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Side-effects of screening

I W Garstin1, Z Kaufman, M J Michell

  • 1Department of Surgery, Belfast City Hospital, U.K.

European Journal of Cancer (Oxford, England : 1990)
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Mammograms outside the national breast screening program increased by 42%, mainly from menopause clinics and GPs. Educating on breast cancer signs could reduce these unscheduled mammograms.

Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • The Forrest Report recommended national breast screening for women aged 50-64 to reduce mortality.
  • An unanticipated 42% increase in mammograms outside the national screening program has been observed.

Purpose of the Study:

  • To investigate the reasons for increased mammogram referrals outside the national screening program.
  • To analyze the diagnostic yield of mammograms based on referral reasons.

Main Methods:

  • Retrospective analysis of mammogram referrals outside the national screening program.
  • Comparison of suspicious findings in patients referred for breast lumps versus breast pain/nodularity.

Main Results:

  • The increase in mammograms is primarily attributed to referrals from menopause clinics and general practitioners.

Related Experiment Videos

  • Suspicious mammographic findings were reported in 20% of patients referred with a breast lump, compared to 4% referred for pain or nodularity.
  • Conclusions:

    • Increased demand for mammograms outside the national screening program is driven by referrals for specific symptoms.
    • Enhanced education for the public and general practitioners on breast cancer signs may help optimize mammogram utilization.