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Patterns and Predictors of Screening for Breast and Cervical Cancer in Women with CKD.
- Source :
-
Clinical journal of the American Society of Nephrology : CJASN [Clin J Am Soc Nephrol] 2017 Jan 06; Vol. 12 (1), pp. 95-104. Date of Electronic Publication: 2016 Dec 29. - Publication Year :
- 2017
-
Abstract
- Background and Objectives: Breast and cervical cancers are prevalent in women with CKD, but it is uncertain how often screening for these cancers should be undertaken given concerns that the benefits of screening may be fewer and the harms greater in women with CKD than in the general population. We examined patterns of breast and cervical cancer screening in women on the basis of CKD stage and age and assessed predictors of screening.<br />Design, Setting, Participants, & Measurements: We conducted two population-based cohort studies (breast and cervical cancer screening) from 2002 to 2013 using linked administrative health care data from Ontario, Canada. A total of 141,326 and 324,548 women were included in the breast and cervical cancer screening cohorts, respectively.<br />Results: The 2-year cumulative incidences were 61% among women without CKD, 54% for those with CKD stages 3a and 3b, 37% for those with CKD stages 4 and 5, and 26% for women on dialysis. Similar patterns were observed for the 3-year cumulative incidences of cervical cancer screening. The associations of breast and cervical cancer screening with CKD were modified by age and CKD stage, where lower incidence of screening in women with advanced CKD compared with no CKD was most pronounced in older age groups (P<0.001). Older age, higher comorbidity burden, and lower-income groups were associated with a lower rate of screening.<br />Conclusions: Most women with advanced CKD do not receive breast or cervical cancer screening. A better understanding of patient and health professional preferences toward cancer screening in CKD is needed along with the outcomes of such screening.<br /> (Copyright © 2016 by the American Society of Nephrology.)
- Subjects :
- Adult
Age Factors
Aged
Comorbidity
Female
Humans
Income
Kidney Transplantation statistics & numerical data
Middle Aged
Ontario
Renal Dialysis statistics & numerical data
Renal Insufficiency, Chronic therapy
Young Adult
Breast Neoplasms diagnostic imaging
Early Detection of Cancer statistics & numerical data
Renal Insufficiency, Chronic physiopathology
Severity of Illness Index
Uterine Cervical Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1555-905X
- Volume :
- 12
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical journal of the American Society of Nephrology : CJASN
- Publication Type :
- Academic Journal
- Accession number :
- 28034851
- Full Text :
- https://doi.org/10.2215/CJN.05990616