive results of routine screening mammography. We pooled effect sizes using random effects meta-analysis.

RESULTS:

Across 17 studies (n=20781), receiving a false-positive mammogram the result was associated with differences in all eight breast-cancer-specific outcomes that we examined. These included greater anxiety and distress about breast cancer as well as more frequent breast self-exams and higher perceived effectiveness of screening mammography. False positives were associated with only one of six generic outcomes (i.e. generalized anxiety), and this effect size was small.

CONCLUSIONS:

False-positive mammograms influenced women's well-being, but the effects were limited to breast-cancer-specific outcomes. Researchers should include disease-specific measures in future studies of the consequences of false-positive mammograms.

PMID:
20882572
DOI:
10.1002/pon.1676
[Indexed for MEDLINE]

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