Breast Cancer Screening Coverage with clinical examination and Mammography Among insured women in Bogota
Keywords:
Mammography, mass screening, breast neoplasms, palpation, ColombiaAbstract
Objectives: To determine the coverage of clinical breast examination (CBE) and mammography for screening of breast cancer among a group of insured women in Bogotá.
Methods: A telephone survey was carried out with 4,526 women between the ages of 50 and 69, residing in Bogotá or its suburbs, who were insured by one of three commercial health plans. Women with a history of breast cancer were excluded. Screening coverage was estimated as the proportion of women who had had a mammography or CBE. Estimates were established for lifetime frequency, two years prior the survey, and one year prior the survey. Factors associated with screening procedures were analyzed with calculations based on adjusted OR.
Results: Lifetime frequency of CBE was 59.3% and 79.8% for mammography; and 49.7% and 65.6% of women respectively underwent the tests for screening purposes; the remainder, for diagnostic purposes (breast symptoms). CBE reported a 34.2% one year coverage and mammography reported a 54% two years coverage. Screening was associated to cancer education and family history of breast cancer.
Conclusion: Coverage of CBE for screening purposes is low. Mammography coverage is above that required by the Colombian Health Ministry, but below that reported by developed countries.
Author Biographies
Walter Arboleda, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Fundación Universitaria Ciencias de la Salud. Bogotá, Colombia.
Raúl Murillo, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Marion Piñeros, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Fernando Perry, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Sandra Díaz, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Édgar Salguero, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Oswaldo Sánchez, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
César Poveda, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Carolina Casas, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Lina Rincón, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Yolanda Rueda, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
Dimelza Osorio, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología. Bogotá, Colombia.
References
Althuis MD, Dozier JM, Anderson WF, Devesa SS, Brinton LA. Global trends in breast cancer incidence and mortality 1973-1997. Int J Epidemiol. 2005;34(2):405-12.
https://doi.org/10.1093/ije/dyh414
Ferlay J, Bray F, Pisani P, Parkin DM. GLOBOCAN 2002. Cancer Incidence, Mortality and Prevalence Worldwide. [CDROM] No. 5, version 2.0. Lyon: IARC Cancer Base. 2004.
Murillo R, Quintero A, Piñeros M, Bravo MM, Cendales R, Wiesner C, et al. Modelo para el control del cáncer en Colombia. Serie documentos técnicos No. 1. Bogotá: Ministerio de la Protección Social-Instituto Nacional de Caqncerología. 2006.
Hernández G, Herrán S, Cantor LF. Análisis de las tendencias de mortalidad por cáncer de mama en Colombia y Bogota,1981-2000. Rev Colomb Cancerol. 2007;11(1):32-9.
Berry DA, Cronin KA, Plevritis SK, Fryback DG, Clarke L, Zelen M, et al. Effect of screening and adjuvant therapy on mortality from breast cancer. N Engl J Med. 2005;353(17):1784-92.
https://doi.org/10.1056/NEJMoa050518
US Preventive Services Task Force. Screening for breast cancer: recommendations and rationale. Ann Inter Med. 2002;137(5 Part 1);344-6.
https://doi.org/10.7326/0003-4819-137-5_Part_1-200209030-00011
International Agency for Research on Cancer. Breast Cancer Screening. Vol. 7, IARC handbooks of Cancer Prevention. Lyon: IARC. 2002; 229 p.
Olsen O, Gotzsche PC. Screening for breast cancer with mammography. [CD-ROM]. Oxford: Cochrane Database of systematic rewiews; 2006.
https://doi.org/10.1002/14651858.CD001877.pub2
Harvey BJ, Miller AB, Baines CJ, Corey PN. Effect of breast self-examination techniques on the risk of death from breast cancer. CMAJ. 1997;157(9):1205-12.
Jones S. Regular self-examination or clinical examination for early detection of breast cancer. Int J Epidemiol. 2008;37(6):1219.
Weiss NS. Breast cancer mortality in relation to clinical breast examination and breast examination and breast self-examination. Breast J. 2003;9 Suppl 2:S86-9.
https://doi.org/10.1046/j.1524-4741.9.s2.9.x
Reyes-Ortiz CA, Freeeman JL, Peláez M, Markides KS, Goodwin JS. Mammography use among older women of seven Latin-American and Caribbean cities. Prev Med. 2006; 42(5):375-80.
https://doi.org/10.1016/j.ypmed.2006.02.005
Así Vamos en Salud. Seguimiento al sector salud en Colombia. Internet. Bogotá: 2008 (consulta: 10 de diciembre del 2008). Disponible en: http://www.asivamosensalud.org.
Ochoa LH, Sánchez M. Encuesta Nacional de Demografía y Salud. Bogotá: Profamilia; 2005.
Instituto Nacional de Cancerología. Recomendaciones para la tamización y la detección temprana del cáncer de mama en Colombia. Guías de práctica clínica. Bogotá: INC; 2006. No. 1.
Murillo R, Díaz S, Sánchez O, Perry F, Piñeros M, Poveda C, et al. Pilot implementation of breast cancer early detection programs in Colombia. Breast Care. 2008;3(1):29-32.
https://doi.org/10.1159/000114446
Murillo R, Piñeros M, Hernández G. Atlas de mortalidad por cáncer en Colombia. Bogota: Instituto Nacional de Cancerología-Instituto Geográfico Agustín Codazzi; 2003.
Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003;97(6):1528-40.
https://doi.org/10.1002/cncr.11208
Robledo JF, Caicedo JJ, Antonio R. Análisis de sobrevida en una cohorte de 1.328 pacientes con carcinoma de seno. Rev Colomb Cir. 2005;20(1):4-20.
Reyes-Ortiz CA, Camacho ME, Amador LF, Vélez LF, Ottenbacher KJ, Markides KS. The impact of education and literacy levels on cancer screening among older Latin American and Caribbean adults. Cancer Control. 2007;14(4):388-95.
https://doi.org/10.1177/107327480701400409
Lee-Lin F, Menon U, Pett M, Nail L, Lee S, Mooney K. Breast cancer beliefs and mammography screening practices among Chinese American immigrants. J Obstet Gynecol Neonatal Nurs. 2007;36(3):212-21.
https://doi.org/10.1111/j.1552-6909.2007.00141.x
Meissner HI, Potosky AL, Convissor R. How sources of health information relate to knowledge and use of cancer screening exams. J Community Health. 1992;17(3):153-65.
https://doi.org/10.1007/BF01324404
Smith RA, Caleffi M, Albert US, Chen TH, Duffy SW, Franceschi D, et al. Breast cancer in limited-resource countries: Early detection and access to care. Breast J. 2006;12 Suppl 1:S16-26.
https://doi.org/10.1111/j.1075-122X.2006.00200.x
McAlearney AS, Reeves KW, Tatum C, Paskett ED. Perceptions of insurance coverage for screening mammography among women in need of screening. Cancer. 2005; 15;103(12):2473-80.
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