Women who expertise a false-positive mammogram outcome are extra doubtless to start treatment for anxiety or melancholy than ladies who acquired a direct unfavourable end result, in accordance to a research led by Penn State researcher Joel Segel. The discovering highlights the significance of swift and correct follow-up testing to rule out a breast most cancers analysis.
The research discovered that sufferers who obtain a false-positive mammogram outcome are additionally prescribed anxiety or melancholy medication at a fee 10 to 20 % greater than sufferers who obtain a direct damaging outcome. These prescriptions are new and never continuations of beforehand prescribed medicines.
A false-positive result’s one the place a suspicious discovering on the screening mammogram leads to further testing that doesn’t find yourself main to a breast most cancers analysis.
Additionally, inside that group of sufferers who required multiple check to resolve the false-positive there was a 20 to 30 % improve in these starting to take anxiety or melancholy drugs. The improve was notably noticeable amongst women with business insurance coverage who required a number of exams to rule out a breast most cancers analysis.
“The results suggest that efforts to quickly resolve initially positive findings including same-day follow-up tests may help reduce anxiety and even prevent initiation of anxiety or depression medication,” stated Segel, assistant professor of well being coverage and administration at Penn State.
This research demonstrates that some ladies who expertise a false-positive mammogram may have further follow-up care to successfully deal with the elevated anxiety which will accompany the expertise, Segel stated.
More importantly, from a practitioner standpoint, the research identifies sub-populations who could also be most susceptible to elevated anxiety following a false-positive mammogram, Segel stated. Specifically, ladies whose false-positive outcome requires multiple follow-up check to resolve, ladies with business insurance coverage who bear a biopsy, ladies who wait longer than one week to obtain a adverse outcome, and ladies who’re underneath age 50 might all be at larger danger of experiencing clinically vital anxiety or melancholy.
“Regular breast cancer screening is critical to early detection,” Segel stated. “Patients should continue to work with their providers to ensure they are receiving guideline-appropriate screening and should follow up with their providers if they experience either anxiety or depression following screening or any type of care.”
The findings lately appeared in Medical Care.
Joel E. Segel et al. The Effect of False-positive Mammograms on Antidepressant and Anxiolytic Initiation, Medical Care (2017). DOI: 10.1097/MLR.0000000000000760