Mammography in asymptomatic women aged 40-49 years

Silva, Flávio Xavier; Katz, Leila; Souza, Alex Sandro Rolland; Amorim, Melânia Maria Ramos

doi:10.1590/s0034-8910.2014048005349

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…Estudios internacionales sugieren el inicio de la mamografía de detección en mujeres a los 40 años 7,10,17,21,22,23 . Sin embargo, Flávio Silva et al 24 encontró que adelantar la mamografía a los 40 años aumenta los costos sin eficacia demostrable en la disminución de la mortalidad.…”

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Estudios mamográficos en un centro metropolitano de referencia en imágenes mamarias: Chile 2008-2018 ¿Vamos por el camino correcto?

Álvarez-Ortiz

Bugueño-Peña

et al. 2022

Rev. méd. Chile

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Background: Mammograms are one of the most effective preventive means for the early detection of breast cancer. Objective: To describe the features of patients and results of mammograms performed at a public breast imaging service of the Santiago Metropolitan Area. Material and Methods: We reviewed the reports of mammograms performed on 174,017 women and 18 men, between 2008 and 2018 in an Imaging Center. The BI-RADS classification was used in the reports. Results: Forty-six percent of mammograms (75,781) were reported as BI-RADS 2. The high proportion of BI-RADS 4 reports (674 reports) was seen in patients aged 40 to 49 years, corresponding to 30% of reports in this age range. Among patients aged 50 to 59 years, there were 779 BI-RADS 4 reports (35%). BI-RADS 5 reports were more common among patients aged 50 to 59 years (50 reports, 30%) and among patients aged 70 years or older (83 reports, 28%). Conclusions: The presence of a significant number of women between 40 and 49 years of age with a BI-RADS 4 mammography result stands out; being an opportunity to develop new clinical research and public health strategies within the framework of the Universal Health Care policy for breast cancer in Chile.

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Estudios mamográficos en un centro metropolitano de referencia en imágenes mamarias: Chile 2008-2018 ¿Vamos por el camino correcto?

Álvarez-Ortiz

Bugueño-Peña

et al. 2022

Rev. méd. Chile

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“…[22][23][24] For younger women (< 50 years), the effectiveness of mammograms is controversial because it is related more with an increase in costs from unnecessary interventions than with reduced mortality. 25 During the agreement of the goals for the control of breast cancer in 2006, the Ministry of Health of Brazil recommended a biennial mammogram for women aged 50 to 69 years and an annual clinical breast examination for those aged between 40 and 49 years. 15 However, Law N. 11.664/2008 assured mammograms for all women aged over 40 years.…”

Section: Discussionmentioning

confidence: 99%

Factors related to non-adherence to mammography in a city of the Brazilian Amazonian area: A population-based study

Souza

Araújo

Teles

et al. 2017

Rev. Assoc. Med. Bras.

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Objective: To assess the prevalence of mammography use and factors related to non-adherence in Boa Vista, capital of Roraima, Brazil. Method: A cross sectional study, quantitative analysis, based on household survey was performed between June and August 2013, using a face-to-face interview with a pre-tested form. Target population was women between 40 and 69 years. The sample size target was 240 participants, and the sampling method was random cluster sampling. The study was approved by the Institutional Review Board of Federal University of Roraima. Results: 241 women were included without refusals. The prevalence of non-use of mammography in the past two years was 55.6% (95CI 49.1-61.9). In univariate analysis, the risk factors for non-adherence to mammography were having low educational level, family income below three minimum wages, receiving government assistance, not having consulted with a doctor and no health insurance. In multivariate analysis, only low educational level and receiving government assistance remained as risk factors. Medical consultation or health worker visiting were protective factors. Conclusion: Adherence to mammography is unsatisfactory in Boa Vista, Roraima, and has a predominantly opportunistic character. Low educational level is confirmed as an independent risk factor, but belonging to a family that receives government assistance can be interpreted as a social marker of families and/or areas lacking of government intervention to increase access to breast cancer control programs.

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“…(16) Studies suggest that annual mammography before diagnosis of breast cancer is a predictor of increase in global survival, however, these studies highligth that methods and programs to early detection of breast cancer do not reduce the disease incidence, but they can reduce the disease mortality. (17,18) …”

Section: Discussionmentioning

confidence: 99%

Associated factors with mammographic changes in women undergoing breast cancer screening

Santana

Mattos

Silva

et al. 2016

Einstein (São Paulo)

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Objective:To evaluate association of sociodemographic, anthropometric, and epidemiological factors with result of mammogram in women undergoing breast cancer screening.Methods:This is a cross-sectional study with data obtained through interviews, anthropometric measurements, and mammography of 600 women aged 40 to 69 years at the Preventive Medicine Department of Hospital de Câncer de Barretos, Brazil, in 2014. The results of these examinations in the BI-RADS categories 1 and 2 were grouped and classified in this study as normal mammogram outcome, and those of BI-RADS categories 3, 4A, 4B, 4C, and 5 were grouped and classified as altered mammogram outcome. The statistical analysis included the Student's t-test to compare means, as well as odds ratios (OR), with their corresponding 95% confidence intervals (95%CI), to verify an association by means of the multivariate analysis.Results:Of 600 women evaluated, 45% belonged to the age group of 40–49 years-old and 60.2% were classified as BI-RADS category 2. The multivariate analysis showed that women with blood hypertension (OR: 2.64; 95%CI: 1.07–6.49; p<0.05) were more likely to present changes in the mammography, while physical activity was associated with lower chances (OR: 0.30; 95%CI: 0.11–0.81; p<0.05).Conclusion:Hypertensive women undergoing screening mammography are more likely to present mammographic changes, whereas women practicing physical activity have lower chances (70%) of presenting changes in the breast compared with sedentary individuals.

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Mammography in asymptomatic women aged 40-49 years

Cited by 5 publications

References 19 publications

Estudios mamográficos en un centro metropolitano de referencia en imágenes mamarias: Chile 2008-2018 ¿Vamos por el camino correcto?

Estudios mamográficos en un centro metropolitano de referencia en imágenes mamarias: Chile 2008-2018 ¿Vamos por el camino correcto?

Factors related to non-adherence to mammography in a city of the Brazilian Amazonian area: A population-based study

Associated factors with mammographic changes in women undergoing breast cancer screening

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