Royal College of Surgeons in Ireland
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A scoping review of programme specific mammographic breast density related guidelines and practices within breast screening programme

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posted on 2024-03-14, 17:23 authored by Jessica O’Driscoll, Aileen BurkeAileen Burke, Therese Mooney, Niall Phelan, Paola Baldelli, Alan Smith, Suzanne Lynch, Patricia Fitzpatrick, Kathleen BennettKathleen Bennett, Fidelma Flanagan, Maeve MulloolyMaeve Mullooly

Introduction: High mammographic breast density (MBD) is an independent breast cancer risk factor. In organised breast screening settings, discussions are ongoing regarding the optimal clinical role of MBD to help guide screening decisions. The aim of this scoping review was to provide an overview of current practices incorporating MBD within population-based breast screening programmes and from professional organisations internationally.

Methods: This scoping review was conducted in accordance with the framework proposed by the Joanna Briggs Institute. The electronic databases, MEDLINE (PubMed), EMBASE, CINAHL Plus, Scopus, and Web of Science were systematically searched. Grey literature sources, websites of international breast screening programmes, and relevant government organisations were searched to identify further relevant literature. Data from identified materials were extracted and presented as a narrative summary.

Results: The search identified 78 relevant documents. Documents were identified for breast screening programmes in 18 countries relating to screening intervals for women with dense breasts, MBD measurement, reporting, notification, and guiding supplemental screening. Documents were identified from 18 international professional organisations with the majority of material relating to supplemental screening guidance for women with dense breasts. Key factors collated during the data extraction process as relevant considerations for MBD practices included the evidence base needed to inform decision-making processes and resources (healthcare system costs, radiology equipment, and workforce planning).

Conclusions: This scoping review summarises current practices and guidelines incorporating MBD in international population-based breast screening settings and highlights the absence of consensus between organised breast screening programmes incorporating MBD in current breast screening protocols.

Funding

Health Research Board (HRB) of Ireland through the HRB Emerging Investigator Award [EIA-2019–012]

History

Comments

The original article is available at https://www.sciencedirect.com/

Published Citation

O'Driscoll J, et al. A scoping review of programme specific mammographic breast density related guidelines and practices within breast screening programmes. Eur J Radiol Open. 2023;11:100510.

Publication Date

2 August 2023

PubMed ID

37560166

Department/Unit

  • School of Population Health
  • Data Science Centre

Publisher

Elsevier B.V

Version

  • Published Version (Version of Record)