{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:07:40Z","timestamp":1788800860290,"version":"build-2803163510"},"reference-count":38,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"27","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO"],"published-print":{"date-parts":[[2017,9,20]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> The benefits of annual surveillance mammography in older breast cancer survivors with limited life expectancy are not known, and there are important risks; however, little is known about mammography use among these women. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p> We used National Health Interview Study data from 2000, 2005, 2008, 2010, 2013, and 2015 to examine surveillance mammography use among women age \u2265 65 years who reported a history of breast cancer. Using multivariable logistic regression, we assessed the probability of mammography within the last 12 months by 5- and 10-year life expectancy (using the validated Schonberg index), adjusting for survey year, region, age, marital status, insurance, educational attainment, and indicators of access to care. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Of 1,040 respondents, 33.7% were age \u2265 80 years and 88.6% were white. Approximately 8.6% and 35.1% had an estimated life expectancy of \u2264 5 and \u2264 10 years, respectively. Overall, 78.9% reported having routine surveillance mammography in the last 12 months. Receipt of mammography decreased with decreasing life expectancy ( P &lt; .001), although 56.7% and 65.9% of those with estimated \u2264 5-year and \u2264 10-year life expectancy, respectively, reported mammography in the last year. Conversely, 14.1% of those with life expectancy &gt; 10 years did not report mammography. In adjusted analyses, lower ( v higher) life expectancy was significantly associated with lower odds of mammography (odds ratio, 0.4; 95% CI, 0.3 to 0.8 for \u2264 5-year life expectancy and OR, 0.4; 95% CI, 0.3 to 0.6 for \u2264 10-year life expectancy). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Many (57%) older breast cancer survivors with an estimated short life expectancy (&lt; 5 years) receive annual surveillance mammography despite unknown benefits, whereas 14% with estimated life expectancy &gt; 10 years did not report mammography. Practice guidelines are needed to optimize and tailor follow-up care for older patients. <\/jats:p><\/jats:sec>","DOI":"10.1200\/jco.2016.72.1209","type":"journal-article","created":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T19:59:16Z","timestamp":1501185556000},"page":"3123-3130","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":34,"title":["Use of Surveillance Mammography Among Older Breast Cancer Survivors by Life Expectancy"],"prefix":"10.1200","volume":"35","author":[{"given":"Rachel A.","family":"Freedman","sequence":"first","affiliation":[{"name":"Rachel A. Freedman, Dana-Farber Cancer Institute; Nancy L. Keating and Ellen P. McCarthy, Harvard Medical School; Nancy L. Keating, Lydia E. Pace, and Joyce Lii, Brigham and Women\u2019s Hospital; and Ellen P. McCarthy and Mara A. Schonberg, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy L.","family":"Keating","sequence":"additional","affiliation":[{"name":"Rachel A. Freedman, Dana-Farber Cancer Institute; Nancy L. Keating and Ellen P. McCarthy, Harvard Medical School; Nancy L. Keating, Lydia E. Pace, and Joyce Lii, Brigham and Women\u2019s Hospital; and Ellen P. McCarthy and Mara A. Schonberg, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia E.","family":"Pace","sequence":"additional","affiliation":[{"name":"Rachel A. Freedman, Dana-Farber Cancer Institute; Nancy L. Keating and Ellen P. McCarthy, Harvard Medical School; Nancy L. Keating, Lydia E. Pace, and Joyce Lii, Brigham and Women\u2019s Hospital; and Ellen P. McCarthy and Mara A. 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