Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification

Non–timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification

In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Preventive Medic...

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Bibliographic Details
Published in:Preventive medicine reports Vol. 35; p. 102369
Main Authors: Gutiérrez, Georgina Lizeth Villagrana, García, Alberto Monroy, Benavente, Evelyn Patricia Larraga, Mejía, Fernando Herrera, Gómez, Roberto Terrones, Villalón, Fernando Rodríguez
Format: Journal Article
Language:English
Published: Elsevier Inc 01-10-2023
Elsevier
Subjects:
BI-RADS classification
Family medicine
Family physician
Hospital referral
Mammography
Preventive medicine
Regular
FMU1
IMSS
BI-RADS
Family medicine
FP
Mammography
Preventive medicine
BI-RADS classification
FMNS
FMS
DAOB
PMM
Family physician
PMS
COFEPRIS
Hospital referral
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Summary:In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Preventive Medicine Modules offered to women aged 40 to 69 years of the Family Medicine Unit 1, of the Mexican Social Security Institute, Decentralized Administrative Operation Body, Aguascalientes, Mexico, by their family physician, and its impact in the findings of mammographic screening according to the BI-RADS classification. Methods This was a cross-sectional comparative study of 412 mammograms performed on women aged 40 to 69, who were treated in the preventive medicine modules from January 2019 to June 2021. Data collection was carried out by simple random sampling using a checklist. Multiple logistic regression models adjusted for age were applied. A total of 90.29% of the patients who underwent screening mammography were not referred in a timely manner to the preventive medicine modules by the family physician, this delay in diagnosis and treatment increased by 3.01 times the probability of having a classification BI-RADS suspected of malignancy compared to those women whose referral was timely (OR adj = 3.01, 95% CI 1.04–8.72, p = 0.041). The untimely referral of women aged 40–69 to preventive medicine modules for the detection of breast cancer increases the risk of finding a malignant lesión.
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ISSN:2211-3355
2211-3355
DOI:10.1016/j.pmedr.2023.102369