Relevant bibliographies by topics / Breast Preventive health services Mammography

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Academic literature on the topic 'Breast Preventive health services Mammography'

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Published: 4 June 2021
Last updated: 16 February 2022

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Journal articles on the topic "Breast Preventive health services Mammography"

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Earle, Craig C., Harold J. Burstein, Eric P. Winer, and Jane C. Weeks. "Quality of Non–Breast Cancer Health Maintenance Among Elderly Breast Cancer Survivors." Journal of Clinical Oncology 21, no. 8 (April 15, 2003): 1447–51. http://dx.doi.org/10.1200/jco.2003.03.060.

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Purpose: To assess the quality of preventive health care, the role of health care participation, and the patient and provider characteristics associated with high-quality care for breast cancer survivors. Methods: We analyzed the 1997 to 1998 Medicare data of elderly women who were diagnosed with nonmetastatic breast cancer in 1991 or 1992 while living in a Survival, Epidemiology, and End Results (SEER) tumor registry area and who survived to the end of 1998 without evidence of cancer recurrence. Controls were matched for age, race, and geographic location. Results: The 5,965 breast cancer survivors received more preventive services (influenza vaccination, lipid testing, cervical and colon screening, and bone densitometry) than matched controls. Among both groups, those who were younger, non–African-American, of higher socioeconomic status, living in urban areas, and receiving care in a teaching center were most likely to receive high-quality health maintenance. Those survivors who continued to see oncology specialists were more likely to receive appropriate follow-up mammography for their cancer, but those who were monitored by primary care physicians were more likely to receive all other non–cancer-related preventive services. Those who saw both types of practitioners received more of both types of services. When the control group was restricted only to women actively undergoing mammographic screening before the study period, receipt of preventive services was similar. Conclusion: Breast cancer survivors receive high-quality preventive services, but disparities on the basis of nonmedical factors still exist. Cancer follow-up may provide regular contact with the health system, maximizing the likelihood of receiving appropriate general medical care.
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Dyavarishetty, Padmavathi V., Dipak C. Patil, and Shobha S. Kowli. "Outcomes of community based mammography camps in urban and rural Maharashtra." International Journal Of Community Medicine And Public Health 8, no. 1 (December 25, 2020): 346. http://dx.doi.org/10.18203/2394-6040.ijcmph20205720.

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Background: Breast cancer ranks at number one, amongst all cancer cases in India. Biennial mammography screening is recommended to enhance early detection of breast cancer. Lack of awareness, cost and availability of services is a hindering factor to undergo screening. Free screening mammography camps as means to motivate women to seek the facility at her doorstep was the strategy adopted under the breast cancer awareness and screening programme. The outcome of the mammography camps is reported here.Methods: Mammography camps were conducted in urban and rural areas of Maharashtra over a period of three years. The process involved identification of eligible beneficiaries, health education, clinical breast examination followed by mammography in the mobile unit. Each camp had 25 to 40 women as this was the maximum limit that could be done per day by the mobile unit.Results: Total 358 women underwent mammography screening in 10 community based screening camps, of which 2 camps were conducted in rural areas. Women were mostly between 50 to 70 years. Of the 40.8% women with some abnormalities in the mammogram, one was diagnosed with breast cancer and eight had benign breast lesions.Conclusions: Though only a single case was detected, the camp approach was successful in sensitising the women on the need for preventive health checkup and motivated women to undergo mammography. Organising camps is by no means an easy task, however the camp approach may be the only way to provide access to mammography facilities in most parts of the country.
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Wang, Amy T., Jiaquan Fan, Holly K. Van Houten, and Nilay D. Shah. "Impact of the U.S. Preventive Services Task Force update for breast cancer screening on mammography utilization in women age 40 to 49." Journal of Clinical Oncology 30, no. 27_suppl (September 20, 2012): 5. http://dx.doi.org/10.1200/jco.2012.30.27_suppl.5.

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5 Background: The 11/2009 USPSTF breast cancer screening update recommended against routine screening mammography for women age 40-49, created confusion and prompted organizations to release opposing statements. We aimed to determine if the USPSTF update for breast cancer screening impacted screening mammography utilization in women age 40-49. Methods: We conducted a time-series analysis utilizing administrative claims data from over 100 health plans. Women ages 40-64 with at least one month of enrollment from 01/2006-12/2010 were included. Medicare claims are not included and thus women ≥65 were excluded. The start date of 01/2006 was chosen to account for possible effects of the recent recession. We developed claims-based algorithms to identify the number of monthly screening mammograms. Time series models were fit using SAS PROC AUTOREG; strong seasonal fluctuations were adjusted by including an autoregressive error of order 12. Results: Over 7.9 million women were included. Prior to the intervention, the baseline monthly mammography rate was 40.9/1,000 women for the 40-49 group and 47.4/1,000 women for the 50-64 group. Based on projections from pre-intervention trends, the update was associated with a 5.72% (1.27,10.18) and 4.97% (1.11,8.84) decrease in mammography rate at 3 and 10 months post-intervention, respectively in the 40-49 group. The intervention had no effect on mammography rates in the 50-64 group. This translates to 53,969 fewer mammograms performed in the year following the update for women ages 40-49 in this dataset. Conclusions: We present the first estimates of the impact of the USPSTF breast cancer screening update using a large nationally representative database. The update was associated with a small but significant decrease in mammography rates for women ages 40-49, while no change was seen for women ages 50-64, which is consistent with the context of the guideline change. A modest effect is also in line with public backlash and the release of numerous conflicting guidelines. These findings underscore the need for further research on benefits and risks of screening mammography as it is difficult to act on numerous sources of contradictory information.
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Tran, Christine Wei-Yin, Amy T. Wang, Ryan Johnson, Karthik Ghosh, and Nilay Shah. "Screening mammography rates in women with diabetes." Journal of Clinical Oncology 32, no. 26_suppl (September 10, 2014): 25. http://dx.doi.org/10.1200/jco.2014.32.26_suppl.25.

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25 Background: Women with diabetes are at an increased risk of developing breast cancer, present with later stage disease, and experience higher breast cancer-specific mortality compared to nondiabetic women. Thus, it is imperative that diabetic women undergo routine screening mammography. Previous studies have shown conflicting results with smaller studies showing lower screening mammography rates among diabetics while a study using national self-report data showed that diabetic women were equally likely to be screened compared to nondiabetic women. Given the conflicting data and limitations of previous studies, we aimed to study receipt of mammography in diabetic women using a nationally representative administrative claims database. Methods: This was a retrospective study using a nationally representative administrative claims database from January 1, 2010, through December 31, 2012. We compared rates of receipt of mammography within a 2-year time frame in diabetic and nondiabetic women ages 40 to 64. We used Healthcare Effectiveness Data and Information Set (HEDIS) logic to define women with diabetes. We used CPT and ICD-9 codes to identify mammogram services received. We calculated odds ratios with 95% confidence intervals to compare mammogram rates among diabetics compared to nondiabetics. Results: 1,723,674 nondiabetic women and 133,973 diabetic women were identified. Among women ages 40 to 49, diabetic women had significantly decreased mammography rates compared to nondiabetic women (OR 0.84; 95% CI 0.83, 0.85). Rates were also lower in diabetic women ages 50 to 64 (OR 0.88; 95% CI 0.88, 0.91). Despite lower mammography rates among diabetics, diabetic women had 1.78 times more visits than nondiabetic women. Conclusions: Women with diabetes are less likely to undergo routine screening mammography than women without diabetes, despite having more encounters with health care providers. This study serves as a reminder to provide timely preventive health services to all patients regardless of medical comorbidities.
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Gray, Natallia, and Gabriel Picone. "The Effect of the 2009 U.S. Preventive Services Task Force Breast Cancer Screening Recommendations on Mammography Rates." Health Services Research 51, no. 4 (January 22, 2016): 1533–45. http://dx.doi.org/10.1111/1475-6773.12445.

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Koroukian, Siran M., and David F. Warner. "Complex multimorbidity, perceived life expectancy, and routine cancer screening receipt: Differences between older women and men." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e13071-e13071. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e13071.

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e13071 Background: Complex multimorbidity (MM) predicts poor health outcomes. How MM predicts preventive health services receipt, such as cancer screening, is less clear. Yet cancer screening decision making involves not only clinical presentation (MM) and age, but also patients’ perceptions about need. We hypothesize that patients’ perceived life expectancy (PLE) moderates the effect of MM and age on cancer screening receipt (mammography for women and prostate screening for men). Methods: Data came from 20,705 women and men, ages 52-90, from the 2002-2012 waves of the U.S. Health and Retirement Study. Receipt of screening mammogram (women) or “examination of [the] prostate to screen for cancer” (men) in the last two years were binary (0/1) measures. MM was an ordinal count (0-3) of the co-occurrence of any chronic conditions, functional limitations, and geriatric syndromes. Age was measured in years. PLE was the chance respondents’ thought they would live 10-15 more years (0 = 0% - 10 = > 90%). Additional control variables included self-rated health, race/ethnicity, socioeconomic status, marital status, smoking, BMI, and other preventive services (e.g., flu shot) receipt. We used survey-adjusted repeated measures logistic regression to predict screening receipt separately by gender. Results: Women reported higher MM and PLE than men. Greater MM reduced the likelihood of mammography receipt. However, women with MM who had greater PLE had an increased likelihood of mammography receipt. Furthermore, mammography receipt decreased more slowly with age for women with high PLE. For men, greater MM did not lead to reduced prostate screening. Men’s PLE was not associated with screening nor did it modify the effects of MM or age. Conclusions: Greater PLE increases likelihood of cancer screening for women even when MM and advanced age would recommend against. Men’s clinical presentation and subjective perceptions of longevity are not associated with prostate screening receipt. We speculate that the differences in the nature of the screening tests combined with greater public awareness of breast cancer create conditions where subjective perceptions are more likely to affect mammography decision-making.
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Zhang, Wei, Sally Rose, Alison Foster, Sue Pullon, and Beverley Lawton. "Breast cancer and breast screening: perceptions of Chinese migrant women living in New Zealand." Journal of Primary Health Care 6, no. 2 (2014): 135. http://dx.doi.org/10.1071/hc14135.

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INTRODUCTION: Migrant Chinese constitute a significant and increasing proportion of New Zealand women. They have lower rates of participation in breast cancer screening than other New Zealanders, but reasons for this are unknown. The aim of this study was to investigate factors affecting Chinese women’s understanding of, and access to, breast health services, to better understand reasons for low participation in screening and their experiences of breast cancer clinic care. METHODS: The participants were 26 Chinese migrant women – 19 recruited in the community and seven recruited from 17 eligible women attending a breast clinic between 2008 and 2010 in Wellington, New Zealand. The design was that of a qualitative study, using semi-structured interviews and thematic content analysis. FINDINGS: There were low levels of awareness about the national breast screening programme and limited engagement with preventive primary care services. Concerns about privacy and a range of communication difficulties were identified that related to oral language, lack of written information in Chinese, and limited understanding about Chinese perceptions of ill health and traditional Chinese medicine by New Zealand health professionals. CONCLUSION: Addressing communication barriers for Chinese migrant women has the potential to raise awareness about breast cancer and breast health, and to increase successful participation in breast cancer screening. Greater efforts are needed to ensure this group has an understanding of, and is engaged with a primary care provider. Such efforts are key to improving health for this growing sector of the New Zealand population. KEYWORDS: Breast cancer; Chinese; mammography; mass screening; New Zealand
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Abou leila, Rabih Mustapha, Michael Shannon, and Sarah El-Nassir El-Nigoumi. "Improving physician compliance with mammography screening by implementing a breast cancer screening guideline at a hospital in Bahrain." BMJ Open Quality 10, no. 3 (August 2021): e001351. http://dx.doi.org/10.1136/bmjoq-2021-001351.

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BackgroundFrom a health and safety perspective, it is critical to use adequate, evidence-based breast screening guidelines. The aim of this quality improvement project was to improve physicians’ compliance with breast cancer screening guidelines to enhance the mammography screening rate among eligible women; this was achieved through the implementation of multifaceted changes to the hospital’s processes and the improvement of physicians’ attitudes towards the guidelines.MethodsThe project used the Plan-Do-Study-Act method to implement the changes. This was a pre-post evaluation study. The data were collected from patients’ charts. The primary outcome of interest was the rate of physician compliance with mammography screening guidelines before and after the implementation of the process changes. A literature review was conducted to determine which women should be identified as eligible for mammography screening.InterventionThe interventions targeted physician knowledge and hospital processes. Improving doctors’ expertise was achieved by implementing the US Preventive Service Task Force recommendation for mammography screening every 2 years for women aged 50–74 years. The process modifications included the establishment of a system that would be effective in identifying at-risk patients and reminding physicians at the point of care.ResultsOver the course of this study, 825 patients met the criteria for breast cancer screening. The rate of physician compliance with the breast cancer screening guideline increased from 2% to 69% after 23 weeks, and the control charts demonstrated a reliable process.ConclusionThis project examined the relationship between different interventions (identification of the eligible patient, reminder alerts and physician knowledge) and physician compliance with mammography screening guidelines. The results suggest a positive link between the study variables and physicians’ compliance with mammography screening guidelines.
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Dyavarishetty, Padmavathi V., Shobha S. Kowli, Prachi D. Sondankar, Padmaja K. Chowdary, Anjali A. Nimbalkar, and Varsha V. Pai. "Uptake of clinical breast examination services at an urban health centre following community-based awareness programme." International Journal Of Community Medicine And Public Health 8, no. 4 (March 25, 2021): 1715. http://dx.doi.org/10.18203/2394-6040.ijcmph20211223.

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Background: A significant proportion of women present in advanced stages of breast cancer due to lack of awareness and non-availability of preventive health checkups. Annual clinical breast examination (CBE) in women aged 40-60 years is estimated to reduce mortality in India comparable to that achieved by biennial mammography at considerably low cost. Aim of the project was to encourage women aged 30-70 years to regularly undergo annual CBE.Methods: The five year project was implemented in Mumbai in an estimated population of 15120 distributed in slums and low income group buildings. The beneficiaries of the project were women aged 30-70 years. Two Interventions, i.e. breast cancer education and screening were implemented by the project. List of women eligible for breast cancer screening, was used to track the utilisation of services.Results: Over the period of five years, 14249 one-one health education interactions took place and fourteen group health education sessions were conducted. 59.7% of the women had received health education at least once. Proportion of women trained in doing SBE was 51%. Proportion of women undergoing at least one CBE was 44.1%. Age was significantly associated with availing of services. Two women were detected with breast cancer.Conclusions: This project demonstrated that it is possible to motivate a large number of women to undergo screening, and such health education programmes will slowly improve the awareness and change health seeking behaviour.
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Plourde, Natasha, Hilary K. Brown, Simone Vigod, and Virginie Cobigo. "The Association Between Continuity of Primary Care and Preventive Cancer Screening in Women With Intellectual Disability." American Journal on Intellectual and Developmental Disabilities 123, no. 6 (November 1, 2018): 499–513. http://dx.doi.org/10.1352/1944-7558-123.6.499.

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Abstract Women with intellectual disability have low screening rates for breast and cervical cancer. This population-based cohort study examined the association between the level of primary care continuity and breast and cervical cancer screening rates in women with intellectual disability. Data were obtained from the Institute for Clinical Evaluative Sciences and the Ontario Ministry of Community and Social Services. Neither high (adjusted OR [aOR] = 1.06; 95% CI: 0.88-1.29) nor moderate (aOR = 1.11; 95% CI: 0.91-1.36) continuity of care were associated with mammography screening. Women were less likely to receive a Pap test with high (aOR = 0.70; 95% CI: 0.64-0.77) and moderate (aOR = 0.81, 95% CI 0.74-0.89) versus low continuity of care. Improving continuity of care may not be sufficient for increasing preventive screening rates.
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Dissertations / Theses on the topic "Breast Preventive health services Mammography"

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DeBoard, Ruth Ann. "Breast Abnormalities: Identification of Indicators that Facilitate Use of Health Services for Diagnosis and Treatment of Breast Cancer." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/195625.

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Problem: There is a lack of knowledge about women who are screened for breast cancer, have an abnormal finding on mammogram, and then do not return in a timely manner for diagnostics and treatment. Lack of follow- up likely constitutes delayed treatment and poorer outcomes. Delays may result in later entry into the health system with advanced disease, more extensive and expensive care, burdening resources. Late stage breast cancer likely results in poorer health outcomes or early death.Purpose and Aims: The purpose of this research is to describe contextual characteristics at the health delivery level as well as individual characteristics of women with abnormal mammography, and their association with use of follow- up health services. Particularly, this research examines the differences between women who are early and late responders after an abnormal mammogram.Population: The participants were a convenience sample of 380 women who participated in mobile breast cancer screening. A subset of women with inconclusive or abnormal mammogram findings was the focus of analysis.Methods: This research utilized a descriptive design with quantitative data collection through participant survey at mobile mammogram screening events in multiple urban and rural Arizona sites. Participants requiring further health care were followed by chart review. Analysis of correlations with the outcome variable: time to first follow- up appointment for recommended health care in women with abnormal mammograms was conducted.Findings: Data indicated the time to the first follow- up appointment ranged from 1- 110 days with follow- up for 77.4% of participants within 60 days, 6.5% within 60-90 days, and 16.1% without follow- up after 90 days. Significant relationships between contextual and individual characteristics and follow- up were found. Categories included organizational health system characteristics of geographic location, clinical breast exam and shared case management; individual characteristics of beliefs including value of health care; finance including out of pocket costs and perceptions of financial assistance; perceived needs including breast symptoms; and satisfaction with the last health visit and mammograms in general.Implications: Recognition of barriers to follow- up after breast cancer screening is important for development of interventions to improve outcomes and has implications for screening and treatment management programs, community health centers and private practice. Health disparity related to screening without adequate options for access to health care is ethically untenable. Nurses are well positioned to reduce barriers to health care.
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Homan, Sherri G. "Predicting repeat mammography screening for underserved women 50 years of age and older in Missouri /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9962532.

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Milne, Jillian. "Reshaping breast care services : a role for dietitians? : uptake and response to dietary intervention in postmenopausal women newly diagnosed with breast cancer." Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/162659/.

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Breast cancer survival rates have risen dramatically over recent years with many women expected to survive their diagnosis and live long and fruitful lives. As a result ‘cancer survivorship’ has become of interest to health care providers who state that future services must be developed that better meet the long term health needs and expectations of this group. To this end, the role of health behaviour change in the secondary prevention of breast cancer is a popular area of research. To date, however, there are no published investigations into what the likely uptake in health promotion activities would be; an important consideration when developing health services. Over a period of six months between April 2007 and September 2007, all eligible newly diagnosed postmenopausal women with breast cancer from the participating NHS trust were invited to participate in a clinical trial to assess uptake and response in a group healthy eating programme. The primary outcome measures were to assess the proportion of women who enrolled on the healthy eating programme and to identify health behaviours that predicted enrolment. Secondary outcome measures were to assess the change in diet quality; change in weight and to identify health behaviours that predicted attendance at classes. Twenty one percent (21%) of women invited agreed to attend the healthy eating programme and were subsequently randomly assigned to either the healthy eating programme (n=5) or the usual care group (n=6). The results suggest that women newly diagnosed with breast cancer were not interested in attending healthy eating classes at the time of their diagnosis. However, screening rates fell significantly short of the target and therefore these results cannot be generalised to all newly diagnosed postmenopausal women with breast cancer. Further, due to poor recruitment, secondary outcomes could not be assessed. In summary, the study was unable to provide information regarding the likely interest and response to a group health eating programme for newly diagnosed postmenopausal women with breast cancer. The reasons the study was unable to meet its aims was objectives were twofold; firstly the study failed to engage both NHS trusts for which approval was granted and secondly, screening procedures were not carried out as planned in the single remaining NHS trust.
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Fagerlund, Agnes, and Ellen Ros. "Lymfödem – komplikation efter bröstcancerkirurgi : En litteraturöversikt om sjuksköterskans omvårdnadsåtgärder och patientens egenvård." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-294569.

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Bakgrund: Lymfödem är en besvärande komplikation efter bröstcancerkirurgi. Det kan leda till svullnad, smärta och rörelseinskränkningar i den drabbade armen. Det är ett kroniskt och svårbehandlat tillstånd. Syfte: Att sammanställa vetenskaplig litteratur som beskriver omvårdnadsåtgärder utförda av sjuksköterskan och metoder för egenvård utförda av patienter för prevention och behandling av lymfödem efter bröstcancerkirurgi. Metod: PubMed användes som databas för insamling av artiklar under februari 2016. Fyra kombinationer av sökorden “blood draws”, “lymphedema”, “self-management”, “nurse”, “breast cancer” samt “knowledge” användes. Artiklarna sammanställdes och kvalitetsgranskades. Resultat: Tio relevanta vetenskapliga originalartiklar identifierades; sju med kvantitativ metod och tre med kvalitativ metod. Blodprovstagningar, infusioner, blodtrycksmätningar, trauma och flygresor innebar inte en ökad risk för lymfödem trots rådande rekommendationer om att detta bör undvikas. Patientundervisning från sjuksköterskan och egenvård var viktigt för att förebygga och behandla lymfödem. Patientundervisningen upplevdes emellertid som bristfällig av flertalet patienter och sjuksköterskor måste utveckla sin kompetens inom detta område. Majoriteten av patienterna var medvetna om egenvårdens betydelse, men trots detta utfördes den inte av alla. Bristande kunskap och stöd var två svårigheter som identifierades. Regelbunden träning minskade risken för lymfödem. Slutsats: Vissa rekommendationer om omvårdnadsåtgärder relaterade till lymfödem bör ses över. Patientundervisning tycks vara en förutsättning för egenvård och bör få större utrymme. Egenvård har visat sig effektivt, och strategier för att hantera olika hinder behövs. Sjuksköterskan kan ses som en resurs i omvårdnaden av denna patientgrupp och har en viktig funktion som ansvarig för såväl medicinsktekniska procedurer som patientundervisning och stöd vid egenvård.
Background: Lymphedema is a feared complication after breast cancer surgery, causing swelling, pain and restriction of mobility in the affected arm. This condition is chronic and difficult to treat. Aim: To compile scientific literatur describing nursing activities and methods for self care performed by patients for prevention and treatment of lymphedema after breast cancer surgery. Methods: The PubMed database was used for data collection during february 2016. Four combinations of the search terms “blood draws”, “lymphedema”, “self-management”, “nurse”, “breast cancer” and “knowledge” were used. A quality review and an analysis of the results were conducted. Results: Ten relevant scientific original articles were identified; seven using a quantitative design and three using a qualitative design. Blood sampling, infusions, blood pressure measurements, trauma and air travel did not increase the risk of lymphedema despite current recommendations that this should be avoided. Patienteducation by nurses and self care were important to prevent and treat lymphedema. However, the education was perceived as inadequate by several patients, suggesting that nurses must expand their knowledge in this area. Although most patients were aware of the importance of self care, it was not performed by everyone. Lack of knowledge and support were two difficulties identified. Regular exercise decreased the risk of lymphedema. Conclusions: Some recommendations concerning nursing care related to lymphedema should be reconsidered. Patienteducation seems to be a condition for self care and should be given greater emphasis. Self care has been proven effective, and strategies for dealing with difficulties are needed. The nurse may be considered as a resource in nursing care for this group of patients and has an important function as responsible for blood sampling, injections and blood pressure readings as well as patienteducation and self care support.
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Rodrigues, Danielle Cristina Netto. "Avaliação do programa de rastreamento mamográfico oportunístico realizado pelo Sistema Único de Saúde, no município de Goiânia, em 2010: desempenho dos centros de diagnóstico e indicadores para monitoramento de resultados." Universidade Federal de Goiás, 2012. http://repositorio.bc.ufg.br/tede/handle/tde/2981.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
Introduction: Among governmental measures in support of strategies to control and prevent breast cancer in Brazil, the implementation of the Breast Cancer Control Information System (SISMAMA) has made it possible for Single Health System (SUS) managers to identify users and diagnostic centers and provide data to the National Mammmogram Quality Program (PNQM) as a way of guaranteeing adequate tracking and establishing indicators for monitoring mammography results in each region of the country. Objective: To evaluate the opportunistic mammographic screening program carried out by the Single Health System in the municipality of Goiânia en 2010 in regard to the performance of diagnostic centers and indicators for monitoring results. Method: This was an ecological study in which the results of mammograms performed by SUS on the female population of Goiânia from January to December, 2010 and reported by diagnostic centers to SISMAMA were analyzed. The data were collected from the “export data” file of the state coordination module and the variables studied were analyzed in the two articles produced on the basis of this study. In Article 1, the variables studied were test production by diagnostic center, monthly test volume, tests by clinical indication, screening tests by age group and screening tests by diagnostic conclusion using BIRADS® categories (0,1,2,3,4 and 5). To evaluate the conformity of the diagnostic centers, an arbitrary variation limit of ± 30% of the relative frequency of all diagnostic centers in each BIRADS® category was established. Those centers found to be within this limit were considered to be in conformity. Centers with the same conformity percentage were considered to have the same performance. For Article 2 the variables were mammography distribution by age group, diagnostic conclusion, earlier mammograms and those indicated for biopsy. The following indicators for monitoring the results for the 50- 69 year age group were calculated: participation (coverage) rate, test rate by BIRADS® category (1,2,3,4 and 5), recall rate (BIRADS® 0), percentage of positive mammograms (BIRADS® 0, 4 and 5) and the biopsy indication rate (BIRADS® 4 and 5). Results: In Artlcle 1, of the 31,454 tests carried out on women residing in Goiânia, 8,268 (26.3%) were reported by the proprietary SUS diagnostic center network and 23,186 by the accredited network. Test distribution by age group and type of network shows that 43.3% of tests were carried out on women in the 40-49 year age bracket and 44.8% on women from 50 to 69 years old. Diagnostic conclusion performance was uneven among the diagnostic centers for BIRADS® categories 1,2,3,4 and 5 as well as for BIRADS® category 0 in comparison with the other categories, with p<0.001. In Article 2, for the 50-69 year age bracket, the biennial screening coverage estimate was 25.2% and the mammography ratio for 2010 was 0.14. The indicators for monitoring the results of the SUS opportunistic mammography screening program were the following: the recall rate was 9.6% (BIRADS® 0) and the normal test rate (BIRADS® 1 and 2) was 86.1% while the percentage of positive mammograms (BIRADS® 0, 4 and 5) was 10.9% and the biopsy indication rate was 1.3% (BIRADS® 4 and 5). Conclusion: An analysis of the results makes it possible to construct the first opportunistic mammography screening indicators for Goiânia. These will serve as parameters for monitoring early breast cancer detection measures. MMG services’ unequal diagnostic conclusion performance points to the necessity of implementing result auditing in screening programs to monitor the quality of mammographic test interpretation.
Introdução: Em meio às ações governamentais que subsidiam as estratégias para o controle e prevenção do câncer de mama no Brasil, a implantação do Sistema de Informação do Controle do Câncer de Mama (SISMAMA) possibilitou aos gestores do Sistema Único de Saúde (SUS) o mapeamento das usuárias e dos centros de diagnóstico, fornecendo dados para o Programa Nacional de Qualidade em Mamografia (PNQM), como forma de garantir um rastreamento adequado, bem como estabelecer indicadores para monitoramento dos resultados dos exames mamográficos em cada região do país. Objetivo: Avaliar o programa de rastreamento mamográfico oportunístico realizado pelo Sistema Único de Saúde, no município de Goiânia, em 2010, no que diz respeito ao desempenho dos centros de diagnóstico e aos indicadores para monitoramento dos resultados. Método: Estudo ecológico no qual foram analisados os dados reportados pelos centros de diagnóstico ao SISMAMA sobre os exames de mamografia realizados pelo SUS, no período de janeiro a dezembro de 2010, na população feminina residente no município de Goiânia, em 2010. Os dados foram levantados a partir do arquivo “exporta dados” do módulo coordenação estadual, e as variáveis estudadas foram conduzidas conforme os dois artigos produzidos por esse estudo. Para o Artigo 1, as variáveis estudadas foram: produção de exames por centro de diagnóstico, produção de exames mensal, exames por indicação clínica, exames de rastreamento por faixa etária, exames de rastreamento por conclusão diagnóstica de acordo com as categorias BIRADS® (0, 1, 2, 3, 4 e 5). Para avaliar a conformidade dos centros de diagnóstico, estabeleceu-se para a presente pesquisa um limite de variação arbitrário de ± 30% da frequência relativa apresentada por todos os centros de diagnóstico para cada categoria BIRADS®. Aqueles centros que se encontravam dentro desse limite, considerou-se que apresentavam conformidade. Considerou-se como centros de desempenho iguais, aqueles que apresentaram percentuais de conformidade iguais.. Para o Artigo 2, as variáveis foram: distribuição de mamografias por faixa etária, conclusão diagnóstica, realização de mamografia anterior e aquelas com indicação para biópsia. Foram calculados os seguintes indicadores para monitoramento dos resultados, para a faixa etária de 50 a 69 anos: taxa de participação (cobertura); taxa de exames por categoria BIRADS® (1, 2, 3, 4 e 5); taxa de reconvocação (BIRADS® 0); percentual de mamografias positivas (BIRADS® 0, 4 e 5) e taxa de indicação de biópsia (BIRADS® 4 e 5). Resultados: No Artigo 1, dos 31.454 exames realizados em mulheres residentes em Goiânia, 8.268 (26,3%) foram reportados pelos centros de diagnóstico da rede própria e 23.186 (73,7%) pela rede conveniada. A distribuição de exames por faixa etária, segundo o tipo de rede, mostra que 43,3% foram realizados na faixa de 40 a 49 anos e 44,8%, na faixa de 50 a 69 anos. Observou-se desempenho desigual na análise entre todos os centros de diagnóstico com relação à conclusão diagnóstica para as categorias BIRADS® 1, 2, 3, 4 e 5, bem como para categoria BIRADS® 0 com as outras categorias, com p<0,001. No Artigo 2, para a faixa etária de 50 a 69 anos, a estimativa de cobertura foi de 25,2% para rastreamento bienal, e a razão de mamografias para 2010 foi de 0,14. Com relação aos indicadores para monitoramento dos resultados do programa de rastreamento mamográfico oportunístico do SUS, a taxa de reconvocação foi de 9,6% (BIRADS® 0). A taxa de exames normais (BIRADS® 1 e 2) foi de 86,1%, enquanto que o percentual de mamografias positivas (BIRADS® 0, 4 e 5) foi de 10,9% e 1,3% para a taxa de indicação de biópsia (BIRADS® 4 e 5). Conclusão: A análise dos resultados permitiu a construção dos primeiros indicadores do rastreamento mamográfico oportunístico realizado em Goiânia e esses servirão de parâmetros para o monitoramento das ações de detecção precoce do câncer de mama e que a desigualdade no desempenho dos serviços de MMG na conclusão diagnóstica aponta a necessidade de implantação de auditorias de resultados em programas de rastreamento para o monitoramento da qualidade da interpretação dos exames mamográficos.
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Marconato, Roseli Regina Freire [UNIFESP]. "Avaliação dos mutirões de mamografia realizados na região da direção regional de saúde de Marília nos anos de 2005 e 2006." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/9607.

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Objetivo: Descrever os achados mamográficos, avaliar os indicadores de desempenho das mamografias e descrever o custo direto dos mutirões de mamografia dos anos de 2005 e 2006 na Direção Regional de Saúde de Marília. Métodos: Trata-se de um estudo observacional transversal dos achados radiográficos dos mutirões de mamografia dos anos de 2005 e 2006, na região da Direção Regional de Saúde de Marília. Foram realizadas 11.952 mamografias em 8 serviços, em mulheres dos 37 municípios da região, a classificação do resultado da mamografia foi pelo sistema padronizado BI-RADS, os indicadores de desempenho analisados foram os utilizados em auditoria de resultados e a análise de custos foi baseada nos valores pagos pelo Sistema Único de Saúde com base nas Tabelas SIA/SUS e SIH/SUS de 2005. Os dados foram armazenados em planilhas do Excel e posteriormente analisados utilizando o pacote estatístico SPSS Versão 15. Resultados: Das 11.592 mamografias, 9,35% (1.117) foram classificadas na Categoria BI-RADS 0, nas categorias BI-RADS 1 e 2 foram 87,86% (10.501), na categoria BI-RADS 3 foram 2,53% (302) e nas categorias 4 e 5 de 0,26%. A maior participação nos mutirões foi de mulheres na faixa etária de 40 a 49 anos. As faixas etárias de 50 a 59 e 60 a 69 anos representaram 45,59% do total. O Valor Preditivo Positivo dos BI-RADS 4 e 5 foram de 29,63% e 50% respectivamente. Foram diagnosticados 10 casos de câncer de mama (0,84 por 1.000 mamografias), 70% estavam na faixa etária de 50 a 69 anos. O custo total desses mutirões e acompanhamento foi de R{dollar} 450.019,91, sendo R{dollar} 431.467,20 com o pagamento de 11.952 mamografias e R{dollar}18.552,71 para a investigação diagnóstica de 29 casos suspeitos, para o tratamento de três casos de tumores benignos e de 6 casos de câncer. O custo de cada caso diagnosticado foi de R{dollar} 43.268,10. Conclusões: A prescrição médica de exames mamográficos fora da faixa etária recomendada pelo Ministério da Saúde, a baixa proporção de casos de câncer de mama detectados pelos exames e o alto custo de cada caso diagnosticado apontam para a necessidade de implementação de programas de rastreamento efetivos e de qualidade da mamografia nesta região do estado, investimento em programas de capacitação médica em todos os níveis de atenção à saúde, garantia de acesso rápido aos centros secundários e terciários para atendimento integrado e resolutivo dessa população.
Objective: to describe the mammography findings, and to evaluate the performance indicators of the mammographies and describe the direct cost of the mammography campaigns in 2005 and 2006 realized by the Regional Health Section of Marilia. Methods: It is a cross sectional observational study of the radiographic findings during the mammography campaigns of 2005 and 2006, in the Regional Health Section of Marilia. A total of 11.952 mammographies, in 8 health institutions, comprising women from 37 nearby municipalities and the classification of the mammographies outcomes was done according to BI-RADS; the performance indicators analyzed were the ones employed in outcomes auditory and the cost analysis was based on the amount paid by the Unique Health System (SUS), based on the Tables SIA/SUS of 2005. The data were stored in Excel and furthermore analyzed, employing the statistical method SPSS, version 15. Results: From the 11.592 mammographies, 9.35% (1.117) were classified into BI-RADS 0 and for BI-RADS 1 and 2 87.86% (10.501), for the classification BI-RADS 3, 2.53% (302) and for classification 4 and 5, was 0.26%. The highest participation on the campaign comprised women from 40 to 49 years old. Women whose ages ranged from 50 to 59 and 60 to 69 represented 45.59%. The predictive positive value of BI-RADS 4 and 5 were 29.63 and 50% respectively. A total of 10 cases of breast cancer were diagnosed (0.84 per 1000 mammographies), 70% of the ages ranged from 50 to 69 years. The cost of these campaigns and the follow-up cost totaled R{dollar} 450.019.91, considering that R{dollar} 431.467.20 was destined for he payment of 11.952 mammographies and R{dollar}18.552.71 for the diagnoses of 29 suspicious cases, for the treatment of 3 cases of benign tumors and 6 cases of cancer. The cost of each diagnosed case was R{dollar} 43.268.10. Conclusion: The medical prescription for mammographic exams out of the age range recommended by the Ministry of Health, the low proportion of breast cancer cases detected by the exams and the high cost of each diagnosed case, indicate the necessity of implementation of effective screening programs in this region of the state, investing in specific medical programs comprising all levels of health care and fast access to secondary and third party health units for integrated and effective attendance to this specific population.
TEDE
BV UNIFESP: Teses e dissertações
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CORRÊA, Rosangela da Silveira. "Mamografia: infraestrutura, cobertura, qualidade e risco do câncer radionduzido em rastreamento oportunístico no estado de Goiás." Universidade Federal de Goiás, 2012. http://repositorio.bc.ufg.br/tede/handle/tde/1534.

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Among the available methods for the diagnosis and early detection of breast cancer, the most indicated for mass screening is the mammography. To guarantee its effectiveness, this exam needs to be performed using high quality standards and the lowest radiation dose possible. Therefore, the present research aimed to assess the infrastructure and performance of the equipments available at the mammography services in the state of Goiás, regarding coverage, quality, and radiological protection (dose) of patients, in order to provide early detection of breast cancer by an opportunistic screening. A prospective study was carried out, from 2007 to 2010, to observe the diagnostic imaging services which perform mammography, initially for the Brazilian Unified National Health System (SUS) and, in 2010, the services of the private system were included. Data collection was divided into two phases: the first, to collect information on infrastructure and the second, to apply tests in order to evaluate the performance characteristics of equipment and materials used. We calculated the conformity of the assessed items in terms of quality of image and equipment performance and estimated the average dose in glandular tissue and the risk of radioinduced carcinogenesis, as well as the risk of mortality by radioinduced tumors. The results were presented in four articles. In the first, we showed that mammography coverage in the state of Goiás in 2008 was 66% among women in the 50 69-year age group, considering biennial mammography. In the second article, we concluded that the implementation of the Mammography Quality Control Program was effective to achieve better quality mammography in SUS services. In the beginning of our research, only 2.9% of SUS services were within the desired range of quality and, after two interventions (2008 and 2009), 20% of them reached it. The results of the third article, in which we verified the infrastructure and quality of services performing mammography, both for SUS and private systems, showed no difference in quality of exams between them. However, the evaluation between types of technology used showed difference between radiation doses (p < 0.001) applied during mammography. In the fourth article, we estimated the benefit risk balance of screening mammography carried out in the state of Goiás in 2010. The excess absolute risk of radioinduced cancer and the lifetime risk presented significant difference for types of technology (p < 0.001) and types of health system (p < 0.019) according to the age group of screening. The ratio lives saved/lives lost was 75.5/1 for screening at the 40 70-year age group and 166.5/1 at the 50 70-year age group. The results showed that coverage of the 50 69-year age group in the state of Goiás is near the recommended standards for the beginning of organized screenings. However, when assessed per regional health unit, coverage was non-uniform, presenting high concentration of equipments and exames at the Central Regional. The initial evaluation of equipment performance indicated the need to implant actions for controlling mammography quality and risk. The actions of the Mammography Quality Control Program proved to be effective to enhance the quality of mammography, although the same does not remain true for the radiation dose used in mammography. These doses are lower in conventional mammography equipments than in those coupled to image digitization systems. Regarding radiological protection, screening women who are 50 70 years old, when performed biennially using conventional mammography equipments, presented more benefit.
Entre os métodos disponíveis para diagnóstico e detecção precoce de câncer de mama, o mais indicado para o rastreamento em massa é a mamografia. Para garantir sua efetividade, é preciso que esse exame seja realizado com padrão de qualidade ótimo e a menor dose possível. Nesse contexto, a presente pesquisa teve como proposta avaliar a infraestrutura e o desempenho dos equipamentos instalados nos serviços de mamografia no estado de Goiás, no que se refere à cobertura, qualidade da mamografia e proteção radiológica (dose de exposição) das pacientes, tendo em vista a proposta de detecção precoce do câncer de mama por meio de rastreamento oportunístico. Realizouse um estudo prospectivo, que compreendeu o período de 2007 a 2010, durante o qual foram observados os serviços de diagnóstico por imagem que realizavam mamografia, inicialmente para o Sistema Único de Saúde (SUS) e, em 2010, incluíram-se os serviços do sistema privado. Dividiu-se a coleta de dados em duas etapas: a primeira, para levantamento de informações sobre infraestrutura e a segunda, para aplicação de testes com o objetivo de avaliar os parâmetros de desempenho dos equipamentos e materiais utilizados. Foram calculados: o percentual de conformidade nos itens avaliados referentes a qualidade da imagem e desempenho dos equipamentos, e estimada a dose média no tecido glandular mamário e os riscos de carcinogênese radioinduzida, bem como, o risco de mortalidade por tumores radioinduzidos. Os resultados foram apresentados em quatro artigos científicos. No primeiro, mostrou-se que a cobertura da mamografia no estado de Goiás em 2008 foi de 66% entre as mulheres na faixa etária de 50 a 69 anos, considerando-se a realização de mamografia bienal. No segundo artigo, concluiu-se que a implantação do Programa de Controle de Qualidade em Mamografia foi efetiva para a melhoria da qualidade da mamografia nos serviços do SUS. No início da pesquisa, somente 2,9% dos serviços do SUS estavam na faixa desejável de qualidade e, após duas intervenções (2008 e 2009), 20% deles a atingiram. Os resultados do terceiro artigo, em que se verificou a infraestrutura e a qualidade dos serviços que realizavam mamografia, tanto para o sistema SUS, como para o sistema privado, mostraram não haver diferença na qualidade do exame entre eles. Porém, a avaliação entre os tipos de tecnologia empregados mostrou diferença entre as doses (p < 0,001) de radiação aplicadas durante a mamografia. No quarto artigo, estimou-se a relação benefício risco do rastreamento mamográfico realizado no estado de Goiás em 2010. O risco absoluto de excesso de câncer radioinduzido e o risco ao longo da vida apresentaram diferença significativa para os tipos de tecnologia (p < 0,001) e o tipo de atendimento dos serviços (p < 0,019) segundo a faixa etária de rastreamento. A razão de vidas salvas/vidas perdidas foi de 75,5/1 para o rastreamento na faixa de 40 a 70 anos e de 166,5/1 na faixa de 50 a 70 anos. Os resultados apontaram que a cobertura para a faixa de 50 a 69 anos no estado de Goiás está próxima do recomendado para o início de rastreamento organizado. Entretanto, quando avaliada por regional de saúde, a cobertura mostrou-se desigual e com grande concentração de equipamentos e exames na Regional Central. A avaliação inicial do desempenho dos equipamentos indicou a necessidade de implantação de ações para controle da qualidade da mamografia e do risco. As ações do Programa de Controle de Qualidade em Mamografia mostraram-se efetivas para a melhoria da qualidade da mamografia, embora o mesmo não tenha ocorrido com a dose de radiação empregada na mamografia. As doses nos mamógrafos convencionais são mais baixas do que nos mamógrafos acoplados aos digitalizadores de imagem. Em termos de proteção radiológica, o rastreamento na faixa etária de 50 a 70 anos, quando realizado bienalmente em mamógrafos com tecnologia convencional, apresentou maior benefício.
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Thompson, Betsy L. "Insurance, regular source, and regular provider what matters in the case of mammography? : a dissertation submitted in partial fulfillment ... for the degree of Doctor of Public Health (Health Policy) ... /." 2004. http://catalog.hathitrust.org/api/volumes/oclc/69001793.html.

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Johnson, Peggy A. "Mammography Screening Practices and Health Beliefs of Women in East Tennessee." 2010. http://trace.tennessee.edu/utk_graddiss/890.

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Abstract One of every eight women in the United States will be diagnosed with breast cancer in her lifetime. Although early detection of breast cancer is the most effective method of assuring survival, many women throughout the country do not avail themselves of this advantage. This study examined mammography screening practices of women age 55 and older who attended senior citizen centers in rural, non-metro, and metro counties in the areas designated by the Tennessee Department of Health as the Eastern Grand Division of Tennessee. Data was collected from four hundred women from fourteen counties in East Tennessee using the Champion Health Belief Survey instrument. Data analysis was done using SPSS software. Descriptive analyses were presented consisting of the percentage or mean responses for each of the survey items. Chi Square and ANOVA were used to test whether the observed proportions for mammography screening differed from the hypothesized proportions. Results from this study revealed that health beliefs and demographic characteristics were associated with a higher likelihood of having recent mammography. The health beliefs of participants concerning the perceived benefits to mammograms and the perceived barriers to obtaining mammograms significantly impact one’s willingness to engage in breast cancer screening practices. Also, the woman’s perceived susceptibility to the disease of breast cancer and their perceived seriousness of the disease of breast cancer have a significant impact on breast cancer screening practices. Additionally, a significant difference was found in the screening practices of women based on whether they had health insurance and if their physician recommended a mammogram.
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Morrison, Theresa. "Retrospective analysis of a breast health program on routine annual mamography in low-income, uninsured women." 2009. http://digital.library.duq.edu/u?/etd,123054.

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Books on the topic "Breast Preventive health services Mammography"

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Office, General Accounting. Mammography: Capacity generally exists to deliver services : report to the Chairman, Special Committee on Aging, U.S. Senate. Washington, D.C: U.S. General Accounting Office, 2002.

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Crosse, Marcia. Mammography: Current nationwide capacity is adequate, but access problems may exist in certain locations: report to congressional requesters. Washington, D.C: United States Government Accountability Office, 2006.

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Patlak, Margie. Mammography and beyond: Developing technologies for the early detection of breast cancer : a non-technical summary. Edited by National Cancer Policy Board (U.S.). Committee on the Early Detection of Breast Cancer and National Research Council (U.S.). Commission on Life Sciences. Washington, D.C: National Academy Press, 2001.

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Wentz, Gini. Mammography for radiologic technologists. 2nd ed. New York: McGraw-Hill, Health Professions Division, 1997.

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C, Parsons Ward, ed. Mammography for radiologic technologists. New York: McGraw-Hill, Health Professions Division, 1992.

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United States. Congress. Senate. Committee on Labor and Human Resources. Mammography Quality Standards Act of 1992: Report together with additional views (to accompany S. 1777). [Washington, D.C.?: U.S. G.P.O., 1992.

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Wagner, Jennifer. Mammography exam review. Clifton Park, NY: Delmar Cengage Learning, 2008.

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Office, General Accounting. Mammography services: Impact of federal legislation on quality, access, and health outcomes : report to Congressional committees. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1997.

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United States. Congress. House. Committee on Energy and Commerce. Mammography Quality Standards Act of 1992: Report together with dissenting views (to accompany H.R. 5938) (including cost estimate of the Congressional Budget Office). [Washington, D.C.?: U.S. G.P.O., 1992.

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United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Mammography Quality Standards Act (MQSA): Hearing of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Eighth Congress, first session on examining the Mammography Standards Act of 1992, to amend the Public Health Service Act to establish the authority for the regulation of mammography services and radiological equipment, April 8, 2003. Washington: U.S. G.P.O., 2004.

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Book chapters on the topic "Breast Preventive health services Mammography"

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"women services, preventive services and mental health services, than any other type of center" (Weisman et al., 1995 p. 108). They offered programs including menopause counseling, hormone replacement therapy and diagnosis and treatment of menstrual problems. Repro-ductive health centers provided for more gynecological exams, preg-nancy tests and contraceptive services. Compared to primary centers, reproductive health centers provided less general exams and offered fewer preventive services like blood pressure monitoring and immu-nizations. Along with the emergence of hospital sponsored programs of the 1980's came the creation of breast centers. Some diagnostic type breast centers offered only screenings and imaging services while others were comprehensive centers providing for screening along with diagnosis and treatment. Breast centers were found to offer more breast care services than other types of women's centers but again the range of services offered from one center to another was vastly differ-ent; 95% of breast centers offered diagnostic mammography, and 93% also provided self-breast exam instruction. Also 71% provided for biopsies and ultrasound and 37% provided for breast cancer treatment. Other women centers were found to be a mix of models; some education, some referral services, some independent support groups and some that also provided minimal clinical services. Many offered inpatient units for obstetrics and gynecology and outpatient services for breast screening. Education and information services were found to be an important component of the women's centers offerings. Many provided support groups as well as community agency referrals. Childbirth education classes, baby and you classes and exercise and diet classes usually were provided for an extra fee. Implications to Marketing The survey found many hospitals marketed their services to women because they perceived them as major consumers of health care and as referral sources for their families' health. Hence, a primary purpose was to increase hospital use and, therefore, revenue. Hospitals were and still are being innovative in their use of space. These hospital owned women's centers tended to be considerably market-oriented. They offered the opportunity to provide both a therapeutic milieu tailored to women and access to the resources of the larger institution. They appear to be a viable option for women and for the hospital." In Family Systems/Family Therapy, 31–36. Routledge, 2013. http://dx.doi.org/10.4324/9780203725184-4.

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Conference papers on the topic "Breast Preventive health services Mammography"

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Tivatansakul, Somchanok, and Keiichi Uchimura. "Breast mass detection from mammography using iteration of gray-level co-occurrence matrix." In 2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom). IEEE, 2016. http://dx.doi.org/10.1109/healthcom.2016.7749448.

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Bluethmann, SM, JD Allen, C. Hernandez, KM Opdyke, K. Gates-Ferris, M. Hurlbert, and E. Harden. "Abstract P5-14-02: Women's responses to changes in US Preventive Services Task Force mammography screening guidelines: results from focus groups among ethnically diverse women." In Abstracts: Thirty-Fifth Annual CTRC‐AACR San Antonio Breast Cancer Symposium‐‐ Dec 4‐8, 2012; San Antonio, TX. American Association for Cancer Research, 2012. http://dx.doi.org/10.1158/0008-5472.sabcs12-p5-14-02.

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Rahman, Saleh M. M., Cynthia M. Harris, Miaisha Mitchell, and Karam F. A. Soliman. "Abstract A29: Community and academic partnership to prevent breast cancer: Experience from the Community Outreach and Preventive Services Core of a P20 Center." In Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-a29.

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Reports on the topic "Breast Preventive health services Mammography"

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Yelena, Gorina, and Elgaddal Nazik. Patterns of Mammography, Pap Smear, and Colorectal Cancer Screening Services Among Women Aged 45 and Over. National Center for Health Statistics, June 2021. http://dx.doi.org/10.15620/cdc:105533.

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Abstract:
This study examines and compares sociodemographic, health status, and health behavior patterns of screening for breast cancer, cervical cancer, and colorectal cancer among women aged 45 and over in the United States.
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