Screening strategy modification based on personalized breast cancer risk stratification and its implementation in the national guidelines – pilot study
, , , , , , e | 18 ott 2020
INFORMAZIONI SU QUESTO ARTICOLO
Article Category: Research Article
Pubblicato online: 18 ott 2020
Pagine: 211 - 218
Ricevuto: 24 mar 2020
Accettato: 31 ago 2020
DOI: https://doi.org/10.2478/sjph-2020-0027
Parole chiave
© 2020 National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Breast cancer risk categories for Slovenian women.
| Breast cancer risk category |
||||
|---|---|---|---|---|
| Low risk |
Population risk |
Moderately increased |
High risk |
|
| - | <16 | 16 and higher | >30 | |
| - | <2.0 | 2.0 to 6.5 | >6.5 | |
| <1.3 | 1.3 to<4.0 | 4.0 to 6.5 | >6.5 | |
| <1.3 | 1.3 to<5.5 | 5.5 to 6.5 | >6.5 | |
Characteristics of the studied women according to breast cancer risk factors.
| Number of women | Percent (%) | |
|---|---|---|
| 20-39 years | 87 | 44.2 |
| 40-49 years | 104 | 52.8 |
| 50-59 years | 6 | 3.0 |
| positive | 62 | 31.5 |
| negative | 135 | 68.5 |
| <11 years | 7 | 3.6 |
| 11-12 years | 57 | 28.9 |
| 13-14 years | 108 | 54.8 |
| >15 years | 25 | 12.7 |
| <25 years | 81 | 41.1 |
| 25-29 years | 54 | 27.4 |
| >30 years | 31 | 15.7 |
| nulliparous | 31 | 15.7 |
The summary of criteria for the higher risk women category and advised breast cancer screening tests according to current Rules on Carrying Out Preventive Health Care at the Primary Level (5).
| Criteria for higher breast cancer risk category |
Screening tests at a Breast Unit for the higher breast cancer risk category |
|---|---|
| Clinical breast examination (every 12-24 months) and Mammography and/or ultrasound examination of the breast or No screening is performed according to clinician decision | |
Comparison of anticipated mammographic screening and screening foreseen in the new Slovenian guidelines by breast cancer risk categories and age groups.
| Anticipated mammographic screening (number of women) |
Mammographic screening according to the new Slovenian guidelines (number of women) |
|||
|---|---|---|---|---|
| Breast cancer risk category Risk category was determined by S-IBIS calculation, and division into risk groups was performed as proposed in |
Population risk | Moderately increased risk | Population risk | Moderately increased risk |
| 5 | 4 | 0 | 0 | |
| 43 | 27 | 0 | 34 | |
| 1 | - | 6 | - | |
| 49 | 31 | 6 | 34 | |
Comparison of anticipated ultrasound screening for breast cancer prevention and screening foreseen in the new Slovenian guidelines by breast cancer risk categories and age groups.
| Anticipated ultrasound screening (number of women) |
Ultrasound screening according to the new Slovenian guidelines |
|||
|---|---|---|---|---|
| Breast cancer risk category Risk category was determined by S-IBIS calculation, and division into risk groups was performed as proposed in |
Population risk | Moderately increased risk | Population risk | Moderately increased risk |
| 7 | 3 | According to the new guidelines ultrasound screening is recommended only upon referral from a radiologist | ||
| 14 | 9 | |||
| 0 | - | |||
| 21 | 12 | |||