Retrospective observation on contribution and limitations of screening for breast cancer with mammography in Korea: detection rate of breast cancer and incidence rate of interval cancer of the breast

BMC Women's Health

Research Article

Soon Ae Shin¹  Jong Heon Park¹  Young Lan Seo²  Jung Hyun Lee³  Hyeongsu Kim³  Hyoseon Jeong³  Kunsei Lee³  Youngbum Yoo⁴  Sang Eun Nam⁴  Yoo Mi Park⁵  Taehwa Han⁶ 

[1] Bigdata Steering Department, National Health Insurance Service, Wonju, South Korea;Department of Radiology, Kangdong Seong-Sim Hospital, College of Medicine, Hallym University, Seoul, South Korea;Departments of Preventive Medicine, School of Medicine, Konkuk University, 1 Hwayang-dong, Gwangjin-gu, 143-701, Seoul, South Korea;Departments of Surgery, School of Medicine, Konkuk University, Seoul, South Korea;Medical and Health Policy Division, Seoul Metropolitan Government, Seoul, South Korea;Yonsei University Health System, College of Medicine, Yonsei University, Seoul, South Korea;

关键词: Screening;    Breast cancer;    Mammography;   

DOI  :  10.1186/s12905-016-0351-1

 received in 2016-08-02, accepted in 2016-11-03,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe purpose of this study was to determine the benefits and limitations of screening for breast cancer using mammography.MethodsDescriptive design with follow-up was used in the study. Data from breast cancer screening and health insurance claim data were used. The study population consisted of all participants in breast cancer screening from 2009 to 2014. Crude detection rate, positive predictive value and sensitivity and specificity of breast cancer screening and, incidence rate of interval cancer of the breast were calculated.ResultsThe crude detection rate of breast cancer screening per 100,000 participants increased from 126.3 in 2009 to 182.1 in 2014. The positive predictive value of breast cancer screening per 100,000 positives increased from 741.2 in 2009 to 1,367.9 in 2014. The incidence rate of interval cancer of the breast per 100,000 negatives increased from 51.7 in 2009 to 76.3 in 2014. The sensitivities of screening for breast cancer were 74.6% in 2009 and 75.1% in 2014 and the specificities were 83.1% in 2009 and 85.7% in 2014.ConclusionsTo increase the detection rate of breast cancer by breast cancer screening using mammography, the participation rate should be higher and an environment where accurate mammography and reading can be performed and reinforcement of quality control are required. To reduce the incidence rate of interval cancer of the breast, it will be necessary to educate women after their 20s to perform self-examination of the breast once a month regardless of participation in screening for breast cancer.

【 授权许可】

CC BY   
© The Author(s). 2016