Clinical Edge

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Mammography in BC Survivors by Life Expectancy

J Clin Oncol, ePub 2017 Jul 27; Freedman, et al

Many older breast cancer survivors who were expected to live <5 years received annual surveillance mammography, according to an analysis involving more than 1,000 individuals. Meanwhile, some survivors whose life expectancy was >10 years did not receive mammography. Investigators evaluated surveillance mammography use in women age ≥65 with a history of breast cancer, looking at the probability of mammography within the last year by 5- and 10-year life expectancy. Among the results:

  • 9% of patients had a life expectancy of ≤5 years; 35% were expected to live ≤10 years.
  • Overall, 8 in every 10 said they had routine mammography in the prior year.
  • 57% of patients with ≤5-year life expectancy said they received mammography in the prior year.
  • Two-thirds of those expected to live ≤10 years said they received such.
  • Conversely, 14% of those with life expectancy >10 years did not have mammography.

Citation:

Freedman R, Keating N, Pace L, Lii J, McCarthy E, Schonberg M. Use of surveillance mammography among older breast cancer survivors by life expectancy. [Published online ahead of print July 27, 2017]. J Clin Oncol. doi:10.1200/JCO.2016.72.1209.