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Improving State-Mandated Breast Density Notifications
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DOI：10.1016/j.jacr.2019.08.023.png)
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摘要
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Purpose: Effective written communication directly affects health care outcomes. Since 2016, the complex language of state-mandated breast density notifications (BDNs) has been challenged, because it is perceived to be beyond the comprehension of most patients. The aim of this study was to assess whether a revised BDN written at a lower reading grade level improves understanding compared with the current state-mandated BDN. Methods: A revised notification with similar content to the current state-mandated BDN was developed. Both notifications were Presented to patients for direct comparison, using a paper survey asking questions that evaluated patients' perceptions and convictions associated with breast density. Surveys were distributed at four outpatient imaging centers to screening mammography patients. Results: The current BDN's mean readability metric was 13.4, and that of the revised BDN was 6.6. Five hundred surveys were analyzed. Survey data demonstrated that 56.6% of all women perceived that dense breast tissue results indicated a high associated lifetime breast cancer risk from the current state-mandated BDN compared with only 2.2% with the revised notification (P < .001). Nearly all women were more likely to initiate discussions with their providers regarding their breast tissue density after reading the revised notification (96.0%) as opposed to the current state-mandated BDN (32.8%; P < .001). Conclusions: A significant portion of women misinterpret the intended messages of the current state-mandated BDN. Thus, a revised notification at a lower reading grade level may improve understanding of breast density, leading to improved individualized breast cancer screening for women with dense breasts.
Keyword:
Breast density notification
screening mammography
readability
state-mandated
breast imaging
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OAAI分享收藏The California Breast Density Information Group: A Collaborative Response to the Issues of Breast Density, Breast Cancer Risk, and Breast Density Notification Legislation.png)
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RADIOLOGYIF15.2
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