Changes in mammography screening in Ontario and Alberta following national guideline dissemination: an interrupted time series analysis [version 2; peer review: 2 approved]

Autor: Rosane Nisenbaum, Jemila S. Hamid, Joycelyne E. Ewusie, Marcello Tonelli, Christine Fahim, Natasha Wiebe, Nathalie M. Holmes, Sharon E. Straus, Paula Brauer, Elizabeth Shaw, Neil Bell, Dawn Stacey
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: F1000Research, Vol 10 (2022)
Druh dokumentu: article
ISSN: 2046-1402
DOI: 10.12688/f1000research.55004.2
Popis: Background: In November 2011, the Canadian Task Force on Preventive Health Care released guidelines for screening women at average breast cancer risk. Weak recommendations (framed using GRADE methodology) were made for screening women aged 50 to 74 years every two to three years, and for not screening women aged 40 to 49 years. Methods: We conducted an interrupted time series analysis using administrative data to examine bilateral mammography use before and after a release of a national breast screening guideline. Women aged 40 to 74 years living in Ontario or Alberta from 30th November 2008 to 30th November 2014 were included. Strata included age, region of residence, neighbourhood income quintile, immigration status, and education level. Results: In both provinces, mammography use rates were lower in the post-intervention period (527 vs. 556 and 428 vs. 465/1000 women in Ontario and Alberta, respectively). In Ontario, mammography trends decreased following guideline release to align with recommendations for women aged 40 to 74 (decrease of 2.21/1000 women, SE 0.26/1000, p
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