Identifying Equitable Screening Mammography Strategies for Black Women in the United States Using Simulation Modeling.

ABSTRACT:

Background

Screening mammography guidelines do not explicitly consider racial differences in breast cancer epidemiology, treatment, and survival.

Objective

To compare tradeoffs of screening strategies in Black women versus White women under current guidelines.

Design

An established model from the Cancer Intervention and Surveillance Modeling Network simulated screening outcomes using race-specific inputs for subtype distribution; breast density; mammography performance; age-, stage-, and subtype-specific treatment effects; and non-breast cancer mortality.

Setting

United States.

Participants

A 1980 U.S. birth cohort of Black and White women.

Intervention

Screening strategies until age 74 years with varying initiation ages and intervals.

Measurem

SUBMITTER: Chapman CH 

PROVIDER: S-EPMC9997651 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature