Characteristics and Correlates of Woman Eligible for Targeted Screening Mammography in Oman
Journal Title: Oman Medical Journal - Year 2017, Vol 32, Issue 6
Abstract
Objectives: We sought to determine the characteristics of women eligible for a high-yield screening mammography program in Oman. Methods: We conducted a retrospective review of women who underwent breast cancer screening at the Oman Cancer Association from 22 December 2009 to 6 February 2011. Women with a Breast Imaging Reporting and Data System (BI-RADS) score of 4–5 were compared with those with a score of 1–3 based on well-known breast cancer risk factors using the case-control approach analysis. Results: A BI-RADS score of 4–5 was found in 16.2% of women screened for breast cancer. A higher likelihood of a BI-RADS score of 4 or 5 was observed among women who did not breastfeed (odds ratio (OR) = 2.564; 95% confidence interval (CI): 1.690, 3.890), had their first pregnancy at an older age (OR = 1.062; 95% CI: 1.041, 1.083), used oral contraceptives (OR = 1.397; 95% CI: 1.008, 1.938), and those who reported a positive family history of malignancies (OR = 1.633; 95% CI: 1.285, 2.076). A BI-RADS score of 4 or 5 was significantly less likely in women with a higher number of full-term pregnancies (OR = 0.919; 95% CI: 0.890, 0.948). BI-RADS 4–5 were independently predicted in women with a lower number of full-term pregnancies, did not breastfeed, used oral contraceptives, and who had a positive family history of malignancies. These variables explained 84.0% of the variation in mammogram results. Conclusions: In the absence of a national screening program for breast cancer, the high-risk approach for screening should be considered. Women with the above characteristics should be identified and motivated to seek mammogram regularly to warrant a better outcome.
Authors and Affiliations
Mahmood Masud Al Awfi, Obaid Said Al-Hubaishi
Keywords
Related Articles
- EP ID EP258995
- DOI 10.5001/omj.2017.88
- Views 83
- Downloads 0
Demographics, Clinical Characteristics, Management, and Outcomes of Acute Heart Failure Patients: Observations from the Oman Acute Heart Failure Registry
Objectives: We sought to describe the demographics, clinical characteristics, management and outcomes of patients in Oman with acute heart failure (AHF) as part of the Gulf aCute heArt failuRe rEgistry (CARE) project....
Massive Gastrointestinal Bleeding from Choriocarcinoma of the Ovary
Choriocarcinoma of the ovary is a rare neoplasm and tends to metastasize early to involve the lungs, brain, and liver. Metastasis to the gastrointestinal tract is rare. We report the case of a young lady, who presented w...
Utility of FNAC in Conjunction with Cell Block for Diagnosing Space-Occupying Lesion (SOL) of Liver with Emphasis on Differentiating Hepatocellular Carcinoma from Metastatic SOL: Analysis of 61 Cases
Objectives: To study the cytological patterns of fine-needle aspiration cytology (FNAC) obtained from space-occupying lesions (SOLs) of the liver with an aim to differentiate primary hepatocellular carcinoma from metasta...
Prevalence and Determinants of Depression and Anxiety Symptoms in Surgical Patients
Objectives: Mood disorders are prevalent in hospitalized patients. However, risk factors for early diagnosis have not been studied exclusively in surgical patients. Our study aimed to investigate the prevalence and deter...
Trends and Histopathological Patterns of Kaposi Sarcoma at The University of Benin Teaching Hospital, Benin City, Nigeria
Objectives: Kaposi sarcoma (KS) shows greater geographic variation in incidence than almost any other vascular tumor globally. KS is common in parts of Sub-Saharan Africa accounting for 9% of all diagnosed cancer cases i...