Failure to engage in breast screening and risk assessment results in more advanced stage at diagnosis

Hdl Handle:
http://hdl.handle.net/10147/620899
Title:
Failure to engage in breast screening and risk assessment results in more advanced stage at diagnosis
Authors:
Johnston, Alison; Curran, Sharon; Sugrue, Michael
Citation:
Johnston, A., Curran, S. and Sugrue, M. (2015) Failure to Engage in Breast Screening and Risk Assessment Results in More Advanced Stage at Diagnosis. Advances in Breast Cancer Research, 4, 53-62. http://dx.doi.org/10.4236/abcr.2015.42006
Publisher:
Scientific Research Publishing
Journal:
Advances in Breast Cancer Research
Issue Date:
9-Apr-2015
URI:
http://hdl.handle.net/10147/620899
Additional Links:
http://file.scirp.org/pdf/ABCR_2015040916140887.pdf
Abstract:
Abstract Background: Although well established, population based screening and family risk assessment for breast cancer have come under increasing scrutiny. The concept of over diagnosis is increasingly cited in cancer publications. This study assessed the impact of failure to screen or risk assess patients attending with a new diagnosis of breast cancer. Methods: A retrospective review was undertaken of 200 consecutive patients diagnosed with breast cancer between January 2010 and September 2012 at Letterkenny Hospital. Appropriate screening was defined as biennial in those aged 50 - 66 and in those 40 - 49 with moderate/high family history risk (NICE criteria or IBIS criteria). Patient demographics, screening history, diagnosis date and stage (TNM) were documented. Patients with previous breast cancer were not included (n = 17). Results: 200 consecutive patients, whose mean age was 61 (range 28 - 99), were studied. 112/200 (56%) met no criteria for screening or family history assessment, and 88/200 (44%) met criteria for either screening (in 56) or family history assessment (in 32). 61/88 (69.3%) meeting criteria did not have a mammogram or risk assessment. The stage of breast cancer was significantly earlier in those screened appropriately, with early stage cancer in n = 111/139 (79.9 %) and late in n = 28/139 (20.1%), compared with 38/61 (62.3%) and 23/61 (37.7%) in those failing to be screened appropriately (p = 0.01 χ2 df1). Conclusion: Failure to engage in breast screening and risk assessment resulted in more advanced stage at diagnosis.
Item Type:
Article
Language:
en
Keywords:
BREAST CANCER; RISK ASSESSMENT

Full metadata record

DC FieldValue Language
dc.contributor.authorJohnston, Alisonen
dc.contributor.authorCurran, Sharonen
dc.contributor.authorSugrue, Michaelen
dc.date.accessioned2016-11-02T12:29:26Z-
dc.date.available2016-11-02T12:29:26Z-
dc.date.issued2015-04-09-
dc.identifier.citationJohnston, A., Curran, S. and Sugrue, M. (2015) Failure to Engage in Breast Screening and Risk Assessment Results in More Advanced Stage at Diagnosis. Advances in Breast Cancer Research, 4, 53-62. http://dx.doi.org/10.4236/abcr.2015.42006en
dc.identifier.urihttp://hdl.handle.net/10147/620899-
dc.description.abstractAbstract Background: Although well established, population based screening and family risk assessment for breast cancer have come under increasing scrutiny. The concept of over diagnosis is increasingly cited in cancer publications. This study assessed the impact of failure to screen or risk assess patients attending with a new diagnosis of breast cancer. Methods: A retrospective review was undertaken of 200 consecutive patients diagnosed with breast cancer between January 2010 and September 2012 at Letterkenny Hospital. Appropriate screening was defined as biennial in those aged 50 - 66 and in those 40 - 49 with moderate/high family history risk (NICE criteria or IBIS criteria). Patient demographics, screening history, diagnosis date and stage (TNM) were documented. Patients with previous breast cancer were not included (n = 17). Results: 200 consecutive patients, whose mean age was 61 (range 28 - 99), were studied. 112/200 (56%) met no criteria for screening or family history assessment, and 88/200 (44%) met criteria for either screening (in 56) or family history assessment (in 32). 61/88 (69.3%) meeting criteria did not have a mammogram or risk assessment. The stage of breast cancer was significantly earlier in those screened appropriately, with early stage cancer in n = 111/139 (79.9 %) and late in n = 28/139 (20.1%), compared with 38/61 (62.3%) and 23/61 (37.7%) in those failing to be screened appropriately (p = 0.01 χ2 df1). Conclusion: Failure to engage in breast screening and risk assessment resulted in more advanced stage at diagnosis.en
dc.language.isoenen
dc.publisherScientific Research Publishingen
dc.relation.urlhttp://file.scirp.org/pdf/ABCR_2015040916140887.pdfen
dc.subjectBREAST CANCERen
dc.subjectRISK ASSESSMENTen
dc.titleFailure to engage in breast screening and risk assessment results in more advanced stage at diagnosisen
dc.typeArticleen
dc.identifier.journalAdvances in Breast Cancer Researchen
dc.description.fundingNo fundingen
dc.description.provinceUlsteren
dc.description.peer-reviewpeer-reviewen
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