The Effects of Prior Mammography Screening on the Performance of Breast Cancer Detection in Taiwan

被引：6

作者：

Chang, Chin-Chuan ^{[1
,2
,3
,4
]}

Ho, Tzu-Chuan ^{[5
]}

Lien, Chih-Ying ^{[5
]}

Shen, Daniel Hueng-Yuan ^{[6
]}

Chuang, Kuo-Pin ^{[7
]}

Chan, Hung-Pin ^{[6
]}

Yang, Ming-Hui ^{[8
,9
]}

Tyan, Yu-Chang ^{[1
,2
,5
,7
,10
,11
,12
,13
]}

机构：

[1] Kaohsiung Med Univ Hosp, Dept Nucl Med, Kaohsiung 807, Taiwan

[2] Kaohsiung Med Univ, Sch Med, Kaohsiung 807, Taiwan

[3] Kaohsiung Med Univ, Neurosci Res Ctr, Kaohsiung 807, Taiwan

[4] I Shou Univ, Dept Elect Engn, Kaohsiung 840, Taiwan

[5] Kaohsiung Med Univ, Dept Med Imaging & Radiol Sci, Kaohsiung 807, Taiwan

[6] Kaohsiung Vet Gen Hosp, Dept Nucl Med, Kaohsiung 813, Taiwan

[7] Natl Pingtung Univ Sci & Technol, Coll Vet Med, Grad Inst Anim Vaccine Technol, Pingtung 912, Taiwan

[8] Kaohsiung Vet Gen Hosp, Dept Med Educ & Res, Kaohsiung 813, Taiwan

[9] Shu Zen Jr Coll Med & Management, Ctr Gen Educ, Kaohsiung 821, Taiwan

[10] Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung 807, Taiwan

[11] Kaohsiung Med Univ Hosp, Dept Med Res, Kaohsiung 807, Taiwan

[12] Kaohsiung Med Univ, Ctr Canc Res, Kaohsiung 807, Taiwan

[13] Kaohsiung Med Univ, Res Ctr Environm Med, Kaohsiung 807, Taiwan

来源：

HEALTHCARE | 2022年 / 10卷 / 06期

关键词：

breast cancer; mammography; cancer screening; positive predictive value; recall rate; DENSITY; RECALL; MORTALITY; TRIALS; UPDATE; IMPACT; WOMEN; RISK;

D O I：

10.3390/healthcare10061037

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The aim of this study was to investigate the influence of previous mammography screening on the performance of breast cancer detection. The screened women were divided into first-visit and follow-up groups for breast cancer screening. The positive predictive value (PPV), cancer detection rate (CDR), and recall rate were used to evaluate and analyze the overall screening performance among the two groups. Among them, 10,040 screenings (67.2%) were first visits and 4895 screenings (32.8%) were follow-up visits. The proportion of positive screening results for first-visit participants was higher than that for their follow-up counterparts (9.3% vs. 4.0%). A total of 98 participants (74 first-visit and 24 follow-up visit) were confirmed to have breast cancer. The PPV for positive mammography for women who underwent biopsy confirmation was 28.7% overall, reaching 35.8% for the follow-up visit group and 27.0% for the first-visit group. The CDR was 6.6 per 1000 overall, reaching 7.4 per 1000 for first-visit group and 4.9 per 1000 for the follow-up group. The overall recall rate was 7.9%, reaching 9.7% for the first-visit group and 4.2% for the follow-up group. The PPV is improved and the recall rate is decreased if prior mammography images are available for comparison when conducting mammography screening for breast cancer. By this study, we concluded that prior mammography plays an important role for breast cancer screening, while follow-up mammography may increase the diagnostic rate when compared to the prior mammography. We suggest that the public health authority can encourage subjects to undergo screenings in the same health institute where they regularly visit.

引用

页数：9

共 31 条

[1] 14 years of follow-up from the Edinbugh randomised trial of breast-cancer screening [J].