Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system
Abstract Introduction Breast cancer is a significant public health concern in Jordan. It is the most common cancer among Jordanian women. Despite its high incidence and advanced stage at time of diagnosis, the uptake of breast cancer screening in Jordan is low. This study aims to compare clinical ou...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-024-03007-0 |
| _version_ | 1797247097554075648 |
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| author | Mahmoud Al-Balas Hamzeh Al-Balas Zain AlAmer Ghadeer Al-Taweel Aseel Ghabboun Farh Al Bzoor Sumaia Abumkarab Tala Abu Bakr Batool Eleiwat |
| author_facet | Mahmoud Al-Balas Hamzeh Al-Balas Zain AlAmer Ghadeer Al-Taweel Aseel Ghabboun Farh Al Bzoor Sumaia Abumkarab Tala Abu Bakr Batool Eleiwat |
| author_sort | Mahmoud Al-Balas |
| collection | DOAJ |
| description | Abstract Introduction Breast cancer is a significant public health concern in Jordan. It is the most common cancer among Jordanian women. Despite its high incidence and advanced stage at time of diagnosis, the uptake of breast cancer screening in Jordan is low. This study aims to compare clinical outcomes of both screening and diagnostic mammogram among women in Jordan. Methods A retrospective cohort of 1005 women who underwent mammography in breast imaging unit in a tertiary hospital in Jordan. It aimed to investigate outcomes of screening and diagnostic mammography. recall rates, clinical manifestations and cancer rates were investigated. Results A total of 1005 participants were involved and divided into screening group (n = 634) and diagnostic group (n = 371). Women in the diagnostic group were more likely to be younger, premenopausal, smokers with higher BMI. Among the screening group, 22.3% were labeled with abnormal mammogram, 26% recalled for ultrasound, 46 patients underwent tissue biopsy and a total of 12 patients had a diagnosis of breast carcinoma. Among the diagnostic group, the most commonly reported symptoms were a feeling of breast mass, mastalgia and nipple discharge. Abnormal mammogram was reported in 50.4% of women, a complementary ultrasound was performed for 205 patients. A diagnostic Tru-cut biopsy for 144 patients and diagnostic excisional biopsy for 17 patients were performed. A total of 131 had a diagnosis of carcinoma. Conclusion With the high possibility of identifying a carcinoma in mammography among symptomatic women and low uptake of screening mammogram, efforts to increase awareness and improve access to screening services are crucial in reducing the burden of breast cancer in Jordan. |
| first_indexed | 2024-04-24T19:53:17Z |
| format | Article |
| id | doaj.art-db5a5036d8354370a4240ac22c46d040 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-24T19:53:17Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-db5a5036d8354370a4240ac22c46d0402024-03-24T12:32:25ZengBMCBMC Women's Health1472-68742024-03-012411710.1186/s12905-024-03007-0Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare systemMahmoud Al-Balas0Hamzeh Al-Balas1Zain AlAmer2Ghadeer Al-Taweel3Aseel Ghabboun4Farh Al Bzoor5Sumaia Abumkarab6Tala Abu Bakr7Batool Eleiwat8Department of General Surgery, Urology and Anesthesia, The Hashemite UniversityDepartment of General Surgery, Urology and Anesthesia, The Hashemite UniversityMu’tah UniversityDepartment of Radiology, Ministry of HealthHashemite UniversityHashemite UniversityHashemite UniversityYarmouk UniversityMu’tah UniversityAbstract Introduction Breast cancer is a significant public health concern in Jordan. It is the most common cancer among Jordanian women. Despite its high incidence and advanced stage at time of diagnosis, the uptake of breast cancer screening in Jordan is low. This study aims to compare clinical outcomes of both screening and diagnostic mammogram among women in Jordan. Methods A retrospective cohort of 1005 women who underwent mammography in breast imaging unit in a tertiary hospital in Jordan. It aimed to investigate outcomes of screening and diagnostic mammography. recall rates, clinical manifestations and cancer rates were investigated. Results A total of 1005 participants were involved and divided into screening group (n = 634) and diagnostic group (n = 371). Women in the diagnostic group were more likely to be younger, premenopausal, smokers with higher BMI. Among the screening group, 22.3% were labeled with abnormal mammogram, 26% recalled for ultrasound, 46 patients underwent tissue biopsy and a total of 12 patients had a diagnosis of breast carcinoma. Among the diagnostic group, the most commonly reported symptoms were a feeling of breast mass, mastalgia and nipple discharge. Abnormal mammogram was reported in 50.4% of women, a complementary ultrasound was performed for 205 patients. A diagnostic Tru-cut biopsy for 144 patients and diagnostic excisional biopsy for 17 patients were performed. A total of 131 had a diagnosis of carcinoma. Conclusion With the high possibility of identifying a carcinoma in mammography among symptomatic women and low uptake of screening mammogram, efforts to increase awareness and improve access to screening services are crucial in reducing the burden of breast cancer in Jordan.https://doi.org/10.1186/s12905-024-03007-0Breast cancerScreening mammogramDiagnostic mammogramScreening recallScreening recall rates |
| spellingShingle | Mahmoud Al-Balas Hamzeh Al-Balas Zain AlAmer Ghadeer Al-Taweel Aseel Ghabboun Farh Al Bzoor Sumaia Abumkarab Tala Abu Bakr Batool Eleiwat Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system BMC Women's Health Breast cancer Screening mammogram Diagnostic mammogram Screening recall Screening recall rates |
| title | Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| title_full | Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| title_fullStr | Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| title_full_unstemmed | Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| title_short | Clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| title_sort | clinical outcomes of screening and diagnostic mammography in a limited resource healthcare system |
| topic | Breast cancer Screening mammogram Diagnostic mammogram Screening recall Screening recall rates |
| url | https://doi.org/10.1186/s12905-024-03007-0 |
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