62587 Adherence to Breast Cancer Screening Guidelines Among Patients with Hidradenitis Suppurativa: A Retrospective Cohort Study
Recommended Citation
Young AT, Nadir U, Turfe A, Gershater M, Xiong M, Mi Q. 62587 Adherence to Breast Cancer Screening Guidelines Among Patients with Hidradenitis Suppurativa: A Retrospective Cohort Study. J Am Acad Dermatol 2025; 93:AB114.
Document Type
Conference Proceeding
Publication Date
9-1-2025
Publication Title
J Am Acad Dermatol
Abstract
Background: The American Cancer Society recommends annual breast cancer screening starting at age 40-45. Anecdotally, patients with hidradenitis suppurativa (HS) affecting the breasts may face barriers to mammography. Previous studies have found that patients with HS affecting the breast are less likely to breastfeed. Furthermore, mammography pain-related anxiety has been associated with decreased surveillance adherence among breast cancer survivors. This study aims to evaluate the adherence to breast cancer surveillance recommendations among patients with HS and explore the impact of breast involvement on this adherence. Methods: A retrospective chart review was conducted on female patients with HS who were seen by Dermatology at an academic medical center from 2019-2024; mammography records were analyzed between 2015-2024. Multivariate Poisson regression was used. Results: 669 patients were followed for a median of 9.1 (interquartile range 5.3-11.1) years. Median adherence to annual surveillance was 32% (interquartile range 0-60%), with 64% of patients receiving any screening. Hurley stage 3 (rate ratio [95% CI]: 0.88 [0.77-0.99] vs stage 1) and Medicaid insurance (0.82 [0.70-0.98] vs commercial insurance) were associated with decreased frequency of screenings. HS involvement of the breasts, Hurley stage of the breasts, age, race, and personal or family history of breast cancer were not significantly associated. Conclusion: Adherence to breast cancer surveillance guidelines in real-world practice among patients with HS is suboptimal and influenced by disease severity and insurance type, highlighting disparities in access to care. Contrary to previous findings related to breastfeeding, differences in adherence were not linked to breast involvement of HS.
Volume
93
First Page
AB114
