Abstract
OBJECTIVE: To inform female Hodgkin disease (HD) survivors, younger than 35 at diagnosis, of their increased risk for breast cancer and encourage them to seek breast cancer screening. METHODS: An evidence-based intervention, telephone counseling, was used in a pre-post test design, randomized trial with the control group being offered the intervention following the post-test. Women treated at Stanford University who received thoracic irradiation before age 35, alive and HD-free at last contact, were referred to the project (n = 471). Of 261 eligible women who could be located, 157 completed the pretest and were randomized (60% response rate) and 133 completed the post-test (85% retention rate). RESULTS: There was a positive intervention effect on mammography maintenance: the odds of being in maintenance at post-test compared with pretest were greater in the intervention group than in the control group [odds ratio (OR) = 3.6]. Women were more likely to be in mammography maintenance at pre- or post-test if at pretest they were married (OR = 5.7), employed (OR = 2.3), more worried about breast cancer (OR = 1.4 per unit of scale), or received an annual physical examination (OR = 2.2). Women under age 40 were much less likely to be in maintenance than were those age 45 and over (age 35-39, OR = 0.2; under age 35, OR = 0.07). CONCLUSIONS: The findings indicate that providing risk information encourages cancer survivors to take health preventive actions. Telephone counseling is a method that can provide risk information and is easily transferable to settings where people seek health information, such as telephone information lines.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 258-266 |
| Number of pages | 9 |
| Journal | American Journal of Clinical Oncology: Cancer Clinical Trials |
| Volume | 29 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 2006 |
| Externally published | Yes |
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Keywords
- Breast cancer risk
- Breast cancer screening
- Hodgkin disease
- Intervention
- Late effects of treatment
ASJC Scopus subject areas
- Oncology
- Cancer Research
Cite this
Breast cancer screening in women surviving Hodgkin disease. / Bloom, Joan R.; Stewart, Susan L.; Hancock, Steven L.
In: American Journal of Clinical Oncology: Cancer Clinical Trials, Vol. 29, No. 3, 06.2006, p. 258-266.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Breast cancer screening in women surviving Hodgkin disease
AU - Bloom, Joan R.
AU - Stewart, Susan L.
AU - Hancock, Steven L.
PY - 2006/6
Y1 - 2006/6
N2 - OBJECTIVE: To inform female Hodgkin disease (HD) survivors, younger than 35 at diagnosis, of their increased risk for breast cancer and encourage them to seek breast cancer screening. METHODS: An evidence-based intervention, telephone counseling, was used in a pre-post test design, randomized trial with the control group being offered the intervention following the post-test. Women treated at Stanford University who received thoracic irradiation before age 35, alive and HD-free at last contact, were referred to the project (n = 471). Of 261 eligible women who could be located, 157 completed the pretest and were randomized (60% response rate) and 133 completed the post-test (85% retention rate). RESULTS: There was a positive intervention effect on mammography maintenance: the odds of being in maintenance at post-test compared with pretest were greater in the intervention group than in the control group [odds ratio (OR) = 3.6]. Women were more likely to be in mammography maintenance at pre- or post-test if at pretest they were married (OR = 5.7), employed (OR = 2.3), more worried about breast cancer (OR = 1.4 per unit of scale), or received an annual physical examination (OR = 2.2). Women under age 40 were much less likely to be in maintenance than were those age 45 and over (age 35-39, OR = 0.2; under age 35, OR = 0.07). CONCLUSIONS: The findings indicate that providing risk information encourages cancer survivors to take health preventive actions. Telephone counseling is a method that can provide risk information and is easily transferable to settings where people seek health information, such as telephone information lines.
AB - OBJECTIVE: To inform female Hodgkin disease (HD) survivors, younger than 35 at diagnosis, of their increased risk for breast cancer and encourage them to seek breast cancer screening. METHODS: An evidence-based intervention, telephone counseling, was used in a pre-post test design, randomized trial with the control group being offered the intervention following the post-test. Women treated at Stanford University who received thoracic irradiation before age 35, alive and HD-free at last contact, were referred to the project (n = 471). Of 261 eligible women who could be located, 157 completed the pretest and were randomized (60% response rate) and 133 completed the post-test (85% retention rate). RESULTS: There was a positive intervention effect on mammography maintenance: the odds of being in maintenance at post-test compared with pretest were greater in the intervention group than in the control group [odds ratio (OR) = 3.6]. Women were more likely to be in mammography maintenance at pre- or post-test if at pretest they were married (OR = 5.7), employed (OR = 2.3), more worried about breast cancer (OR = 1.4 per unit of scale), or received an annual physical examination (OR = 2.2). Women under age 40 were much less likely to be in maintenance than were those age 45 and over (age 35-39, OR = 0.2; under age 35, OR = 0.07). CONCLUSIONS: The findings indicate that providing risk information encourages cancer survivors to take health preventive actions. Telephone counseling is a method that can provide risk information and is easily transferable to settings where people seek health information, such as telephone information lines.
KW - Breast cancer risk
KW - Breast cancer screening
KW - Hodgkin disease
KW - Intervention
KW - Late effects of treatment
UR - http://www.scopus.com/inward/record.url?scp=33744988571&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33744988571&partnerID=8YFLogxK
U2 - 10.1097/01.coc.0000209447.63640.5a
DO - 10.1097/01.coc.0000209447.63640.5a
M3 - Article
C2 - 16755179
AN - SCOPUS:33744988571
VL - 29
SP - 258
EP - 266
JO - American Journal of Clinical Oncology
JF - American Journal of Clinical Oncology
SN - 0277-3732
IS - 3
ER -