Breast cancer screening in women surviving Hodgkin disease

Joan R. Bloom, Susan L. Stewart, Steven L. Hancock

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


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 languageEnglish (US)
Pages (from-to)258-266
Number of pages9
JournalAmerican Journal of Clinical Oncology: Cancer Clinical Trials
Issue number3
StatePublished - Jun 2006
Externally publishedYes


  • Breast cancer risk
  • Breast cancer screening
  • Hodgkin disease
  • Intervention
  • Late effects of treatment

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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