Retrospective observation on contribution and limitations of screening for breast cancer with mammography in Korea: detection rate of breast cancer and incidence rate of interval cancer of the breastReportar como inadecuado




Retrospective observation on contribution and limitations of screening for breast cancer with mammography in Korea: detection rate of breast cancer and incidence rate of interval cancer of the breast - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Women-s Health

, 16:72

Breast cancer and breast health

Abstract

BackgroundThe purpose of this study was to determine the benefits and limitations of screening for breast cancer using mammography.

MethodsDescriptive design with follow-up was used in the study. Data from breast cancer screening and health insurance claim data were used. The study population consisted of all participants in breast cancer screening from 2009 to 2014. Crude detection rate, positive predictive value and sensitivity and specificity of breast cancer screening and, incidence rate of interval cancer of the breast were calculated.

ResultsThe crude detection rate of breast cancer screening per 100,000 participants increased from 126.3 in 2009 to 182.1 in 2014. The positive predictive value of breast cancer screening per 100,000 positives increased from 741.2 in 2009 to 1,367.9 in 2014. The incidence rate of interval cancer of the breast per 100,000 negatives increased from 51.7 in 2009 to 76.3 in 2014. The sensitivities of screening for breast cancer were 74.6% in 2009 and 75.1% in 2014 and the specificities were 83.1% in 2009 and 85.7% in 2014.

ConclusionsTo increase the detection rate of breast cancer by breast cancer screening using mammography, the participation rate should be higher and an environment where accurate mammography and reading can be performed and reinforcement of quality control are required. To reduce the incidence rate of interval cancer of the breast, it will be necessary to educate women after their 20s to perform self-examination of the breast once a month regardless of participation in screening for breast cancer.

KeywordsScreening Breast cancer Mammography AbbreviationsBCSCBreast cancer surveillance consortium

NHISNational health insurance service

PPVPositive predictive value

Download fulltext PDF



Autor: Kunsei Lee - Hyeongsu Kim - Jung Hyun Lee - Hyoseon Jeong - Soon Ae Shin - Taehwa Han - Young Lan Seo - Youngbum Yoo -

Fuente: https://link.springer.com/







Documentos relacionados