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Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic

BACKGROUND: Breast cancer is the leading cause of cancer and cancer related deaths in Jamaican women. In Jamaica, women often present with advanced stages of breast cancer, despite the availability of screening mammography for early detection. The utilization of screening mammography for early breas...

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Autores principales: Chin, Sheray N., Cornwall, Derria, Mitchell, Derek I., McFarlane, Michael E., Plummer, Joseph M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8066947/
https://www.ncbi.nlm.nih.gov/pubmed/33892714
http://dx.doi.org/10.1186/s12905-021-01295-4
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author Chin, Sheray N.
Cornwall, Derria
Mitchell, Derek I.
McFarlane, Michael E.
Plummer, Joseph M.
author_facet Chin, Sheray N.
Cornwall, Derria
Mitchell, Derek I.
McFarlane, Michael E.
Plummer, Joseph M.
author_sort Chin, Sheray N.
collection PubMed
description BACKGROUND: Breast cancer is the leading cause of cancer and cancer related deaths in Jamaican women. In Jamaica, women often present with advanced stages of breast cancer, despite the availability of screening mammography for early detection. The utilization of screening mammography for early breast cancer diagnosis seems to be limited, and this study investigated the national patterns of mammographic screening and the impact of mammography on the diagnosis of breast cancer in Jamaica. METHODS: A retrospective analysis of the records of the largest mammography clinic in Jamaica was done for the period January 2011 to December 2016. Descriptive statistics was performed on relevant patient characteristics with calculation of rates and proportions; cross-tabulations were utilized to assess relationship of covariates being studied on the outcomes of interest. Results are reported in aggregate form with no identifiable patient data. RESULTS: 48,203 mammograms were performed during the study period. 574 women (1.2%) had mammograms suspicious for breast cancer with median age of 57 years (range 30–95 years); 35% were under the age of 50. 4 women with suspicious findings had undergone ‘screening mammography’, with the remaining having ‘diagnostic mammography’. 38% reported previous mammograms, with a mean interval of 8 years between previous normal mammogram and mammogram suspicious for breast cancer. Median age at first screening mammogram was 51 years (range 41–77). CONCLUSION: Breast cancer screening mammography is underutilized in Jamaica. An organized national breast cancer screening programme is recommended to improve adherence to international breast cancer screening guidelines.
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spelling pubmed-80669472021-04-26 Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic Chin, Sheray N. Cornwall, Derria Mitchell, Derek I. McFarlane, Michael E. Plummer, Joseph M. BMC Womens Health Research Article BACKGROUND: Breast cancer is the leading cause of cancer and cancer related deaths in Jamaican women. In Jamaica, women often present with advanced stages of breast cancer, despite the availability of screening mammography for early detection. The utilization of screening mammography for early breast cancer diagnosis seems to be limited, and this study investigated the national patterns of mammographic screening and the impact of mammography on the diagnosis of breast cancer in Jamaica. METHODS: A retrospective analysis of the records of the largest mammography clinic in Jamaica was done for the period January 2011 to December 2016. Descriptive statistics was performed on relevant patient characteristics with calculation of rates and proportions; cross-tabulations were utilized to assess relationship of covariates being studied on the outcomes of interest. Results are reported in aggregate form with no identifiable patient data. RESULTS: 48,203 mammograms were performed during the study period. 574 women (1.2%) had mammograms suspicious for breast cancer with median age of 57 years (range 30–95 years); 35% were under the age of 50. 4 women with suspicious findings had undergone ‘screening mammography’, with the remaining having ‘diagnostic mammography’. 38% reported previous mammograms, with a mean interval of 8 years between previous normal mammogram and mammogram suspicious for breast cancer. Median age at first screening mammogram was 51 years (range 41–77). CONCLUSION: Breast cancer screening mammography is underutilized in Jamaica. An organized national breast cancer screening programme is recommended to improve adherence to international breast cancer screening guidelines. BioMed Central 2021-04-23 /pmc/articles/PMC8066947/ /pubmed/33892714 http://dx.doi.org/10.1186/s12905-021-01295-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Chin, Sheray N.
Cornwall, Derria
Mitchell, Derek I.
McFarlane, Michael E.
Plummer, Joseph M.
Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title_full Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title_fullStr Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title_full_unstemmed Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title_short Breast cancer screening patterns in Jamaican women: review of the largest national mammography clinic
title_sort breast cancer screening patterns in jamaican women: review of the largest national mammography clinic
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8066947/
https://www.ncbi.nlm.nih.gov/pubmed/33892714
http://dx.doi.org/10.1186/s12905-021-01295-4
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