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Comparative analysis between screening mammography performed in patients at usual risk and at high risk for breast cancer
Pannain, Gabriel Duque; Antonini, Marcelo; Ferraro, Odair; Real, Juliana Monte; Lopes, Reginaldo Guedes Coelho.
  • Pannain, Gabriel Duque; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo. BR
  • Antonini, Marcelo; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo. BR
  • Ferraro, Odair; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo. BR
  • Real, Juliana Monte; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo. BR
  • Lopes, Reginaldo Guedes Coelho; Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo. São Paulo. BR
Mastology (Online) ; 32: 1-4, 2022.
Artículo en Inglés | LILACS-Express | LILACS | ID: biblio-1402601
ABSTRACT
Breast cancer is currently considered as a public health issue. To avoid late diagnosis, there is an attempt to use appropriate screening programs addressed to the early detection by testing the asymptomatic population in order to identify preclinical stage lesions.

Methods:

This is a retrospective, analytical, cross-sectional study of the notifications available in the cancer information system. The incidence of notifications from the reports of the BI-RADS™ notification system (Breast Imaging Reporting Data System) was compared between women at high and usual risk for breast cancer.

Results:

In the analyzed period, from 2013 to 2021, 16,065,383 screening mammographies were performed and notified in Brazil. Of these, 13,167,259 were performed in usualrisk women, whereas 2,898,124 were performed in high-risk women. To analyze the difference between reports of women at usual and high risk, the relative risk between them was calculated, as well as the necessary number to causa damage; the relative risk we found was of 0.5412 (95%CI 0.5341­0.5483) in B4 and relative risk of 0,433 (95%CI 0.4203­0.4462). As to the necessary number to cause damage, we observed 203 (95%CI 198­209) for B4 and 788 (95%CI 754­825) for B5. Despite the well-established need for breast cancer screening programs to reduce mortality, some aspects of screening do not have such a consensus. In this study, the incidence of reports that are suggestive of malignant breast lesions was higher among women at high risk.


Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Factores de riesgo / Estudio de tamizaje Idioma: Inglés Revista: Mastology (Online) Asunto de la revista: Neoplasias da Mama Año: 2022 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Factores de riesgo / Estudio de tamizaje Idioma: Inglés Revista: Mastology (Online) Asunto de la revista: Neoplasias da Mama Año: 2022 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo/BR