Table 1.

Definitions of Overuse in Included Studies

Any self-breast exam24

Screening in patients with limited life expectancy16,18,22,24–27

Guideline discordant screening

Offering nonrecommended MRI testing for screening17,19,20

Utilizing multiple conflicting guidelines from USPSTF/ACS/ACOG22,25

Screening more frequently than recommended16

Patient's lack of awareness and knowledge, or negative attitude toward, or resistance to implement the revised USPSTF guidelines14,21,24

Insufficient declines of screening mammography utilization among inappropriate population before and after 2009 USPSTF guidelines revision15,23,28

USPSTF, Preventive Services Task Force; ACS, American Cancer Society; ACOG American College of Obstetricians and Gynecologists.