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Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification
PURPOSE: In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Prevent...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465932/ https://www.ncbi.nlm.nih.gov/pubmed/37654516 http://dx.doi.org/10.1016/j.pmedr.2023.102369 |
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author | Gutiérrez, Georgina Lizeth Villagrana García, Alberto Monroy Benavente, Evelyn Patricia Larraga Mejía, Fernando Herrera Gómez, Roberto Terrones Villalón, Fernando Rodríguez |
author_facet | Gutiérrez, Georgina Lizeth Villagrana García, Alberto Monroy Benavente, Evelyn Patricia Larraga Mejía, Fernando Herrera Gómez, Roberto Terrones Villalón, Fernando Rodríguez |
author_sort | Gutiérrez, Georgina Lizeth Villagrana |
collection | PubMed |
description | PURPOSE: In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Preventive Medicine Modules offered to women aged 40 to 69 years of the Family Medicine Unit 1, of the Mexican Social Security Institute, Decentralized Administrative Operation Body, Aguascalientes, Mexico, by their family physician, and its impact in the findings of mammographic screening according to the BI-RADS classification. Methods This was a cross-sectional comparative study of 412 mammograms performed on women aged 40 to 69, who were treated in the preventive medicine modules from January 2019 to June 2021. Data collection was carried out by simple random sampling using a checklist. Multiple logistic regression models adjusted for age were applied. RESULTS: A total of 90.29% of the patients who underwent screening mammography were not referred in a timely manner to the preventive medicine modules by the family physician, this delay in diagnosis and treatment increased by 3.01 times the probability of having a classification BI-RADS suspected of malignancy compared to those women whose referral was timely (OR adj = 3.01, 95% CI 1.04–8.72, p = 0.041). CONCLUSION: The untimely referral of women aged 40–69 to preventive medicine modules for the detection of breast cancer increases the risk of finding a malignant lesión. |
format | Online Article Text |
id | pubmed-10465932 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
record_format | MEDLINE/PubMed |
spelling | pubmed-104659322023-08-31 Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification Gutiérrez, Georgina Lizeth Villagrana García, Alberto Monroy Benavente, Evelyn Patricia Larraga Mejía, Fernando Herrera Gómez, Roberto Terrones Villalón, Fernando Rodríguez Prev Med Rep Regular Article PURPOSE: In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Preventive Medicine Modules offered to women aged 40 to 69 years of the Family Medicine Unit 1, of the Mexican Social Security Institute, Decentralized Administrative Operation Body, Aguascalientes, Mexico, by their family physician, and its impact in the findings of mammographic screening according to the BI-RADS classification. Methods This was a cross-sectional comparative study of 412 mammograms performed on women aged 40 to 69, who were treated in the preventive medicine modules from January 2019 to June 2021. Data collection was carried out by simple random sampling using a checklist. Multiple logistic regression models adjusted for age were applied. RESULTS: A total of 90.29% of the patients who underwent screening mammography were not referred in a timely manner to the preventive medicine modules by the family physician, this delay in diagnosis and treatment increased by 3.01 times the probability of having a classification BI-RADS suspected of malignancy compared to those women whose referral was timely (OR adj = 3.01, 95% CI 1.04–8.72, p = 0.041). CONCLUSION: The untimely referral of women aged 40–69 to preventive medicine modules for the detection of breast cancer increases the risk of finding a malignant lesión. 2023-08-15 /pmc/articles/PMC10465932/ /pubmed/37654516 http://dx.doi.org/10.1016/j.pmedr.2023.102369 Text en © 2023 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Gutiérrez, Georgina Lizeth Villagrana García, Alberto Monroy Benavente, Evelyn Patricia Larraga Mejía, Fernando Herrera Gómez, Roberto Terrones Villalón, Fernando Rodríguez Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title | Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title_full | Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title_fullStr | Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title_full_unstemmed | Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title_short | Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification |
title_sort | non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the bi-rads classification |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465932/ https://www.ncbi.nlm.nih.gov/pubmed/37654516 http://dx.doi.org/10.1016/j.pmedr.2023.102369 |
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