Breast cancer—facts and figures

Harvey, James; Down, Sue; Bright-Thomas, Rachel; Winstanley, John; Bishop, Hugh

doi:10.1093/med/9780199215065.003.0005

Cited by 36 publications

(14 citation statements)

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“…5 Although Black women in the US have a lower incidence of breast cancer compared to White women (127.8 vs. 133.7 per 100,000), 5 the unacceptably high racial disparity in breast cancer mortality persists, with a 40% higher death rate in Black women (27.6 deaths per 100,000 in 2016-2020) compared to White women (19.7 deaths per 100,000). 5,6 Furthermore, Black women diagnosed before age 50 have twice the death rate from breast cancer compared to White women under 50 (12.1 vs. 6.5 deaths per 100,000). 5 Strikingly, breast cancer is the leading cause of cancer-related deaths for Black women, further underscoring the need to address this public health challenge.…”

Section: Introductionmentioning

confidence: 99%

“…7 Among Black/African-American women, 20% of breast cancers are triple negative breast (TNBC), an aggressive subtype of breast cancer with limited treatment options, higher likelihood of metastasis and recurrence. 6,9 Furthermore, Black women are impacted by breast cancer susceptibility genes, most notably BRCA1 and BRCA2 pathogenic variants or gene mutations and should undergo genetic testing to determine their hereditary cancer risk . [10][11][12][13] Late-stage diagnosis of breast cancer is also a challenge for Black women because the tumor has already progressed to an advanced stage (III & IV), which reduces the treatment options and reduces the likelihood of survival; thus early mammography screening is essential.…”

Section: Introductionmentioning

confidence: 99%

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Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Jones

Wisdom-Chambers

Freeman

et al. 2023

MRAJ

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Background: In the United States (US), Black/African American women suffer disproportionately from breast cancer health disparities with a 40% higher death rate compared to White women. Mammography screening is considered a critical tool in mitigating disparities, yet Black women experience barriers to screening and are more likely to be diagnosed with advanced-stage breast cancer. The purpose of this study was to assess the relative frequency of mammography screening and to examine perceived and actual barriers to screening among women who receive care in our nurse-led community health center. Methods: We conducted a survey examining frequency of mammography screening and beliefs about breast cancer including perceived susceptibility, perceived benefits, and perceived barriers to mammography screening, guided by the Champion Health Belief Model. Results: A total of 30 Black/African American women completed the survey. The mean age of the participants was 54.3 years ± 9.17 (SD); 43.3% had a high school education or less; 50% had incomes below $60,000 per year; 26.7% were uninsured; 10% were on Medicaid; and only 50% were working full-time. We found that only half of the participants reported having annual mammograms 16 (53.3%), 1 (3.3%) every 6 months, 8 (26.6%) every 2-3 years, and 5 (16.7%) never had a mammogram in their lifetime. Frequently cited barriers included: ‘getting a mammogram would be inconvenient for me’; ‘getting a mammogram could cause breast cancer’; ‘the treatment I would get for breast cancer would be worse than the cancer itself’; ‘being treated for breast cancer would cause me a lot of problems’; ‘other health problems would keep me from having a mammogram’; concern about pain with having a mammogram would keep me from having one; and not being able to afford a mammogram would keep me from having one’. Having no health insurance was also a barrier. Conclusion: This study found suboptimal utilization of annual screening mammograms among low-income Black women at a community health center in Florida and women reported several barriers. Given the high mortality rate of breast cancer among Black/African American women, we have integrated a Patient Navigator in our health system to reduce barriers to breast cancer screening, follow-up care, and to facilitate timely access to treatment, thus ultimately reducing breast cancer health disparities and promoting health equity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Jones

Wisdom-Chambers

Freeman

et al. 2023

MRAJ

View full text Add to dashboard Cite

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“…Being a highly deformable organ, the breast can undergo deformations of 3 to 6 cm between prone and supine positioning. [3][4][5] This issue is especially critical in the case of tumors invisible by ultrasound 6 when MRI serves as the principal modality for preoperative tumor localization.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of online non‐rigid motion correction for high‐resolution supine breast MRI

Isaieva,

Meullenet,

Vuissoz

et al. 2023

Magnetic Resonance in Med

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PurposeConventional breast MRI is performed in the prone position with a dedicated coil. This allows high‐resolution images without breast motion, but the patient position is inconsistent with that of other breast imaging modalities or interventions. Supine breast MRI may be an interesting alternative, but respiratory motion becomes an issue. Motion correction methods have typically been performed offline, for instance, the corrected images were not directly accessible from the scanner console. In this work, we seek to show the feasibility of a fast, online, motion‐corrected reconstruction integrated into the clinical workflow.MethodsFully sampled T2‐weighted (T2w) and accelerated T1‐weighted (T1w) breast supine MR images were acquired during free‐breathing and were reconstructed using a non‐rigid motion correction technique (generalized reconstruction by inversion of coupled systems). Online reconstruction was implemented using a dedicated system combining the MR raw data and respiratory signals from an external motion sensor. Reconstruction parameters were optimized on a parallel computing platform, and image quality was assessed by objective metrics and by radiologist scoring.ResultsOnline reconstruction time was 2 to 2.5 min. The metrics and the scores related to the motion artifacts significantly improved for both T2w and T1w sequences. The overall quality of T2w images was approaching that of the prone images, whereas the quality of T1w images remained significantly lower.ConclusionThe proposed online algorithm allows a noticeable reduction of motion artifacts and an improvement of the diagnostic quality for supine breast imaging with a clinically acceptable reconstruction time. These findings serve as a starting point for further development aimed at improving the quality of T1w images.

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“…In the absence of systematic screening programs, in low resource countries (LRC), most breast cancers present with selfdiscovered "painless breast lump" (3,8) To reduce the morbidity and mortality of breast cancer, early detection and effective treatment play an important role (9). Breast self-examination (BSE) is one of the most effective and feasible techniques for early detection of breast cancer since every woman aged 20 and above years has to be done for 20 minutes every month and is recommended primarily for a resource-limited country (1). However, in developing countries including Ethiopia, BSE practice remains low (10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Breast Self-Examination Practice Among Women Aged 20 and Above In Sidama Region, Southern Ethiopia. Health Belief Model Approach

Bekele,

Yunkura,

Bogale

et al. 2023

Preprint

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Introduction: Breast self-examination is a straightforward, affordable, and uncomplicated approach to identify any alteration in the breast. When conducted correctly, it aids in the early detection of breast cancer and diminishes its impact on health and mortality. It is advised that women aged 20 and above perform self-examinations monthly, consistently. However, the extent of breast self-examination practices in Ethiopia has not been thoroughly documented. Objective: The aim of the study is to identify predictors of breast self-examination practices and associated factors among women aged 20 and above in Sidama Region, South Ethiopia. Methods : -A Cross-sectional study was conducted on 1000 women aged 20-70 years. The study employed a multistage sampling method. Data collection was performed using a structured and pretested interviewer administered questionnaire. The collected data were entered into Epi-data version 3.1 and analyzed by SPSS version 20. Descriptive statistics were used to describe the study population in relation to relevant variables. Bivariate and multivariable logistic regression analyses were conducted to assess the impact of independent variables on the dependent variable. Variables with p-value <0.25 were considered as candidates for multivariable logistic regression. Statistical significance was declared at P < 0.05 and 95% CI. Result:-The prevalence of breast self-examination was found to be 5.2%, with only 46.2% of participants performing it regularly. Factors significantly associated with the practice of BSE among women included were Good knowledge about breast cancer and breast self-examination (Adjusted odds ratio=4.5, 95%CI: 1.4, 14.7), high perceived susceptibility (Adjusted odds Ratio =2.7, 95%CI: 1.4, 5.2), high perceived barrier (Adjusted odds ratio=0.30, 95%CI: 0.11, 0.8) and high perceived self-efficacy (Adjusted odds ratio=3.9, 95%CI: 2.0, 7.7). Conclusion: The study revealed a notably low prevalence of BSE practice among the study population compared to previous study conducted in Ethiopia. Factors such as knowledge about breast cancer and breast self-examination, high perceived susceptibility, and high perceived self-efficacy were identified as significant predictors of BSE practice. To address this issue, collaboration and efforts from various stakeholders including Zonal Health department, District health offices, Health workers, and other relevant parties are needed. It is crucial to focus on raising awareness and improving the perception of women regarding BSE to enhance the currently inadequate practice.

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Breast cancer—facts and figures

Cited by 36 publications

References 0 publications

Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Barriers to Mammography Screening among Black Women at a Community Health Center in South Florida, USA

Feasibility of online non‐rigid motion correction for high‐resolution supine breast MRI

Predictors of Breast Self-Examination Practice Among Women Aged 20 and Above In Sidama Region, Southern Ethiopia. Health Belief Model Approach

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