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

Chin, Sheray N; Cornwall, Derria; Mitchell, Derek I; McFarlane, Michael E; Plummer, Joseph M.

Afiliação

Chin SN; Department of Pathology (Division of Haematology & Oncology), Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica. sheray.chin@uwimona.edu.jm.
Cornwall D; Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica.
Mitchell DI; Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica.
McFarlane ME; Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica.
Plummer JM; Department of Surgery, Radiology, Anaesthesia and Intensive Care, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica.

BMC Womens Health ; 21(1): 176, 2021 04 23.

Article em En | MEDLINE | ID: mdl-33892714

RESUMO

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.

Assuntos

Neoplasias da Mama; Mamografia; Adulto; Idoso; Idoso de 80 Anos ou mais; Neoplasias da Mama/diagnóstico por imagem; Detecção Precoce de Câncer; Feminino; Humanos; Programas de Rastreamento; Pessoa de Meia-Idade; Estudos Retrospectivos

Palavras-chave

Breast cancer; Mammogram; Screening

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Mamografia Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Screening_studies Limite: Adult / Aged / Aged80 / Female / Humans / Middle aged País/Região como assunto: Caribe ingles / Jamaica Idioma: En Revista: BMC Womens Health Assunto da revista: SAUDE DA MULHER Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Jamaica País de publicação: Reino Unido

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