Patterns of self-referral for breast cancer screening in women aged over 70 in Wales between 2005 and 2016
Association of Breast Surgery ePoster Library. Powell-Chandler A. 05/13/19; 257075; P031
Anna Powell-Chandler
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P031
Topic: Breast screening
Introduction: In Wales, routine invitation for breast screening stops at 70 years of age. Women over 70 can self-refer for continued screening if they choose to. Methods Retrospective review of NHS Breast Cancer Screening Database (NBSS) looking at patterns of self-referral appointments and resultant cancer diagnoses in women over 70 years in Wales between 2005-2016 with respect to the Welsh Index of Multiple Deprivation score. Results: During the review period 38,853 women aged over 70 requested 55,950 breast screening appointments. 13,497 (34.7%) women attended more than one ‘additional' screening with the majority attending once more beyond 70years. 2875 (5.1%) were recalled following the screening episode, of which 929 had a screen-detected cancer diagnosed (23.9 cancers per 1000 women screened). 774 (83.5%) had invasive disease.The median age of women who self-referred was 74 years (range 71-95 years). More appointments were requested by and more cancers were diagnosed in women from the least deprived WIMD quintiles than those from the most deprived quintiles.QuintileNumber of appointments(%)n=55950Number of cancers (%)n=9291 (most deprived)5463 (9.4)93 (10.0)29797 (16.9)145 (15.6)312729 (22.0)186 (20.0)414632 (25.3)264 (28.4)5 (least deprived)13329 (23)222 (23.9)Missing1892 (3.3)19 (2.0)ConclusionWomen from more affluent backgrounds are more likely to self-refer for breast cancer screening beyond their 70th birthday than those less well-off. We found a high cancer detection rate in this age-group per 1000 women screened.
Topic: Breast screening
Introduction: In Wales, routine invitation for breast screening stops at 70 years of age. Women over 70 can self-refer for continued screening if they choose to. Methods Retrospective review of NHS Breast Cancer Screening Database (NBSS) looking at patterns of self-referral appointments and resultant cancer diagnoses in women over 70 years in Wales between 2005-2016 with respect to the Welsh Index of Multiple Deprivation score. Results: During the review period 38,853 women aged over 70 requested 55,950 breast screening appointments. 13,497 (34.7%) women attended more than one ‘additional' screening with the majority attending once more beyond 70years. 2875 (5.1%) were recalled following the screening episode, of which 929 had a screen-detected cancer diagnosed (23.9 cancers per 1000 women screened). 774 (83.5%) had invasive disease.The median age of women who self-referred was 74 years (range 71-95 years). More appointments were requested by and more cancers were diagnosed in women from the least deprived WIMD quintiles than those from the most deprived quintiles.QuintileNumber of appointments(%)n=55950Number of cancers (%)n=9291 (most deprived)5463 (9.4)93 (10.0)29797 (16.9)145 (15.6)312729 (22.0)186 (20.0)414632 (25.3)264 (28.4)5 (least deprived)13329 (23)222 (23.9)Missing1892 (3.3)19 (2.0)ConclusionWomen from more affluent backgrounds are more likely to self-refer for breast cancer screening beyond their 70th birthday than those less well-off. We found a high cancer detection rate in this age-group per 1000 women screened.
P031
Topic: Breast screening
Introduction: In Wales, routine invitation for breast screening stops at 70 years of age. Women over 70 can self-refer for continued screening if they choose to. Methods Retrospective review of NHS Breast Cancer Screening Database (NBSS) looking at patterns of self-referral appointments and resultant cancer diagnoses in women over 70 years in Wales between 2005-2016 with respect to the Welsh Index of Multiple Deprivation score. Results: During the review period 38,853 women aged over 70 requested 55,950 breast screening appointments. 13,497 (34.7%) women attended more than one ‘additional' screening with the majority attending once more beyond 70years. 2875 (5.1%) were recalled following the screening episode, of which 929 had a screen-detected cancer diagnosed (23.9 cancers per 1000 women screened). 774 (83.5%) had invasive disease.The median age of women who self-referred was 74 years (range 71-95 years). More appointments were requested by and more cancers were diagnosed in women from the least deprived WIMD quintiles than those from the most deprived quintiles.QuintileNumber of appointments(%)n=55950Number of cancers (%)n=9291 (most deprived)5463 (9.4)93 (10.0)29797 (16.9)145 (15.6)312729 (22.0)186 (20.0)414632 (25.3)264 (28.4)5 (least deprived)13329 (23)222 (23.9)Missing1892 (3.3)19 (2.0)ConclusionWomen from more affluent backgrounds are more likely to self-refer for breast cancer screening beyond their 70th birthday than those less well-off. We found a high cancer detection rate in this age-group per 1000 women screened.
Topic: Breast screening
Introduction: In Wales, routine invitation for breast screening stops at 70 years of age. Women over 70 can self-refer for continued screening if they choose to. Methods Retrospective review of NHS Breast Cancer Screening Database (NBSS) looking at patterns of self-referral appointments and resultant cancer diagnoses in women over 70 years in Wales between 2005-2016 with respect to the Welsh Index of Multiple Deprivation score. Results: During the review period 38,853 women aged over 70 requested 55,950 breast screening appointments. 13,497 (34.7%) women attended more than one ‘additional' screening with the majority attending once more beyond 70years. 2875 (5.1%) were recalled following the screening episode, of which 929 had a screen-detected cancer diagnosed (23.9 cancers per 1000 women screened). 774 (83.5%) had invasive disease.The median age of women who self-referred was 74 years (range 71-95 years). More appointments were requested by and more cancers were diagnosed in women from the least deprived WIMD quintiles than those from the most deprived quintiles.QuintileNumber of appointments(%)n=55950Number of cancers (%)n=9291 (most deprived)5463 (9.4)93 (10.0)29797 (16.9)145 (15.6)312729 (22.0)186 (20.0)414632 (25.3)264 (28.4)5 (least deprived)13329 (23)222 (23.9)Missing1892 (3.3)19 (2.0)ConclusionWomen from more affluent backgrounds are more likely to self-refer for breast cancer screening beyond their 70th birthday than those less well-off. We found a high cancer detection rate in this age-group per 1000 women screened.
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