scholarly journals Clinical Utility of a Hand-Held Scanner for Breast Cancer Early Detection and Patient Triage

2020 ◽  
pp. 27-34 ◽  
Author(s):  
Julie M. Clanahan ◽  
Sanjana Reddy ◽  
Robyn B. Broach ◽  
Anne F. Rositch ◽  
Benjamin O. Anderson ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Low Cost ◽  
Clinical Breast Examination ◽  
Population Based ◽  
Mammographic Screening ◽  
Diagnostic Workup ◽  
Middle Income ◽  
Cancer Early Detection ◽  
Early Cancer Diagnosis ◽  
Clinical Breast

PURPOSE Globally, breast cancer represents the most common cause of cancer death among women. Early cancer diagnosis is difficult in low- and middle-income countries, most of which are unable to support population-based mammographic screening. Triage on the basis of clinical breast examination (CBE) alone can be difficult to implement. In contrast, piezo-electric palpation (intelligent Breast Exam [iBE]) may improve triage because it is portable, low cost, has a short learning curve, and provides electronic documentation for additional diagnostic workup. We compared iBE and CBE performance in a screening patient cohort from a Western mammography center. METHODS Women presenting for screening or diagnostic workup were enrolled and underwent iBE then CBE, followed by mammography. Mammography was classified as negative (BI-RADS 1 or 2) or positive (BI-RADS 3, 4, or 5). Measures of accuracy and κ score were calculated. RESULTS Between April 2015 and May 2017, 516 women were enrolled. Of these patients, 486 completed iBE, CBE, and mammography. There were 101 positive iBE results, 66 positive CBE results, and 35 positive mammograms. iBE and CBE demonstrated moderate agreement on categorization (κ = 0.53), but minimal agreement with mammography (κ = 0.08). iBE had a specificity of 80.3% and a negative predictive value of 94%. In this cohort, only five of 486 patients had a malignancy; iBE and CBE identified three of these five. The two cancers missed by both modalities were small—a 3-mm retro-areolar and a 1-cm axillary tail. CONCLUSION iBE performs comparably to CBE as a triage tool. Only minimal cancers detected through mammographic screening were missed on iBE. Ultimately, our data suggest that iBE and CBE can synergize as triage tools to significantly reduce the numbers of patients who need additional diagnostic imaging in resource-limited areas.

scholarly journals Knowledge, Attitude, and Practice Regarding Breast Cancer Early Detection Among Women in a Mountainous Area in Northern Vietnam

2019 ◽  
Vol 26 (1) ◽  
pp. 107327481986377
Author(s):  
Do Thi Thanh Toan ◽  
Dinh Thai Son ◽  
Le Xuan Hung ◽  
Luu Ngoc Minh ◽  
Dinh Le Mai ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Clinical Breast Examination ◽  
Breast Self Examination ◽  
Cancer Early Detection ◽  
Attitude And Practice ◽  
Breast Examination ◽  
Clinical Breast ◽  
Self Examination ◽  
Knowledge Attitude And Practice

Breast cancer is the most common cancer in women all over the world, also in Vietnam. In recent years, the incidence of breast cancer has been increasing in Vietnam, and most cases are diagnosed at late stages, making treatment more difficult. More and better early detection could help more women to survive. The aim of this study was to identify the current knowledge, attitude and practice about early detection of breast cancer as well as potential predictors of breast cancer screening among women aged 20 to 49 year in a mountainous commune in Thanh Hoa Province, Vietnam, in a largely ethnic Muong population. Women aged 20 to 49 years were selected by systematic random sampling to participate in a cross sectional study in October 2017. They were interviewed with a closed questionnaire about their knowledge of breast cancer, its risk factors, and warning signs. A checklist for performance of breast self-examination was also applied. Three hundred six women agreed to participate in the study. More than half had a low level of knowledge, and were weak in attitude and practice about breast self-examination, clinical breast examination, breast ultrasound, and mamography. Among women who had practiced at least 1 screening method, 17.0% mentioned clinical breast examination, and only 13.8% reported practicing breast self-examination. Factors associated with practice included knowledge about breast cancer early detection (BCED), ethnicity, income, the BCED information approach, and the BCED screening programs approach. The finding of a very low proportion of women in the mountainous setting with good awareness and practice on early detection of breast cancer is important evidence to inform the BCED intervention program developers about where and how to target which information, especially to reach more ethnic minority women.

scholarly journals Impact of Community-Based Clinical Breast Examinations in Botswana

2021 ◽  
pp. 17-26
Author(s):  
Michael Dykstra ◽  
Brighid Malone ◽  
Onica Lekuntwane ◽  
Jason Efstathiou ◽  
Virginia Letsatsi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Diagnosis ◽  
Screening Program ◽  
Breast Cancer Mortality ◽  
Clinical Breast Examination ◽  
Breast Cancer Diagnosis ◽  
Community Based ◽  
Middle Income ◽  
Clinical Breast ◽  
Clinical Breast Examinations

PURPOSE We evaluated a clinical breast examination (CBE) screening program to determine the prevalence of breast abnormalities, number examined per cancer diagnosis, and clinical resources required for these diagnoses in a middle-income African setting. METHODS We performed a retrospective review of a CBE screening program (2015-2018) by Journey of Hope Botswana, a Botswana-based nongovernmental organization (NGO). Symptomatic and asymptomatic women were invited to attend. Screening events were held in communities throughout rural and periurban Botswana, with CBEs performed by volunteer nurses. Individuals who screened positive were referred to a private tertiary facility and were followed by the NGO. Data were obtained from NGO records. RESULTS Of 6,120 screened women (50 men excluded), 452 (7.4%) presented with a symptom and 357 (5.83%) were referred for further evaluation; 257 ultrasounds, 100 fine-needle aspirations (FNAs), 58 mammograms, and 31 biopsies were performed. In total, 6,031 were exonerated from cancer, 78 were lost to follow-up (67 for ≤ 50 years and 11 for > 50 years), and 11 were diagnosed with cancer (five for 41-50 years and six for > 50 years, 10 presented with symptoms). Overall breast cancer prevalence was calculated to be 18/10,000 (95% CI, 8 to 29/10,000). The number of women examined per breast cancer diagnosis was 237 (95% CI, 126 to 1910) for women of age 41-50 years and 196 (95% CI, 109 to 977) for women of age > 50 years. Median time to diagnosis for all women was 17.5 [1 to 32.5] days. CBE-detected tumors were not different than tumors presenting through standard care. CONCLUSION In a previously unscreened population, yield from community-based CBE screening was high, particularly among symptomatic women, and required modest diagnostic resources. This strategy has potential to reduce breast cancer mortality.

scholarly journals NIP IT IN THE BUD – A POPULATION-BASED BREAST CANCER SURVEILLANCE PROGRAM

2021 ◽  
pp. 1-5
Author(s):  
Smitha Thomas Kaniyampady ◽  
Srujan Goud Janagam ◽  
Sakshi Thakral
Keyword(s):  
Breast Cancer ◽  
Financial Burden ◽  
Clinical Breast Examination ◽  
Cost Effective ◽  
Population Based ◽  
Catastrophic Health Expenditure ◽  
Cancer Surveillance ◽  
Surveillance Program ◽  
Mortality And Morbidity ◽  
Clinical Breast

Breast Cancer is the most common type of cancer among women. In addition to the burden of mortality and morbidity, Breast Cancer treatment cost and expenditure comprises a major chunk of the catastrophic health expenditure and financial burden incurred by the population. Delayed hospital presentation and diagnosis augments the hardships faced by individuals, family, community, and the health system at large. The need and urgency to create awareness about the disease and enable early detection via community level population-based screening was identified early in 2014. Through the awareness sessions, the program aims to demystify Breast Cancer and break the stigma associated with it. The intervention adopted a screening methodology that was cost effective and combination of Clinical Breast Examination and Mammography was followed. This paper discusses the learnings and outcomes of the surveillance over the years across geographies spreading awareness.

scholarly journals Population-Based Breast Cancer Screening With Risk-Based and Universal Mammography Screening Compared With Clinical Breast Examination

JAMA Oncology ◽  
2016 ◽  
Vol 2 (7) ◽  
pp. 915 ◽  
Author(s):  
Amy Ming-Fang Yen ◽  
Huei-Shian Tsau ◽  
Jean Ching-Yuan Fann ◽  
Sam Li-Sheng Chen ◽  
Sherry Yueh-Hsia Chiu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Mammography Screening ◽  
Clinical Breast Examination ◽  
Population Based ◽  
Breast Examination ◽  
Clinical Breast

Financial Anxiety is Associated With Cancer Screening Adherence in Women at High Risk of Breast Cancer

2021 ◽  
Author(s):  
Salene M W Jones ◽  
Tammy A Schuler ◽  
Tasleem J Padamsee ◽  
M Robyn Andersen
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
High Risk ◽  
Pap Smear ◽  
Clinical Breast Examination ◽  
Lower Odds ◽  
Breast Examination ◽  
Clinical Breast ◽  
Financial Anxiety ◽  
Screening Adherence

Abstract Background Previous studies have examined the impact of material financial hardship on cancer screening but without focusing on the psychological aspects of financial hardship. Purpose This study examined the effects of different types of financial anxiety on adherence to breast cancer screening in women at high risk of breast cancer. Adherence to cervical cancer screening was also examined to determine whether associations between financial anxiety and screening adherence were unique to breast cancer screening or more general. Methods Women (n = 324) aged 30–50 and at high risk for inherited breast cancer completed a survey on general financial anxiety, worry about affording healthcare, financial stigma due to cancer risk, and adherence to cancer screening. Multivariate analyses controlled for poverty, age, and race. Results More financial anxiety was associated with lower odds of mammogram adherence (odds ratio [OR] = 0.97, confidence interval [CI] = 0.94, 0.99), Pap smear adherence (OR = 0.98, CI = 0.96, 0.996), and clinical breast examination adherence (OR = 0.98, CI = 0.96, 0.995). More worry about affording healthcare was associated with lower odds of clinical breast examination adherence (OR = 0.95, CI = 0.91, 0.9992) but not mammogram or Pap smear adherence (p > .05). Financial stigma due to cancer risk was associated with lower odds of Pap smear adherence (OR = 0.87, CI = 0.77, 0.97) but no other cancer screenings (p > .07). Conclusions Financial anxiety may impede cancer screening, even for high-risk women aware of their risk status. Clinical interventions focused on social determinants of health may also need to address financial anxiety for women at high risk of breast cancer.

scholarly journals Likelihood of early detection of breast cancer in relation to false-positive risk in life-time mammographic screening: population-based cohort study

2013 ◽  
Vol 24 (10) ◽  
pp. 2501-2506 ◽  
Author(s):  
J.D.M. Otten ◽  
J. Fracheboud ◽  
G.J. den Heeten ◽  
S.J. Otto ◽  
R. Holland ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Study ◽  
Early Detection ◽  
False Positive ◽  
Life Time ◽  
Population Based ◽  
Mammographic Screening ◽  
Screening Population

scholarly journals Lower attendance rates in immigrant versus non-immigrant women in the Norwegian Breast Cancer Screening Programme

2017 ◽  
Vol 25 (3) ◽  
pp. 155-161 ◽  
Author(s):  
Sameer Bhargava ◽  
Kaitlyn Tsuruda ◽  
Kåre Moen ◽  
Ida Bukholm ◽  
Solveig Hofvind
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Screening Programme ◽  
Immigrant Women ◽  
Population Based ◽  
Mammographic Screening ◽  
Attendance Rates ◽  
Breast Cancer Screening Programme ◽  
Cancer Screening Programme

Objective The Norwegian Breast Cancer Screening Programme invites women aged 50–69 to biennial mammographic screening. Although 84% of invited women have attended at least once, attendance rates vary across the country. We investigated attendance rates among various immigrant groups compared with non-immigrants in the programme. Methods There were 4,053,691 invitations sent to 885,979 women between 1996 and 2015. Using individual level population-based data from the Cancer Registry and Statistics Norway, we examined percent attendance and calculated incidence rate ratios, comparing immigrants with non-immigrants, using Poisson regression, following women's first invitation to the programme and for ever having attended. Results Immigrant women had lower attendance rates than the rest of the population, both following the first invitation (53.1% versus 76.1%) and for ever having attended (66.9% versus 86.4%). Differences in attendance rates between non-immigrant and immigrant women were less pronounced, but still present, when adjusted for sociodemographic factors. We also identified differences in attendance between immigrant groups. Attendance increased with duration of residency in Norway. A subgroup analysis of migrants' daughters showed that 70.0% attended following the first invitation, while 82.3% had ever attended. Conclusions Immigrant women had lower breast cancer screening attendance rates. The rationale for immigrant women's non-attendance needs to be explored through further studies targeting women from various birth countries and regions.

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