Riscos e benefícios do rastreamento do câncer de mama no Brasil

Migowski, Arn

doi:10.1590/1413-81232015203.23472015

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Thus, studies that use data from several services 14,16 may be subject to greater heterogeneity than those evaluating a single center 15 . Moreover, the different socioeconomic realities found in our country may contribute so that the screening is offered in an unequal way in different locations, influencing the rate of tumor detection 10,17 . Nevertheless, the BI-RADS 5 category presented good agreement between studies.…”

Section: Discussionmentioning

confidence: 99%

Impact of the pink october in the mammographic screening adherence in a reference center in oncology

Vazzoller¹,

Fernandes²,

Gotardo³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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Objective: To analyze the impact of Pink October in the mammographic screening adherence in a reference center in oncology. Methods: This is a cross-sectional, descriptive and retrospective study of a population of women who underwent mammographic screening in the years 2014, 2015 and 2016. Mammography reports were used for data collection. Comparing the months of October with the other months of the studied years, we observed if there were changes in the number of mammograms and in the proportion of mammograms Breast Imaging Reporting and Data System (BI-RADS) 3, 4 and 5. To verify statistical significance, the Z-score (95% confidence interval -CI95%) and the χ 2 test (p<0.05) were used. Results: 105,698 mammograms were performed. There was a significant difference in the number of mammograms performed in October compared to the other months of the study. In addition, there was an absolute increase in the number of mammograms BI-RADS 3, 4 and 5; however, their proportion in the months of October did not presented difference in comparison to the other months. Conclusion: Population-based campaigns to prevent breast cancer appear to be effective in increase of demand for mammographic screening, possibly leading to an increase in the number of cancers discovered, allowing more women to receive timely treatment.KEYWORDS: Mammography; breast neoplasms; health promotion; mass screening; early diagnosis. ABSTRACT RESUMOObjetivo: Analisar o impacto do Outubro Rosa na adesão ao rastreamento mamográfico para câncer de mama em um serviço de referência em oncologia. Métodos: Trata-se de um estudo transversal, descritivo e retrospectivo em uma população de mulheres que realizaram rastreamento mamográfico nos anos de 2014, 2015 e 2016. Foram utilizados laudos de mamografia para coleta de dados. Foram comparados os meses de outubro com os demais meses dos anos estudados, observando se houve alterações no número total de mamografias e no número de mamografias Breast Imaging Reporting and Data System (BI-RADS) 3, 4 e 5. Para verificar significância estatística foram utilizados o escore Z (intervalo de confiança de 95% -IC95%) e o teste do χ 2 (p<0,05). Resultados: Realizaram-se 105.698 mamografias. Houve diferença significativa na quantidade de mamografias efetuadas nos meses de outubro em comparação aos outros meses do estudo. Além disso, ocorreu aumento absoluto de mamografias BI-RADS 3, 4 e 5; porém, sua proporção nos meses de outubro não apresentou diferença significativa em relação aos outros meses. Conclusão: As campanhas populacionais de prevenção de câncer de mama parecem ser efetivas no aumento da procura por serviços de rastreamento, de forma a elevar o total de cânceres descobertos e possibilitando, assim, que mais mulheres recebam tratamento adequado. PALAVRAS-CHAVE:Mamografia; neoplasias da mama; campanhas de prevenção de câncer de mama; programas de rastreamento; diagnóstico precoce.

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Section: Discussionmentioning

confidence: 99%

Impact of the pink october in the mammographic screening adherence in a reference center in oncology

Vazzoller¹,

Fernandes²,

Gotardo³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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“…The information communicated to the population by governments also tends to overestimate the benefits of screening and underestimate its risks 29 . These concepts also persist in academic publications, and many physicians believe that the increased survival time in screening studies confirms the benefits of this practice 15,30,31 . In developing countries, it is common for the number and proportion of breast cancer cases in young women to be used to justify mammographic screening in women under 50 years 32 , when in fact these numbers are heavily dependent on the countries' demographic profile and do not modify the balance between risks and benefits, showing that conceptual errors have a role in disseminating this type of practice.…”

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 92%

Diretrizes para detecção precoce do câncer de mama no Brasil. III - Desafios à implementação

et al. 2018

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The objective of the current article is to present the main challenges for the implementation of the new recommendations for early detection of breast cancer in Brazil, and to reflect on the barriers and the strategies to overcome them. The implementation of evidence-based guidelines is a global challenge, and traditional strategies based only on disseminating their recommendations have proven insufficient for changing prevailing clinical practice. A major challenge for adherence to the new guidelines for early detection of breast cancer in Brazil is the current pattern in the use of mammographic screening in the country, which very often includes young women and a short interval between tests. Such practice, harmful to the population's health, is reinforced by the logic of defensive medicine and the dissemination of erroneous information that overestimates the benefits of screening and underestimates or even omits its harms. In addition, there is a lack of policies and measures focused on early diagnosis of symptomatic cases. To overcome these barriers, changes in the regulation of care, financing, and implementation of shared decision-making in primary care are essential. Audit and feedback, academic detailing, and the incorporation of decision aids are some of the strategies that can facilitate implementation of the new recommendations.

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Riscos e benefícios do rastreamento do câncer de mama no Brasil

Cited by 2 publications

References 4 publications

Impact of the pink october in the mammographic screening adherence in a reference center in oncology

Impact of the pink october in the mammographic screening adherence in a reference center in oncology

Diretrizes para detecção precoce do câncer de mama no Brasil. III - Desafios à implementação

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