Lotfi Mohammad Hassan1, Noori Mahmoud2, Anthony B Miller3, Harrirchi Iraj4, Mirzaei Mohsen5, Jafarizadea Majid5, Sadeghian Mohammad Reza5, Minosepehr Mojgan5. 1. Department of Biostatistics & Epidemiology, Health Faculty, Shahid Sadoughi University of Medical Sciences, Daneshju Blv. Yazd, Islamic Republic of Iran. 2. Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Islamic Republic of Iran. 3. Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Electronic address: ab.miller@sympatico.ca. 4. Department of Surgery, Medical Faculty, Tehran University of Medical Sciences, Islamic Republic of Iran. 5. Deputy for Health Affairs, Shahid Sadoughi University of Medical Sciences, Yazd, Islamic Republic of Iran.
Abstract
BACKGROUND: Breast cancer is the number one cancer of women in the world. More than 90% of breast cancers can be cured with early diagnosis followed by effective multimodality treatment. The efficacy of screening by breast self-examination (BSE) and breast physical examination (BPx) is best evaluated using randomized screening trials. METHOD: A total of 12,660 women aged 35-64 years, 6330 in the intervention group and 6330 in the control group, were randomly selected from four areas of Yazd city, I.R. of Iran. The number of detected cancers along with kind of cancer, staging of cancer, the route of detected cancer and the number of deaths during the first 5 years of the study were collected and analyzed. RESULTS: No significance difference between the two groups was seen in respect to socio-demographic and socio-economic variables (P > 0.05). Subjects in the intervention group had a response rate of 83.5% for attending the health center and 80.2% for visiting the assigned surgeon. A total of 31 and 13 new cases of breast cancer were identified in the intervention and control groups, respectively, of which 48.5% of cases in the intervention group were <50 yr of age. A significant difference between the cumulative incidence of breast cancer in the two groups with a ratio of 2.4 was observed. CONCLUSION: BSE & BPx have a significant effect in detecting breast cancers at early stages (<3) suggesting they are effective screening tests with high availability and low costs that can be applied at the community level.
BACKGROUND:Breast cancer is the number one cancer of women in the world. More than 90% of breast cancers can be cured with early diagnosis followed by effective multimodality treatment. The efficacy of screening by breast self-examination (BSE) and breast physical examination (BPx) is best evaluated using randomized screening trials. METHOD: A total of 12,660 women aged 35-64 years, 6330 in the intervention group and 6330 in the control group, were randomly selected from four areas of Yazd city, I.R. of Iran. The number of detected cancers along with kind of cancer, staging of cancer, the route of detected cancer and the number of deaths during the first 5 years of the study were collected and analyzed. RESULTS: No significance difference between the two groups was seen in respect to socio-demographic and socio-economic variables (P > 0.05). Subjects in the intervention group had a response rate of 83.5% for attending the health center and 80.2% for visiting the assigned surgeon. A total of 31 and 13 new cases of breast cancer were identified in the intervention and control groups, respectively, of which 48.5% of cases in the intervention group were <50 yr of age. A significant difference between the cumulative incidence of breast cancer in the two groups with a ratio of 2.4 was observed. CONCLUSION: BSE & BPx have a significant effect in detecting breast cancers at early stages (<3) suggesting they are effective screening tests with high availability and low costs that can be applied at the community level.
Authors: Michael P Lux; Julius Emons; Mayada R Bani; Marius Wunderle; Charlotte Sell; Caroline Preuss; Claudia Rauh; Sebastian M Jud; Felix Heindl; Hanna Langemann; Thomas Geyer; Anna-Lisa Brandl; Carolin C Hack; Werner Adler; Rüdiger Schulz-Wendtland; Matthias W Beckmann; Peter A Fasching; Paul Gass Journal: Breast Care (Basel) Date: 2019-01-30 Impact factor: 2.860
Authors: Roseline H Udoh; Mohammed Tahiru; Monica Ansu-Mensah; Vitalis Bawontuo; Frederick Inkum Danquah; Desmond Kuupiel Journal: Arch Public Health Date: 2020-09-22