scholarly journals Improving the Outcomes of Breast Cancer in China: Physicians’ Beliefs, Recommendations, and Practices for Breast Cancer Screening

2020 ◽  
Vol 5 (4) ◽  
pp. 251-258
Author(s):  
Tsu-Yin Wu ◽  
Vedhika Raghunathan ◽  
Jianguo Shi ◽  
Wang Hua ◽  
Wang Yu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Focal Point ◽  
Chinese Women ◽  
Physician Education ◽  
Screening Guidelines ◽  
Screening Practices ◽  
Comfort Levels

Objective: Physicians play a key role in performing and referring patients for cancer screening. A paucity of data exists for breast cancer screening (BCS) recommendations, demographic characteristics, screening practices, and barriers of screening among physicians. The purpose of this project is to examine physicians’ characteristics, practices, and beliefs about BCS recommendations and its barriers. Methods: The study used a descriptive correlational design and 110 surveys were completed. Data was analyzed using descriptive and inferential statistics generated with Statistical Packages for Sciences (SPSS) 26.0 version.Results: Most of the surveyed Chinese physicians worked in the community, were females, and between 30-39 years of age. Participants reported working in collaboration on numerous aspects of BCS, and also reported the recommendation of starting screening at younger ages in contrast to existing guidelines. A higher percentage of participants recommended more clinical breast exams compared to mammograms or ultrasounds. Several perceived barriers in working with patients and lower physician comfort levels with aspects of BCS were identified. Graduate degree-holding physicians reported higher physician comfort levels, and lower screening and follow-up practice. Increased familiarity with screening guidelines resulted in higher screening and follow-up practice but also higher physician-patient barrier scores. Increased perceived importance in using guidelines correlated to higher screening and follow-up practice scores.Conclusion: The results of this study point to the potential utility and importance in understanding the demographic factors that influence physician beliefs and practices. Results also highlighted the need for evidence-based guidelines for physician education and culturally tailored materials to address communication barriers and physician comfort. Furthermore, when studying physician screening practices and beliefs, context-specific considerations, as well as interprofessional collaboration are essential to improve patient outcomes. Physicians hold a salient role in ensuring that patients have access to cancer screening. Focusing on this group provides a critical focal point in addressing disparities in breast cancer screening and improving outcomes amongst Chinese women.

Breast Cancer Screening Practices and Satisfaction With Healthcare Providers in Chinese Women

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Xuehui Zhang ◽  
Ping Li ◽  
Chunmiao Zhang ◽  
Pingping Guo ◽  
Jie Wang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Chinese Women ◽  
Healthcare Providers ◽  
Screening Practices

scholarly journals Do socioeconomic factors influence breast cancer screening practices among Arab women in Qatar?

BMJ Open ◽  
2015 ◽  
Vol 5 (1) ◽  
pp. e005596-e005596 ◽  
Author(s):  
T. T. Donnelly ◽  
A.-H. Al Khater ◽  
M. G. Al Kuwari ◽  
S. B. Al-Bader ◽  
N. Al-Meer ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Socioeconomic Factors ◽  
Breast Cancer Screening ◽  
Arab Women ◽  
Screening Practices

The Role of Education in Breast Cancer Beliefs and Screening Practices Among Korean Women – A quantitative study

2022 ◽  
pp. 104365962110668
Author(s):  
Cannas Kwok ◽  
Mi-Joung Lee ◽  
Chun Fan Lee
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Cultural Beliefs ◽  
Secondary Analysis ◽  
Influential Factors ◽  
Korean Women ◽  
Screening Practices ◽  
Cancer Beliefs

Introduction: Cultural beliefs are influential factors that affect breast cancer screening practices among Korean women. The aim of this study was to examine the role of educational levels and compare the cultural beliefs associated with breast cancer screening practices among immigrant Korean women in Australia with those of their counterparts in Korea. Methods: A secondary analysis based on data from convenience samples of 245 and 249 Korean women living in Australia and Korea, respectively. Data were collected by the Korean version of Breast Cancer Screening Beliefs Questionnaire. Results: Educational level has a significant association with Korean women’s cultural beliefs about breast cancer and breast cancer screening practices regardless of country of residence. Discussion: Nurses working in multicultural societies should take cultural beliefs and the role of education into account while designing strategies to promote breast cancer screening practices among immigrant Korean women.

scholarly journals Knowledge, attitudes and practices toward breast cancer screening in a rural South African community

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Dorah U. Ramathuba ◽  
Confidence T. Ratshirumbi ◽  
Tshilidzi M. Mashamba
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
South African ◽  
Breast Cancer Screening ◽  
Predictive Analytics ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Rural South ◽  
Screening Practices ◽  
Attitudes And Practices

Objectives: The study assessed the knowledge, attitudes and breast cancer screening practices amongst women aged 30–65 years residing in a rural South African community.Method: A quantitative, descriptive cross-sectional design was used and a systematic sampling technique was employed to select 150 participants. The questionnaire was pretested for validity and consistency. Ethical considerations were adhered to in protecting the rights of participants. Thereafter, data were collected and analysed descriptively using the Predictive Analytics Software program.Results: Findings revealed that the level of knowledge about breast cancer of women in Makwarani Community was relatively low. The attitude toward breast cancer was negative whereas the majority of women had never performed breast cancer diagnostic methods.Conclusion: Health education on breast cancer screening practices is lacking and the knowledge deficit can contribute negatively to early detection of breast cancer and compound late detection. Based on the findings, community-based intervention was recommended in order to bridge the knowledge gap

scholarly journals Breast cancer screening practices amongst female tertiary health worker in Nnewi

2017 ◽  
Vol 13 (2) ◽  
pp. 268 ◽  
Author(s):  
ChimezieInnocent Madubogwu ◽  
AmobiOchonma Egwuonwu ◽  
NgoziUkamaka Madubogwu ◽  
IfeomaA Njelita
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Health Worker ◽  
Breast Cancer Screening ◽  
Screening Practices

scholarly journals Effectiveness of diet and physical activity interventions amongst adults attending colorectal and breast cancer screening: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Samuel T. Orange ◽  
Kirsty M. Hicks ◽  
John M. Saxton
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Vegetable Intake ◽  
Dietary Interventions ◽  
Physical Activity Interventions ◽  
Mean Differences ◽  
Quality Evidence

Abstract Purpose To estimate the effectiveness of tailored physical activity and dietary interventions amongst adults attending colorectal and breast cancer screening. Methods Five literature databases were systematically searched to identify randomised controlled trials (RCTs) of tailored physical activity and/or dietary interventions with follow-up support initiated through colorectal and breast cancer screening programmes. Outcomes included markers of body fatness, physical activity, and dietary intake. Mean differences (MDs) or standardised mean differences (SMDs) with 95% confidence intervals (CIs) were pooled using random effects models. Results Five RCTs met the inclusion criteria encompassing a total of 722 participants. Diet and physical activity interventions led to statistically significant reductions in body mass (MD − 1.6 kg, 95% CI − 2.7 to − 0.39 kg; I2 = 81%; low quality evidence), body mass index (MD − 0.78 kg/m2, 95% CI − 1.1 to − 0.50 kg/m2; I2 = 21%; moderate quality evidence), and waist circumference (MD − 2.9 cm, 95% CI − 3.8 to − 1.91; I2 = 0%; moderate quality evidence), accompanied by an increase in physical activity (SMD 0.31, 95% CI 0.13 to 0.50; I2 = 0%; low quality evidence) and fruit and vegetable intake (SMD 0.33, 95% CI 0.01 to 0.64; I2 = 51%; low quality evidence). Conclusion There is low quality evidence that lifestyle interventions involving follow-up support lead to modest weight loss and increased physical activity and fruit and vegetable intake. Due to the modest intervention effects, low quality of evidence and small number of studies, further rigorously designed RCTs with long-term follow-up of modifiable risk factors and embedded cost–benefit analyses are warranted (PROSPERO ref: CRD42020179960).

Breast cancer overdiagnosis in stop-screen trials: More uncertainty than previously reported

2020 ◽  
pp. 096914132095078
Author(s):  
Stuart G Baker ◽  
Philip C Prorok
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Confidence Interval ◽  
Breast Cancer Screening ◽  
Confidence Intervals ◽  
Latent Class ◽  
Screening Program ◽  
Screen Interval ◽  
Binomial Confidence Interval

Objective According to the Independent UK Panel on Breast Cancer Screening, the most reliable estimates of overdiagnosis for breast cancer screening come from stop-screen trials Canada 1, Canada 2, and Malmo. The screen-interval overdiagnosis fraction is the fraction of cancers in a screening program that are overdiagnosed. We used the cumulative incidence method to estimate screen-interval overdiagnosis fraction. Our goal was to derive confidence intervals for estimated screen-interval overdiagnosis fraction and adjust for refusers in these trials. Methods We first show that the UK Panel’s use of a 95% binomial confidence interval for estimated screen-interval overdiagnosis fraction was incorrect. We then derive a correct 95% binomial-Poisson confidence interval. We also use the method of latent-class instrumental variables to adjust for refusers. Results For the Canada 1 trial, the estimated screen-interval overdiagnosis fraction was 0.23 with a 95% binomial confidence interval of (0.18, 0.27) and a 95% binomial-Poisson confidence interval of (0.04, 0.41). For the Canada 2 trial, the estimated screen-interval overdiagnosis fraction was 0.16 with a 95% binomial confidence interval of (0.12, 0.19) and a 95% binomial-Poisson confidence interval of (−0.01, 0.32). For the Malmo trial, the estimated screen-interval overdiagnosis fraction was 0.19 with a 95% binomial confidence interval of (0.15, 0.22). Adjusting for refusers, the estimated screen-interval overdiagnosis fraction was 0.26 with a 95% binomial-Poisson confidence interval of (0.03, 0.50). Conclusion The correct 95% binomial-Poisson confidence interval s for the estimated screen-interval overdiagnosis fraction based on the Canada 1, Canada 2, and Malmo stop-screen trials are much wider than the previously reported incorrect 95% binomial confidence intervals. The 95% binomial-Poisson confidence intervals widen as follow-up time increases, an unappreciated downside of longer follow-up in stop-screen trials.

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