We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Impact of Diffuse Large B-Cell Lymphoma on Mammography and Bone Density Testing in Women.
- Authors
Garg, Rahul; Sambamoorthi, Usha; Tan, Xi; Basu, Soumit K.; Haggerty, Treah; Kelly, Kimberly M.
- Abstract
Women with diffuse large B-cell lymphoma (DLBCL) are at an increased risk of mortality from breast cancer and osteoporosis. However, the impact of DLBCL on rates of mammography and bone density testing (BDT) is unknown. We compared female DLBCL and non-cancer patients utilizing the Surveillance, Epidemiology, and End Results-Medicare dataset to analyze the predictors of mammography and BDT. Guided by the Social Ecological Model (SEM), we used multivariable logistic regressions with inverse probability treatment weighting to examine the association of intrapersonal, interpersonal, healthcare system, and community factors with mammography and BDT. The rates of mammography (59.8%) and BDT (18.5%) in women with DLBCL were similar to those without cancer (60.2% and 19.6%, respectively). After adjusting for the SEM factors, DLBCL patients were less likely to get mammography and BDT than non-cancer patients. The treatments of radiotherapy and stem cell transplant were not associated with either mammography or BDT. DLBCL diagnosis was associated with lower rates of mammography and BDT rates among women with DLBCL, as compared to non-cancer patients. To reduce the morbidity and mortality from breast cancer and fractures in women with DLBCL, providers should increase their recommendations for mammography in those receiving radiotherapy and BDT in stem cell transplant patients.
- Subjects
BONE density; MAMMOGRAMS; CALCIFICATIONS of the breast; STEM cell transplantation; BREAST cancer; STEM cell treatment
- Publication
Journal of Primary Prevention, 2021, Vol 42, Issue 2, p143
- ISSN
0278-095X
- Publication type
journal article
- DOI
10.1007/s10935-021-00621-8