The efficacy of breast self-examination

Area of Science:

• Oncology
• Preventive Medicine
• Geriatric Health

Background:

• Breast self-examination (BSE) is a widely promoted screening method.
• Evidence regarding the efficacy and optimal implementation of BSE requires ongoing evaluation, especially for specific demographics.
• Understanding the impact of BSE on early breast cancer detection is crucial for public health strategies.

Purpose of the Study:

• To review the literature on the efficacy, definition, and measurement of breast self-examination (BSE).
• To assess the relevance of BSE for women aged 65 and older.
• To propose a research agenda for improving BSE practices in older women.

Main Methods:

• A comprehensive literature review was conducted.
• Data on BSE efficacy, clinical stage, tumor size, and pathological stage were analyzed.
• The relevance of BSE for women over 65 was specifically examined.

Main Results:

• BSE demonstrates a small but measurable impact on earlier breast cancer detection, evidenced by clinical stage and tumor size.
• The most significant differences in detection were observed between women who performed BSE and those who did not.
• Simplified BSE instructions could enhance reliability and acceptability among older women.

Conclusions:

• BSE contributes to earlier detection of breast cancer, with notable differences compared to no examination.
• Tailoring BSE instructions for older women is recommended to improve adherence and effectiveness.
• Further research is needed to optimize BSE methods and acceptance in the geriatric population.