scholarly journals The value of clinical breast examination in a breast cancer surveillance program for women with germline BRCA1 or BRCA2 mutations

2021 ◽  
Author(s):  
Tamara Hettipathirana ◽  
Courtney Macdonald ◽  
Jing Xie ◽  
Kate Moodie ◽  
Chris Michael ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Breast Examination ◽  
Cancer Surveillance ◽  
Surveillance Program ◽  
Breast Examination ◽  
Clinical Breast ◽  
Brca2 Mutations

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.

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 Knowledge, Attitude and Practice toward Breast Cancer among Kurdish Women in Sulaimani Governorate/ Iraq

2017 ◽  
Vol 2 (2) ◽  
pp. 20-28
Author(s):  
Bekhal Abdalwahid Amin ◽  
Muhammed Babakir-Mina ◽  
Fadhil Ahmed Mohialdeen ◽  
Mohammed I. M. Gubari
Keyword(s):  
Breast Cancer ◽  
Clinical Breast Examination ◽  
Education Level ◽  
Breast Self Examination ◽  
Attitude And Practice ◽  
Breast Examination ◽  
Clinical Breast ◽  
The Right ◽  
Self Examination ◽  
Knowledge Attitude And Practice

Breast cancer is a devastating affliction, the frequency of which is gradually increasing all over the world. Cancer may be cured if properly intervened at the right time. The correct treatment, aided by professionals and the right technology can provide critical life support to breast cancer patients. This study was conducted to assessment knowledge, attitude and practice of breast cancer among Kurdish females visited Maternity Teaching Hospital in Sulaimani. A face-to-face interview through a question¬naire to assessment of knowledge and practices toward breast cancer of 500 non-breast cancer women visited Maternity Teaching Hospital was done. Data were computerized and analyzed using Statistical Package for the Social Science (SPSS, version 22). P-value of < 0.05 was considered as statistically significant. Out of 500 participants in the current study on knowledge and practices toward breast cancer among non-breast cancer women, consequently were 227 (45.4%) and 201 (40.2%) practiced breast self-examination(BSE) and clinical breast examination respectively. In this study the participants having no symptoms and lack of knowledge about how to do BSE where regarded as the barriers of not practicing BSE (44.7%, 55.3%) respectively. The most common reason for not doing clinical breast examination (CBE) is fear of the outcome and no sign & symptom of breast cancer (28.8%, 61.9%) respectively. The high education level showed significantly more knowledge of breast self-examination and mammography than Illiterate women P≤ 0.001 and P≤ 0.03 respectively. On the other hand, the high education level women showed significantly more practice of breast self-examination P≤ 0.001. In conclusion, the present study found the facts to the inadequate knowledge of female about breast cancer and recognized the negative influence of low knowledge on the practice of BSE, CBE and mammography and the breast cancer incidence. Therefore, more determinations are needed to develop a positive attitude toward BSE, CBE and mammography screening and practice in Sulaimani.

scholarly journals Awareness, Attitudes and Practices of women related to breast cancer in Niamey and Zinder

2019 ◽  
Author(s):  
Abdou Aissami ◽  
Guido Van Hal ◽  
Dille Issimouha
Keyword(s):  
Breast Cancer ◽  
Clinical Breast Examination ◽  
Cancer Knowledge ◽  
Cancer Awareness ◽  
Cancer Symptoms ◽  
Attitudes And Practices ◽  
Breast Examination ◽  
Clinical Breast ◽  
History Of ◽  
Breast Cancer Knowledge

Abstract Background: In Niger, breast cancer is the first cancer related morbidity and mortality within the female population. While Breast cancer awareness can contribute to early diagnosis and disease mortality reduction, Niger women’s knowledge of breast cancer is not well documented. The objective of this study was to assess the knowledge, attitudes and practices of women related to breast cancer and have a look on the factors associated this knowledge. Methods: The study was conducted thought a cross sectional survey in women population in Zinder and Niamey regions. A random sampling was used to select women in households within health districts. We defined a breast cancer knowledge score and used a generalized linear model to assess factors associated with breast cancer knowledge. Results: A total of 675 women were included in the survey. Average age of women was 39.2 years (38.2-40.2) and 48.4% (44.7-52.2) of them were not educated. Overall women’s knowledge of breast cancer is relatively low, only 41.2% (37.5-45.0) were aware of breast cancer. An area where women demonstrated an awareness was breast cancer symptoms knowledge with 65.0% (61.3-68.7). Insufficient level of knowledge was observed on knowledge of risk and protection factors with only 27.4 % (24.0-31.0) level of awareness and breast cancer good practice with 16.9% (14.2-19.7). Younger age OR=0.98 (0.96-0.99) practicing clinical breast examination OR=2.25 (1.31–3.16), breastfeeding 3.34 (2.12-5.26), not having a history of participation to breast cancer 0.53 (0.34-0.82) and living in rural and peri-urban areas 0.34 (0.20–0.44) were factors related to awareness of breast cancer. Conclusion: Niger women had overall low level of breast cancer awareness. While they were not acquainted with breast self-examination and clinical breast examination, their knowledge of breast cancer symptoms was acceptable. Clinical breast examination, area of residence, age, breastfeeding and history of participation to breast cancer screening were found to be associated with breast cancer knowledge. Awareness programs can promote clinical breast examination as mammography is not common and target older women. Focus should be given to awareness of breast cancer risk factors and promoting early detection procedures.

The randomized trial of mammography screening that was not—A cautionary tale

2021 ◽  
pp. 096914132110594
Author(s):  
Martin J Yaffe ◽  
Jean M. Seely ◽  
Paula B. Gordon ◽  
Shushiela Appavoo ◽  
Daniel B. Kopans
Keyword(s):  
Breast Cancer ◽  
Breast Screening ◽  
Clinical Breast Examination ◽  
Control Group ◽  
Multiple Indicators ◽  
National Breast ◽  
Breast Examination ◽  
Screening Study ◽  
Clinical Breast ◽  
And Performance

Two randomized trials were conducted in Canada in the 1980s to test the efficacy of breast cancer screening. Neither of the trials demonstrated benefit. Concerns were raised regarding serious errors in trial design and conduct. Here we describe the conditions that could allow subversion of randomization to occur and the inclusion of many symptomatic women in a screening trial. We examine anomalies in data where the balance would be expected between trial arms. “Open book” randomization and performance of clinical breast examination on all women before allocation to a trial arm allowed women with palpable findings to be mis-randomized into the mammography arm. Multiple indicators raising suspicion of subversion are present including a large excess in poor-prognosis cancers in the mammography trial arm at prevalence screen. Personnel described shifting of women from the control group into the mammography group. There is compelling evidence of subversion of randomization in Canadian National Breast Screening Study. Mis-randomization of even a few women with advanced breast cancer could markedly affect measured screening efficacy. The Canadian National Breast Screening Study trials should not influence breast screening policies.

Comparison of the utility of clinical breast examination and MRI in the surveillance of women with a high risk of breast cancer

2020 ◽  
Vol 75 (3) ◽  
pp. 194-199 ◽  
Author(s):  
S.P. Mihalco ◽  
S.B. Keeling ◽  
S.F. Murphy ◽  
S.A. O'Keeffe
Keyword(s):  
Breast Cancer ◽  
High Risk ◽  
Clinical Breast Examination ◽  
Breast Examination ◽  
Clinical Breast
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