Evidence map›Paper›PMID 30848018›Full record

ArticlePsycho-oncology2019

Women's perceptions of personalized risk-based breast cancer screening and prevention: An international focus group study.

Linda Rainey, Anna Jervaeus, Louise S Donnelly, D Gareth Evans, Mattias Hammarström, Per Hall, Yvonne Wengström, Mireille J M Broeders, Daniëlle van der Waal

Open access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Acceptability of risk stratification within population-based cancer screening from the perspective of the general public: A mixed-methods systematic review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Risk-based breast cancer screening.British journal of cancer · 2026
    Article
  9. Article
  10. Article
  11. Patient and Physician Perspectives on Using Risk Prediction to Support Breast Cancer Surveillance Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Linda RaineyRadboud Institute for Health Sciences, Radboud university Medical Center, Nijmegen.ORCID 0000-0002-2648-5881
Anna JervaeusDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge.
Louise S DonnellyPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester.
D Gareth EvansPrevent Breast Cancer Research Unit, The Nightingale Centre, Manchester University NHS Foundation Trust, Manchester.
Mattias HammarströmDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm.
Per HallDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm.
Yvonne WengströmDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge.
Mireille J M BroedersRadboud Institute for Health Sciences, Radboud university Medical Center, Nijmegen.
Daniëlle van der WaalRadboud Institute for Health Sciences, Radboud university Medical Center, Nijmegen.
Karolinska Institutet · SERadboud University Nijmegen · NLFlorence Nightingale Foundation · GBKarolinska University Hospital · SEManchester Academic Health Science Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIncreased knowledge of breast cancer risk factors enables a shift from one-size-fits-all breast cancer screening to a risk-based approach, tailoring screening policy to a woman's individual risk. New opportunities for prevention will arise. However, before this novel screening and prevention program is introduced, its acceptability from a woman's perspective needs to be explored.

methodsWomen eligible for breast cancer screening in the Netherlands, United Kingdom, and Sweden were invited to take part in focus groups. A total of 143 women participated. Data were transcribed verbatim and analyzed using thematic analysis.

resultsAnalysis identified five themes across the three countries. The first theme "impact of knowledge" describes women's concern of not being able to unlearn their risk, perceiving it as either a motivator for change or a burden which may lead to stigma. The second theme "belief in science" explains women's need to trust the science behind the risk assessment and subsequent care pathways. Theme three "emotional impact" explores, eg, women's perceived anxiety and (false) reassurance, which may result from knowing their risk. Theme four "decision making" highlights cultural differences in shared versus individual decision making. Theme five "attitude to medication" explores the controversial topic of offering preventative medication for breast cancer risk reduction.

conclusionsAcceptability of risk-based screening and prevention is mixed. Women's perceptions are informed by a lack of knowledge, cultural norms, and common emotional concerns, which highlights the importance of tailored educational materials and risk counselling to aid either shared or individual informed decision making.

Indexed as

Attitude to HealthDecision MakingPatient Acceptance of Health CareRisk AssessmentAdultAgedBreast NeoplasmsEarly Detection of CancerEmotionsFemaleFocus GroupsHumansMass ScreeningMiddle AgedNetherlandsSwedenacceptabilityattitudesbreast canceroncologypreventionrisk predictionrisk stratificationscreening

Identifiers

PMID30848018
PMCPMC6593462
OpenAlexW2922067070

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.