Interventions Promoting Breast Cancer Screening Among Turkish Women With Global Implications: A Systematic Review

Seçginli, Selda; Nahcivan, Nursen; Güneş, Güssün; Fernandez, Ritin

doi:10.1111/wvn.12245

Cited by 10 publications

(7 citation statements)

References 30 publications

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“…Our indings are consistent with other studies published in this area of interest (Kumar et al, 1999;Moss et al, 1999). A couple of these studies were also done using retrospectively retrieved data (Secginli et al, 2017;Soo et al, 2001) whereas one study was done using a study population of malignant cases obtained from a can-cer registry (Wallis et al, 1991). However, the current study was done by retrospectively retrieving patient data from a prospectively entered database.…”

Section: Discussionsupporting

confidence: 87%

False negativity rate of ultrasonography with mammography in women with palpable breast lumps

Sudha¹,

Moorthy²

2020

ijrps

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This study was performed to determine the false negativity rates of ultrasonography with mammography in the assessment of women with palpable breast lumps. The relevant data on 202 female patients aged above 14 years of age, who had presented to our institution with a breast lump, had been retrospectively reviewed from our hospital database. Out of these, 155 patients for whom mammography with sonography imaging (MSI) was done were included in the study population. It consisted of tissue-positive cases, tissue-negative cases, and false-negative MSI confirmed on pathology. All cancer cases and false-negative cases using MSI were identified. Cancer rates, false-negative rates, and negative predictive values were calculated based on MSI breast imaging reporting and BI-RADS categories. Among patients who had undergone MSI, 73.55 % (114/155) of patients had BI-RADS 1–2. Despite a benign result, 10.5% (12/114) of them had gone ahead with a tissue diagnosis, whereas BI-RADS 4 and 5 had a 100% biopsy rate (28/28, 4/4, respectively). Out of the seventeen cancers detected in toto, only one belonged to BI-RADS 1–2. The false-negative rate of MSI (i.e., BI-RADS 1–2) was found to be 1.75% (1/114). As none of the remaining cases had progressed into malignancy post-follow-up (Median: 9 months, Range: 2 – 13 months), The negative predictive value (NPV) and cancer rate were estimated to be 99.12% and 0.88% respectively. Therefore, low false negativity and high negative predictive value of mammography with ultrasonography imaging for breast lumps were established.

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Section: Discussionsupporting

confidence: 87%

False negativity rate of ultrasonography with mammography in women with palpable breast lumps

Sudha¹,

Moorthy²

2020

ijrps

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“…Eight reviews 69,[76][77][78]84,89,97,98 included group education, of which one systematic review 69 presented results for breast, cervical and colorectal cancer separately (n = 10).…”

Section: Mass Campaign: Group Educationmentioning

confidence: 99%

“…Breast cancer Five studies 69,76,78,97,98 focused on breast cancer and mixed findings were found for the effectiveness of group education. Both meta-analyses, 76,78 rated as having a low risk of bias and high risk of bias, respectively, reported modest effect at best.…”

Section: Mass Campaign: Group Educationmentioning

confidence: 99%

“…One systematic review, 69 rated as having a high risk of bias, reported sufficient evidence for the effectiveness of group education, whereas limited effects were reported by another systematic review 97 that was rated as having a high risk of bias. One systematic review, 98 rated as having a low risk of bias, investigated the effect of group education in Turkish women and found some effectiveness.…”

Section: Mass Campaign: Group Educationmentioning

confidence: 99%

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Modelling tool to support decision-making in the NHS Health Check programme: workshops, systematic review and co-production with users

O’Flaherty

Lloyd-Williams

Capewell

et al. 2021

Health Technol Assess

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Background Local authorities in England commission the NHS Health Check programme to invite everyone aged 40–74 years without pre-existing conditions for risk assessment and eventual intervention, if needed. However, the programme’s effectiveness, cost-effectiveness and equity impact remain uncertain. Aim To develop a validated open-access flexible web-based model that enables local commissioners to quantify the cost-effectiveness and potential for equitable population health gain of the NHS Health Check programme. Objectives The objectives were as follows: (1) co-produce with stakeholders the desirable features of the user-friendly model; (2) update the evidence base to support model and scenario development; (3) further develop our computational model to allow for developments and changes to the NHS Health Check programme and the diseases it addresses; (4) assess the effectiveness, cost-effectiveness and equity of alternative strategies for implementation to illustrate the use of the tool; and (5) propose a sustainability and implementation plan to deploy our user-friendly computational model at the local level. Design Co-production workshops surveying the best-performing local authorities and a systematic literature review of strategies to increase uptake of screening programmes informed model use and development. We then co-produced the workHORSE (working Health Outcomes Research Simulation Environment) model to estimate the health, economic and equity impact of different NHS Health Check programme implementations, using illustrative-use cases. Setting Local authorities in England. Participants Stakeholders from local authorities, Public Health England, the NHS, the British Heart Foundation, academia and other organisations participated in the workshops. For the local authorities survey, we invited 16 of the best-performing local authorities in England. Interventions The user interface allows users to vary key parameters that represent programme activities (i.e. invitation, uptake, prescriptions and referrals). Scenarios can be compared with each other. Main outcome measures Disease cases and case-years prevented or postponed, incremental cost-effectiveness ratios, net monetary benefit and change in slope index of inequality. Results The survey of best-performing local authorities revealed a diversity of effective approaches to maximise the coverage and uptake of NHS Health Check programme, with no distinct ‘best buy’. The umbrella literature review identified a range of effective single interventions. However, these generally need to be combined to maximally improve uptake and health gains. A validated dynamic, stochastic microsimulation model, built on robust epidemiology, enabled service options analysis. Analyses of three contrasting illustrative cases estimated the health, economic and equity impact of optimising the Health Checks, and the added value of obtaining detailed local data. Optimising the programme in Liverpool can become cost-effective and equitable, but simply changing the invitation method will require other programme changes to improve its performance. Detailed data inputs can benefit local analysis. Limitations Although the approach is extremely flexible, it is complex and requires substantial amounts of data, alongside expertise to both maintain and run. Conclusions Our project showed that the workHORSE model could be used to estimate the health, economic and equity impact comprehensively at local authority level. It has the potential for further development as a commissioning tool and to stimulate broader discussions on the role of these tools in real-world decision-making. Future work Future work should focus on improving user interactions with the model, modelling simulation standards, and adapting workHORSE for evaluation, design and implementation support. Study registration This study is registered as PROSPERO CRD42019132087. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 35. See the NIHR Journals Library website for further project information.

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“…Although it is not clear which of these initiatives is strategically effective, the need for further education is clear. [18] Although randomized controlled trials have reported that BSE is not effective in early diagnosis in recent years, many organizations indicate that BSE is an important screening method for increasing women's awareness. [19] According to the "National Standards for Breast Cancer Screening Program" in Turkey, while the main screening method is for women aged 40-69 years to have a mammogram every two years, it is recommended that women participating in screening also perform CBE in order to increase the effectiveness of mammography.…”

Section: Introductionmentioning

confidence: 99%

The effect of planned training regarding breast self-examination on women’s health beliefs

Aksoy

Koçoğlu

2020

Journal of Contemporary Medicine

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This study was conducted quasi-experimentally to determine the effect of planned training regarding breast self-examination on women's health beliefs. Material and Method: The research group consisted of 108 women from the Semi-Open Women's Prison, the Public Training Center, and the Evening Art School and from the Quran Course in the Family Health Center region. Data were collected using a sociodemographic characteristics questionnaire and the Turkish version of the Champion's Health Belief Model Scale. A control group was not used in this study; women's before the training evaluations were used as a control for their evaluations eight weeks after the training. Results: In this study, it was determined that 32.4% of the women had training on breast self-examination and knew to perform breast self-examination. For the recent year, 15.7% of the women have performed breast self-examination, 10.2% have had a clinical breast examination and 10.4% have had mammography. After the training, it was determined that there was a significant positive increase in the perceptions of susceptibility, seriousness, benefit, confidence and health motivation subscales of the Champion's Health Belief Model Scale. In addition, the perception of barriers declined significantly in a positive direction (p<0.05). Conclusion: It was determined that the rate of women performing breast self-examination and having a mammogram was low and that there was a significant increase in the Champion's Health Belief Model Scale subscales after the training compared to before the training evaluations. It is recommended that midwives and nurses should consider the health beliefs of women in breast examination training and prepare their training programs accordingly.

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Interventions Promoting Breast Cancer Screening Among Turkish Women With Global Implications: A Systematic Review

Cited by 10 publications

References 30 publications

False negativity rate of ultrasonography with mammography in women with palpable breast lumps

False negativity rate of ultrasonography with mammography in women with palpable breast lumps

Modelling tool to support decision-making in the NHS Health Check programme: workshops, systematic review and co-production with users

The effect of planned training regarding breast self-examination on women’s health beliefs

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