Outcome of mammography screening in Taiwan

Chou, Hsiao-Ping; Tseng, Ling‐Ming

doi:10.1016/j.jcma.2014.08.003

Cited by 4 publications

(7 citation statements)

References 12 publications

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“…In Taiwan, the government has promoted biennial mammograms for women aged 50–69 since 2004 and expanded the recommendation in 2009 to include women aged 45–69. The screening program was further extended in 2010 to include high-risk women aged 40–44 [ 5 ]. All participants must complete a risk factor questionnaire before the mammographic examination.…”

Section: Introductionmentioning

confidence: 99%

An Integrated Machine Learning Scheme for Predicting Mammographic Anomalies in High-Risk Individuals Using Questionnaire-Based Predictors

Sun

Tang

Liu

et al. 2022

IJERPH

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This study aimed to investigate the important predictors related to predicting positive mammographic findings based on questionnaire-based demographic and obstetric/gynecological parameters using the proposed integrated machine learning (ML) scheme. The scheme combines the benefits of two well-known ML algorithms, namely, least absolute shrinkage and selection operator (Lasso) logistic regression and extreme gradient boosting (XGB), to provide adequate prediction for mammographic anomalies in high-risk individuals and the identification of significant risk factors. We collected questionnaire data on 18 breast-cancer-related risk factors from women who participated in a national mammographic screening program between January 2017 and December 2020 at a single tertiary referral hospital to correlate with their mammographic findings. The acquired data were retrospectively analyzed using the proposed integrated ML scheme. Based on the data from 21,107 valid questionnaires, the results showed that the Lasso logistic regression models with variable combinations generated by XGB could provide more effective prediction results. The top five significant predictors for positive mammography results were younger age, breast self-examination, older age at first childbirth, nulliparity, and history of mammography within 2 years, suggesting a need for timely mammographic screening for women with these risk factors.

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Section: Introductionmentioning

confidence: 99%

An Integrated Machine Learning Scheme for Predicting Mammographic Anomalies in High-Risk Individuals Using Questionnaire-Based Predictors

Sun

Tang

Liu

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Therefore, the actual incidence of invasive breast cancer increased significantly. 6 In 2011, the IR of breast cancer was 64.3 per 100,000 women after adjustment for age, contributing to a mortality rate of 15.99 per 100,000 women. This represented the 4 th highest mortality rate of all cancer deaths.…”

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confidence: 99%

“…This represented the 4 th highest mortality rate of all cancer deaths. 6 However, the IR of breast cancer seemed to be continuously elevated. By contrast, breast cancer-related mortality also seemed to increase, a trend which appears poised to remain unchanged in the near future.…”

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confidence: 99%

“…In fact, this program provided by the Taiwan's Health Promotion Administration in the Ministry of Health and Welfare should be a functional and valuable public policy to promote women's health. 6 In addition, given the media attention devoted to the topic of breast cancer, high profile fundraising events and the abundance of breast cancer awareness efforts, government officials might concluded that a majority of women are well informed about breast cancer and perhaps assume that the path to cancer screening and evaluation is well-marked and free of barriers, as stated by Dr. Harvey. 7 Unfortunately, the mammography screening outcome appeared to be significantly different and potentially inferior to that of Pap smear.…”

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confidence: 99%

“…In fact, the subsequent financial charges and other challenges to patients associated with unnecessary recall have not been extensively reported in the breast cancer screening literature. 6 In addition, Dr. Pan in this issue might have displayed a greater interest in the decreasing of false negative cases instead of false positive screening mammography. 1 However, false positive screening mammography is an important issue not only arising from the considerable increase in financial cost it poses, but also for the emotional cost as well.…”

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confidence: 99%

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