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BMC Women's Health
Published in: BMC Women's Health 1/2012

Open Access 01-12-2012 | Research article

Mammography-based screening program: preliminary results from a first 2-year round in a Brazilian region using mobile and fixed units

Authors: Raphael Luiz Haikel Jr, Edmundo Carvalho Mauad, Thiago Buosi Silva, Jacó Saraiva de Castro Mattos, Luciano Fernandes Chala, Adhemar Longatto-Filho, Nestor de Barros

Published in: BMC Women's Health | Issue 1/2012

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Abstract

Background

Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer deaths among women worldwide. The use of mobile mammography units to offer screening to women living in remote areas is a rational strategy to increase the number of women examined. This study aimed to evaluate results from the first 2 years of a government-organized mammography screening program implemented with a mobile unit (MU) and a fixed unit (FU) in a rural county in Brazil. The program offered breast cancer screening to women living in Barretos and the surrounding area.

Methods

Based on epidemiologic data, 54 238 women, aged 40 to 69 years, were eligible for breast cancer screening. The study included women examined from April 1, 2003 to March 31, 2005. The chi-square test and Bonferroni correction analyses were used to evaluate the frequencies of tumors and the importance of clinical parameters and tumor characteristics. Significance was set at p < 0.05.

Results

Overall, 17 964 women underwent mammography. This represented 33.1% of eligible women in the area. A mean of 18.6 and 26.3 women per day were examined in the FU and MU, respectively. Seventy six patients were diagnosed with breast cancer (41 (54%) in the MU). This represented 4.2 cases of breast cancer per 1000 examinations. The number of cancers detected was significantly higher in women aged 60 to 69 years than in those aged 50 to 59 years (p < 0.001) or 40 to 49 years (p < 0.001). No difference was observed between women aged 40 to 49 years and those aged 50 to 59 years (p = 0.164). The proportion of tumors in the early (EC 0 and EC I) and advanced (CS III and CS IV) stages of development were 43.4% and 15.8%, respectively.

Conclusions

Preliminary results indicate that this mammography screening program is feasible for implementation in a rural Brazilian territory and favor program continuation.
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Metadata
Title
Mammography-based screening program: preliminary results from a first 2-year round in a Brazilian region using mobile and fixed units
Authors
Raphael Luiz Haikel Jr
Edmundo Carvalho Mauad
Thiago Buosi Silva
Jacó Saraiva de Castro Mattos
Luciano Fernandes Chala
Adhemar Longatto-Filho
Nestor de Barros
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2012
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-12-32

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