Understanding and Practices of Gynaecologists Related to Breast Cancer Screening, Detection, Treatment and Common Breast Diseases: A Study from India

Singh, Gitika N.; Agarwal, Aastha; Jain, Vinod; Kumar, Pawan

doi:10.1007/s00268-018-4740-5

Cited by 5 publications

(5 citation statements)

References 32 publications

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“…In a survey of female students in Karachi that included 909 participants, out of whom 541 were medical students, 71% were aware of BSE, but only 33% performed it (Ahmed et al, 2018). In 2019, 30% of the gynecologists and trainees surveyed in India recommended screening mammography to their patients regularly, which is higher than but similar to our study (Singh et al, 2019). BSE was recommended by 81% of general practitioners in a study by Raza et al in 2010 in Pakistan, which was much higher than ours, partly because our population was trainees (Raza et al, 2012).…”

Section: Discussionsupporting

confidence: 79%

“…Significantly higher median awareness scores were reported for females, PGRs, and surgical PGRs compared to males, HOs, and medicine PGRs. Singh et al reported better knowledge of PGRs than house officers (Singh et al, 2019). Similarly, female general practitioners were noted to recommend breast self-examination more frequently (44% vs. 7% of the males) in a previous study (Raza et al, 2012).…”

Section: Discussionmentioning

confidence: 85%

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Breast Cancer Screening Awareness Among Trainee Doctors of Multan

AWAN

TAHIR

Awan

et al. 2023

Biol Clin Sci Res J

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This Cross-sectional study was designed to determine the level of awareness of breast cancer screening and early detection techniques among trainee doctors of Multan. This research was conducted at the tertiary care hospital in Multan; from January 2019 to June 2019. The questionnaire included ten awareness questions, yielding a total score of 22 House officers/interns (HOs) and post-graduate trainees (PGRs) were included in the study. Frequencies for categorical variables, median (inter-quartile range) or mean for continuous variables, and Mann Whitney U-test as a test of significant (p<0.05) were used in SPSS for analysis.328 participants were included. The mean age was 25.5±2.5 years. Half (58.2%, n-191) were females, and a half (57.5%, n-190) were HOs. Of the PGRs, 66 were of surgery and allied, and 72 were of medicine and allied. The average awareness score was 18.3±1.9. Most (95.7%, n-314) were aware of breast cancer, and nearly two-thirds (69.8%, n-229) were aware of its screening protocols. Even though 91.2% (n-299) were aware of breast self-examination, only half (46%, n-151) knew how to perform it, a third (n-93, 28%) recommended it, and a fifth (n-63, 19%) recommended screening mammography to female patients regularly. Significantly higher median awareness scores were reported for females as compared to males (19 (3) vs. 18 (3), p-0.03), PGRs vs. HOs (19 (2.6) vs. 18 (2), p-0.02), and surgical PGRs compared to medicine PGRs (19 (2) vs. 18 (3), p-0.04).based on the results it can be concluded that the level of awareness in trainee doctors regarding breast cancer and its early detection techniques was adequate.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 85%

Breast Cancer Screening Awareness Among Trainee Doctors of Multan

AWAN

TAHIR

Awan

et al. 2023

Biol Clin Sci Res J

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“…NICPR promotes the integration of basic, clinical, and applied research for cancer prevention and control toward the goal of achieving population-level outcomes. Previous research in the context of cancer screening suggests that providers and health care systems in India do not have sufficient knowledge, training, and resources to deliver cancer screening services (Anandani et al, 2015;Khanna et al, 2019;Singh et al, 2012Singh et al, , 2019. One of NICPR's primary activities is to support the implementation of the national cancer control plan through training of health care providers (i.e., primary care physicians, gynecologists, nurses, and community health workers) in cancer screening and community-level cancer management.…”

Section: Introductionmentioning

confidence: 99%

Implementing Cancer Screening Programs by Training Primary Care Physicians in India—Findings from the National Institute of Cancer Prevention Research Project ECHO for Cancer Prevention

Adsul

Nethan

deCortina

et al. 2022

Glob Implement Res Appl

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In 2016, the Government of India launched a national program for screening and prevention of oral, breast, and cervical cancer. In support, the National Institute for Cancer Prevention Research (NICPR) adopted the Project ECHO (Extension for Community Healthcare Outcomes) model for training health care providers in cancer screening. We assess change in knowledge and skills among physicians attending hybrid (i.e., online and in person) NICPR-ECHO trainings and impact on implementation of cancer screening services. Prior to the start of the online phase and upon completion of 14 weeks, trainees answered a 23-item online questionnaire, including visual vignettes. We conducted descriptive and bivariate analysis of prepost assessments from trainees participating in the online phase and wherever available report on the weekly quizzes and the hands-on workshop assessments. A total of 641 medical officers participated in the trainings from May 2019 to February 2020. Across nine cohorts of trainees, only 116 primary care physicians completed both the pre-and post-assessments. Almost two-thirds completed medical training (69.7%) and 85% were working in government healthcare facilities. Trainees reported statistically significant improvements before and after the online phase, when queried specifically on knowledge and skills using visual vignettes about oral (p < 0.001), breast (p = 0.35), and cervical cancer screening (p < 0.001). Study findings support the effectiveness of Project ECHO in reaching primary care physicians across the country and improving their knowledge and skills related to screening for breast, oral, and cervical cancer, with additional support needed for implementation of clinical cancer screening services.

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“…Breast nodules are a common problem in developing countries ( 16 ). Most breast nodules in women are benign ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

Association between breast nodules, anxiety, depression and metabolic risk factors in a Chinese cohort

et al. 2023

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BackgroundThe relationship between anxiety, depression, and metabolic parameters and the incidence of breast nodules is unclear. This study aims to investigate the association between female breast nodules and anxiety, depression and metabolic factors.MethodsThis cross-sectional study recruited 857 individuals with biological indicators and breast ultrasound data from the Daping hospital from April 2021 to February 2022. Serum samples were used to measure fasting blood glucose, uric acid, triglycerides, total cholesterol, urea nitrogen, alanine transaminase, aspartate transaminase, albumin, high-density lipoprotein, low-density lipoprotein. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the level of anxiety and depression.ResultThe positive rate of breast nodules in women aged 40 to 49 years old was significantly higher than that of other age women. The proportion of participants aged 40–49 years old in the group with breast nodules was significantly higher than that in the group without breast nodules (34.6% vs. 16.9%, p<0.001). Breast nodules in postmenopausal women were significantly lower than those in premenopausal women (26.4% vs. 73.6%, p = 0.026). The SAS scores of women with breast nodules were higher than those of the no-nodules group (40.99 ± 8.45 vs. 38.94 ± 6.89, p<0.001), same as the SDS scores (41.97 ± 10.33 vs. 38.91 ± 7.60, p < 0.001). The number of women suffering from anxiety in the group of breast nodules was significantly higher than that in control (13.8% vs. 4.5%, p < 0.001), and the number of depression in the group of breast nodules was also significantly higher than that of in control (14.4% vs. 4.5%, p < 0.001). Women with breast nodules showed a slightly lower uric acid level than those without breast nodules (290.11 ± 65.32 vs. 301.43 ± 65.93 umol/L, p = 0.016). Multivariable logistic regression analysis showed that age, menopausal status, anxiety and depression status were significantly associated with the presence of breast nodules, but there was no significant difference in uric acid.ConclusionOur findings offer insight into the occurrence of depression and anxiety in the breast nodules of Chinese women. Anxiety and depression status, age and menopausal status may be the independent risk factors for the occurrence of breast nodules.

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Understanding and Practices of Gynaecologists Related to Breast Cancer Screening, Detection, Treatment and Common Breast Diseases: A Study from India

Cited by 5 publications

References 32 publications

Breast Cancer Screening Awareness Among Trainee Doctors of Multan

Breast Cancer Screening Awareness Among Trainee Doctors of Multan

Implementing Cancer Screening Programs by Training Primary Care Physicians in India—Findings from the National Institute of Cancer Prevention Research Project ECHO for Cancer Prevention

Association between breast nodules, anxiety, depression and metabolic risk factors in a Chinese cohort

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