TABLE IV.

Health care system changes to mitigate delay in presentation of women with breast cancer symptoms

Consistent messaging about mammographic guidelines (40–49 years of age) Better messaging about breast awareness Better compliance tracking and reminders for screening mammography and periodic health exams Improved access to a rapid diagnostic process Provide education: A previous benign breast diagnosis does not ensure that future symptoms are not cancer Non-lump presentations of breast cancer Present additional hopeful testimonials: “Breast cancer is not a death sentence” Validate women presenting with breast complaints Recognize subtle clues and indirect communication (doorknob syndrome, “Do I need a mammogram?”)