Mammographic Screening of Women Attending a Reference Service Center in Southern Brazil

Lopes, Tiara Cristina Romeiro; Gravena, Ângela Andréia França; Demitto, Marcela de Oliveira; Brischiliari, Sheila Cristina Rocha; Borghesan, Deise Helena Pelloso; Agnolo, Cátia Millene Dell; Carvalho, Maria Dalva de Barros; Pelloso, Sandra Marisa

doi:10.7314/apjcp.2016.17.3.1385

Cited by 12 publications

(17 citation statements)

References 27 publications

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“…As for screening intervals, in the public healthcare system (SUS) there is a heavy predominance of short intervals between screening tests, i.e., 45% with annual intervals or shorter, and 32% with intervals between one and two years 11 . According to a recent hospital-based study in southern Brazil, annual mammographic screening was more common in women 50 years or older than in women from 40 to 49 years 13 . The same study showed that users of the public system (SUS) were more likely to undergo annual screening when compared to those with private health plans (62% versus 48%) 13 .…”

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

“…According to a recent hospital-based study in southern Brazil, annual mammographic screening was more common in women 50 years or older than in women from 40 to 49 years 13 . The same study showed that users of the public system (SUS) were more likely to undergo annual screening when compared to those with private health plans (62% versus 48%) 13 .…”

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

“…Moraes et al 17 indicate that this practice is still widespread among nurses, since 70% of those interviewed orient users on breast self-examination techniques. In a recent hospital-based study in southern Brazil, 60% of 40 year old women that underwent annual mammographic screening also did screening with breast self-examination and/or clinical breast examination 13 . This result was expected, since the guidelines based on expert consensus that traditionally recommend screening with self-examination and clinical breast examination are generally the same that support annual mammographic screening starting at 40 years 18,19 .…”

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

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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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Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

Section: Challenges and Barriers To Implementation Of The New Guidelinesmentioning

confidence: 99%

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

et al. 2018

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“…In Brazil, breast cancer is the most common tumor affecting women, comprising about 28% of all tumors diagnosed annually, excluding skin tumors (non-melanoma) (INCA, 2017). With the improvement of breast cancer screening, more impalpable breast lesions suspicious of cancer have been detected (Delmonico et al, 2015;Romeiro et al, 2016). The aim of this study was to evaluate the serum levels of vitamin D (25OHD) in patients with impalpable breast lesions comparing with a control group.…”

Section: Introductionmentioning

confidence: 99%

Low Levels of Vitamin D in a Cohort of Women with Impalpable Breast Lesions from Rio de Janeiro/Brazil

Delmonico

Costa²,

Azevedo

et al. 2018

Asian Pac J Cancer Prev

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Background:Low levels of vitamin D have been described as a risk factor for the development of breast cancer. The aim of this study was to evaluate the serum levels of vitamin D (25OHD) in patients with impalpable breast lesions comparing with a control group.Methods:Vitamin D quantification (25OHD) was assessed in the plasma of 65 patients with impalpable breast lesions and from 20 health controls using a chemiluminescent microparticle immunoassay. Pearson’s chi-square test and nonparametric t-Student were used to evaluate statistical significance between the clinical variables and the means of quantification of vitamin D. The receiver operating characteristic (ROC) curve was used to evaluate the correlation between age and vitamin sufficiency for the cases and the controls.Results:The prevalence of vitamin D deficiency and/or insufficiency in women with malignant lesions was 84% and 60% for the control group. Using the chi-square or Fisher’s exact test, the relationship between vitamin D levels and age presented significant association only for the control group (P=0.002). Using ROC curve, the plot area (0.778) for the control group defined a cut-off value of 45 years to age, with specificity and sensitivity of 60% and 50%, respectively. Thus, the odds ratio for vitamin D insufficiency in women over 45 years was 1.37 (P=0.011). For the case group, clinical characteristics, histological grade, and lymph node involvement did not show any significant association.Conclusion:The prevalence of vitamin D deficiency/insufficiency is high in women with impalpable breast lesions, as well as in the control group, even in a tropical city. According to the results the age advancement may be involved with the decrease in vitamin D levels in plasma, but there was no statistical association between low levels of Vitamin D and breast cancer.

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“…6,16 Mammography has been called the best method of early detection of breast cancer, which reduces the mortality rate by 15-25%. 17,18 In addition, studies in different parts of Iran such as Kerman, 19 Mazandaran, 20 Gorgan, 21 and Ilam 22 have found that breast cancer screening rates are not optimal. 6 Due to the increasing trend of breast cancer, the high cost of treatment and the fact that it affects most economically and socially productive women, early detection through screening methods, such as mammography, is important and it reduces the burden of disease mortality.…”

Section: Introductionmentioning

confidence: 99%

The prevalence, epidemiology and screening results of breast cancer in women of Guilan province, north of Iran: A cross-sectional study during 2017–2018

Nasrollahzadeh

Delshad

Mansour-Ghanaei

et al. 2020

Clinical Epidemiology and Global Health

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Breast cancer is one of the most common types of cancer in women, affecting many women worldwide every year. Breast cancer screening is one of the best strategies to reduce the death rate caused by this cancer. The aim of this study was to evaluate the prevalence, epidemiology and screening results of breast cancer in women in Guilan province. Methods: This cross-sectional study was carried out on 300 women who participated in the screening program in Guilan province during 2017-2018. The data were collected by a breast screening questionnaire. Finally, the data were analyzed using chi-square and independent t-tests. Results: The mean age of the patients was 49.96 ± 6.53 years old and the estimated prevalence of breast cancer was 1.7% (95% Confidence interval (CI): 0.6-3.6). Physicians examination were significantly associated with breast cancer status (P = 0.003). The results also showed that the percentage of malignancy and benignity in the center (69 patient, 52.3%), west and northwest of Guilan (69 patient, 54.8%) was more than descriptive in East Guilan (20 patient, 47.6%). But it was not statistically significant (P = 0.730). The accuracy of mammography results (BIRADS) and sonography were 69.76% and the kappa coefficient was 0.44 (p < 0.001). Conclusion: Implementation of screening programs in women should be considered and breast screening using mammography is one of the valuable methods for early detection of breast lesions, which is associated with a better prognosis of cancer.

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Mammographic Screening of Women Attending a Reference Service Center in Southern Brazil

Cited by 12 publications

References 27 publications

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

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

Low Levels of Vitamin D in a Cohort of Women with Impalpable Breast Lesions from Rio de Janeiro/Brazil

The prevalence, epidemiology and screening results of breast cancer in women of Guilan province, north of Iran: A cross-sectional study during 2017–2018

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