Promoting breast cancer surveillance: The EMPOWER Study, a randomized clinical trial in the Childhood Cancer Survivor Study
Journal of Clinical Oncology Aug 22, 2019
Oeffinger KC, Ford JS, Moskowitz CS, et al. - Two hundred four female survivors in the Childhood Cancer Survivor Study who were treated with chest radiotherapy with 20 Gy or greater, age 25 to 50 years, and without breast imaging in the past 24 months were enrolled in this study by the researchers in order to raise the uptake of screening mammography among high-risk women who were treated for a childhood cancer with chest radiotherapy. In survivors at high risk for breast cancer, use of mailed materials followed by telephone-delivered counseling elevated mammography screening rates, although, this strategy did not raise the rate of breast MRI. Cost of imaging and physician recommendation were significant barriers that should be taken into account in prospective studies.
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