Screening in the Era of Economic Crisis: Misperceptions and Misuse from a Longitudinal Study on Greek Women Undergoing Benign Vacuum-assisted Breast Biopsy

Domeyer, Philip John; Sergentanis, Theodoros Nikolaos; Katsari, Vasiliki; Souliotis, Kyriakos; Mariolis, Anargiros; Zagouri, Flora; Zografos, George Constantine

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저자정보: Domeyer, Philip John (Breast Unit, Department of Propaedeutic Surgery, Hippokrateio Hospital, Medical School, University of Athens) Sergentanis, Theodoros Nikolaos (Breast Unit, Department of Propaedeutic Surgery, Hippokrateio Hospital, Medical School, University of Athens) Katsari, Vasiliki (Department of Social and Educational Policy, Faculty of Social Sciences, University of Peloponnese) Souliotis, Kyriakos (Department of Social and Educational Policy, Faculty of Social Sciences, University of Peloponnese) Mariolis, Anargiros (Health Center of Areopolis, Health Care Regional Administration) Zagouri, Flora (Breast Unit, Department of Propaedeutic Surgery, Hippokrateio Hospital, Medical School, University of Athens) Zografos, George Constantine (Breast Unit, Department of Propaedeutic Surgery, Hippokrateio Hospital, Medical School, University of Athens)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제14권 제9호

발행연도: 2013.1

수록면: 5,023 - 5,029 (7page)

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Background: To evaluate knowledge about screening tests and tests without proven screening value in a Greek Breast Unit population undergoing benign vacuum-assisted breast biopsy (VABB). Materials and Methods: This study included 81 patients. Three knowledge-oriented items (recommended or not, screening frequency, age of onset) were assessed. Regarding screening tests two levels of knowledge were evaluated: i). crude knowledge (CK), i.e. knowledge that the test is recommended and ii). advanced knowledge (AK), i.e. correct response to all three knowledge-oriented items. Solely CK was evaluated for tests without proven screening value. Risk factors for lack of knowledge were assessed with multivariate logistic regression. A second questionnaire was administered 18 months after VABB to assess its impact on the performance of tests. Results: Concerning screening tests considerable lack of AK was noted (mammogram, 60.5%; Pap smear, 59.3%; fecal occult blood testing, 93.8%; sigmoidoscopy, 95.1%). Similarly lack of CK was documented regarding tests without proven screening value (breast self-examination, 92.6%; breast MRI, 60.5%; abdominal ultrasound, 71.6%; barium meal, 48.1%; urine analysis, 90.1%; chest X-Ray, 69.1%; electrocardiogram, 74.1%; cardiac ultrasound, 75.3%). Risk factors for lack of AK were: place of residence (mammogram), age (Pap smear), personal income (sigmoidoscopy); risk factors for lack of CK included number of offspring (breast MRI, chest X-Ray), BMI (abdominal ultrasound), marital status (urine analysis), current smoking status (electrocardiogram). VABB's only effect was improvement in mammogram rates. Conclusions: A considerable lack of knowledge concerning screening tests and misperceptions regarding those without proven value was documented.

#Cancer screening #mammogram #breast MRI #breast self-examination #pap smear #sigmoidoscopy

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Domeyer, Philip John

소속기관 Breast Unit, Department of Propaedeutic Surgery, Hippokrateio Hospital, Medical School, University o