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Leite IB, Moterani NJW, Moterani VC, Moterani LBBG, dos Reis FJC. A propensity score-matched retrospective cohort study of hysterectomies for benign disease during the COVID-19 pandemic. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:458-462. [PMID: 36820776 PMCID: PMC10004295 DOI: 10.1590/1806-9282.20221564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Accepted: 12/15/2022] [Indexed: 02/22/2023]
Abstract
OBJECTIVE This study aimed to evaluate how the pandemic might have affected the number of elective and urgent hysterectomies for benign gynecological pathologies in a single-care tertiary center in the State of São Paulo, Brazil, and to identify if there were any changes in the need for blood transfusions. METHODS This is a single-center retrospective cohort study. It involved all non-puerperal and non-oncological hysterectomies from October 2018 to July 2021. Patients were divided into two groups, namely, the pandemic group (46 patients) and the control group (92 patients). Data were collected by reviewing the physical and electronic patient records. We carried out the statistical analysis using the RStudio software. RESULTS The number of planned hysterectomies was 82 in the pre-pandemic group and 23 in the analysis group, representing a 71.9% decrease. When considering only urgent surgeries, 10 of them happened in the pre-pandemic group, while 23 occurred in the pandemic group, representing an increase of 130%. CONCLUSION Elective hysterectomies may improve the quality of life of women, reducing abnormal bleeding and pelvic pain. Treatment delay can worsen patients' physiological and biological conditions, such as lower labor production, humor, and social aspects, increasing costs to the healthcare system.
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Affiliation(s)
| | - Nino Jose Wilson Moterani
- Faculdade de Medicina de Marília, Department of Gynecology and Obstetrics – Marília (SP), Brazil
- Universidade de São Paulo, Ribeirão Preto Medical School, Department of Gynecology and Obstetrics – Ribeirão Preto (SP), Brazil
| | - Vinicius Cesar Moterani
- Faculdade de Medicina de Marília, Department of Gynecology and Obstetrics – Marília (SP), Brazil
| | | | - Francisco José Candido dos Reis
- Universidade de São Paulo, Ribeirão Preto Medical School, Department of Gynecology and Obstetrics – Ribeirão Preto (SP), Brazil
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Šantrić Milićević M, Djurin A, Terzić-Šupić Z, Todorović J, Nikolić D, Soldatović I. Knowledge and barriers to early detection of breast cancer among female primary care patients in Serbia. Cent Eur J Public Health 2022; 30:119-130. [PMID: 35876601 DOI: 10.21101/cejph.a6305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 05/16/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Breast cancer is the leading cause of cancer mortality among women in Serbia and accounts for 22.8% of total cancer mortality in 2018. This study assessed the knowledge and barriers to early detection of breast cancer in women. METHODS In March 2019, at the Primary Healthcare Centre Kikinda, Serbia, a 22-item questionnaire was distributed to a series of patients (N = 403, response rate 91.8%) to assess the odds ratio (OR) and 95% confidence interval (CI) between variables explaining knowledge of breast cancer symptoms and risk factors and barriers to screening, and four types of early detection of breast cancer. RESULTS The majority of patients (85.4%) know that a lump in a breast is a common symptom of breast cancer and that a family history of breast cancer is a risk factor (80.1%); 63.8% of respondents aged ≥ 30 years self-examined their breasts in the past month, 39.1% of patients aged ≥ 40 years had clinical, while 34.4% had ultrasound breast examination in the past year, and 51.1% of patients aged ≥ 50 years had mammography once in the past two years. Patients aged ≥ 40 years retired and those with a positive family history were 84% and 63% less likely not to undergo a clinical breast examination in the past year. Participants over 40 years of age who reported a lack of funds were 2.46 times more likely to miss a clinical breast examination than those who did not have that barrier. Among participants aged 50-69 years, the likelihood of not receiving the mammography increases by 2.82 with an increase in wealth status and it was 65% lower for those who lack information about the available treatment. CONCLUSION Women under the age of 50 rarely practice breast cancer screening. Study findings can be used to improve breast cancer screening at the primary level.
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Affiliation(s)
| | - Ana Djurin
- Primary Healthcare Centre of Kikinda, Kikinda, Serbia
| | - Zorica Terzić-Šupić
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia
| | - Jovana Todorović
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia
| | - Dejan Nikolić
- University Children's Hospital, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ivan Soldatović
- Faculty of Medicine, Institute for Statistics and Medical Informatics, University of Belgrade, Belgrade, Serbia
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Moterani Júnior NJW, Moterani VC, Moterani LBBG, Pimentel FF, Reis FJCD. Impact of coronavirus disease 2019 pandemic on breast cancer screening and detection of high-risk mammographic findings. REVISTA DA ASSOCIAÇÃO MÉDICA BRASILEIRA 2022; 68:842-846. [DOI: 10.1590/1806-9282.20220182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 11/22/2022]
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Moreira CB, Dahinten VS, Howard AF, Fernandes AFC, Schirmer J. Factors related to mammography adherence among women in Brazil: A scoping review. Nurs Open 2020; 8:2035-2049. [PMID: 34388860 PMCID: PMC8363398 DOI: 10.1002/nop2.706] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/30/2020] [Accepted: 11/04/2020] [Indexed: 01/24/2023] Open
Abstract
AIM To explore and synthesize the literature on factors related to mammography screening adherence among women in Brazil. DESIGN A scoping review. METHODS We searched 11 databases for studies published between 2006-January 2020. All identified articles were screened, and data were extracted from eligible studies. We used the UK Government Social Research Service weight of evidence appraisal tool to appraise the quality of the included study. RESULTS From a total of 1,384 identified articles, 22 were retained. All included studies used quantitative, non-experimental methods and all but two studies used cross-sectional data. Quality of evidence varied across studies. We identified 41 factors that were investigated across the set of studies. Demographic and socio-economic factors were the most commonly investigated, with older age, urban residence, living in the southeast of Brazil, higher level of education, higher income and private health insurance most consistently associated with mammography adherence.
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Affiliation(s)
- Camila Brasil Moreira
- School of Nursing, Federal University of São Paulo, São Paulo, Brazil.,School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - V Susan Dahinten
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - A Fuchsia Howard
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | | | - Janine Schirmer
- School of Nursing, Federal University of São Paulo, São Paulo, Brazil
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Soylar P, Özer A, Doğan Yüksekol Ö, Ulucan M. Knowledge, Attitude, and Practice Regarding Cancer Screening Tests Among Health Workers in a University Hospital in Turkey. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2020; 35:718-723. [PMID: 30937881 DOI: 10.1007/s13187-019-01517-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Health workers play an important role in the early detection of cancer and encouraging people to participate in screening tests. This study aimed to analyze the knowledge, attitude, and practice of health workers regarding cancer screening and to determine variables that affect their behavior in undergoing in screening tests. This descriptive study was conducted among 475 health workers (84 assistant doctors, 306 nurses, 65 midwives, and 20 other professionals) in a university hospital. The questionnaire included sociodemographic questions (age, profession, years of experience, and family history of cancer) and questions about the workers' knowledge, attitude, and practice regarding cancer screening. It was found that half of the participants had inadequate knowledge of cancer screening methods (50.3% for Pap smear, 57.5% for mammography, 68.4% for colonoscopy, and 54.3% for fecal occult blood). Although the attitudes of the health workers were mostly positive (above 90% for all screening tests), their practice of screening methods was low (for example 25.7% of them practiced mammography and 4.2% pap smear). Older health workers, those with a family history of cancer, and those with more than 11 years of experience tended to participate in cancer screening tests more often than health workers who were younger, had no family history of cancer history, and whose experience was less than 10 years (p < 0.05). A health worker's profession was not an important factor in their practice of undergoing screening tests (p > 0.05).
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Affiliation(s)
- Pınar Soylar
- Health Sciences Faculty, Firat University, 23119, Elazig, Turkey.
| | - Ali Özer
- Medicine Faculty, Inonu University, Malatya, Turkey
| | | | - Mihriban Ulucan
- Health Sciences Faculty, Firat University, 23119, Elazig, Turkey
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Açucena Vieira Alves S, Weller M. Breast Cancer Risk Perception and Mammography Screening Behavior of Women in Northeast Brazil. WOMEN'S HEALTH REPORTS 2020; 1:150-158. [PMID: 33786479 PMCID: PMC7784808 DOI: 10.1089/whr.2019.0026] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: Previous studies suggest that education and income affect Brazilian women's breast cancer prevention behavior. The present study focused on the impact of perceived and estimated risk on mammography screening (MS) behavior. Materials and Methods: Information regarding socioeconomic variables and risk perception was obtained from 396 healthy women aged 40-79 years. Perceived comparative risk was measured on a seven-point Likert scale. A Breast Cancer Risk Assessment Tool of 5-year risk to develop breast cancer was used to determine objective risk. Estimated comparative risk was determined as categories of perceived risk relative to the objective risk. Regression analysis was applied to determine odds ratios (ORs) and confidence intervals (95% CIs) of variables. Results: Asked about the potential of MS to lower risk of death because of breast cancer, 215 (54.29%) responded that it does not lower risk. Women with low perceived comparative risk had a twofold (OR = 0.493; 95% CI: 0.24-1.00) decreased chance to participate in MS annually, compared with women with high-perceived comparative risk (p = 0.020). Women without family history had a 7.6-fold (OR = 0.132; 95% CI: 0.07-0.25) decreased chance of having a high-perceived comparative risk (p = 0.000). If compared with underestimation, the overestimation and accurate estimation of comparative risk tended to be associated with a decreased chance of MS attendance (p = 0.017). Regression modeling indicated that low educational level, no occupation, and no family history decreased the chance of women having MS (p = 0.040; p = 0.010; p = 0.022). Conclusions: Risk perception depended on family history. Present data did not indicate that overestimation, or accurate estimation of comparative risk, increased chance of MS attendance. Educational level, occupation status, and family history, instead, determined MS performance.
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Affiliation(s)
| | - Mathias Weller
- Post Graduate Program in Public Health, State University of Paraíba (UEPB), Campina Grande, Paraíba, Brazil
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Alameer A, Mahfouz MS, Alamir Y, Ali N, Darraj A. Effect of Health Education on Female Teachers' Knowledge and Practices Regarding Early Breast Cancer Detection and Screening in the Jazan Area: a Quasi-Experimental Study. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:865-870. [PMID: 29951902 PMCID: PMC6785574 DOI: 10.1007/s13187-018-1386-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Educational programs are important tools for breast cancer prevention. The purpose of this study was to assess the effectiveness of health education in improving the knowledge and practices of female teachers regarding screening tools and the early detection of breast cancer. A two-group quasi-experimental design was conducted among 150 female teachers, who were selected from 75 schools of the Jazan General Administration of Education. Schools were chosen by a simple cluster randomization method and non-randomly assigned to either the intervention or control group. Eligible participants were recruited by a simple randomization method, proportional to the total number of teachers at each school. Those in the intervention group (n = 75) were compared to the control group (n = 75) at baseline, as well as at 6 weeks and 3 months post-intervention. Knowledge of breast cancer screening tools was measured using a modified version of the Breast Cancer Knowledge test. Breast self-examination, clinical breast examination, and mammography practices were also measured. Compared to the control group, the intervention group showed a statistically significant increase in knowledge and practice levels at both 6 weeks and 3 months post-intervention. Thus, the results of this study provide evidence that group health education programs are effective in improving breast cancer knowledge and practices in female teachers. Clinical Trial Registration number: NCT03398057 .
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Affiliation(s)
- Anwar Alameer
- Jazan Health Directorate, Ministry of Health, P.O. Box 1121, Abu Arish 45911, Jazan, Saudi Arabia.
| | - Mohamed Salih Mahfouz
- Family and Community Medicine Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Yahya Alamir
- Health Education and Promotion Department, Faculty of Public health and Tropical Medicine, Jazan University, Jazan, Saudi Arabia
| | - Nasir Ali
- Health Education and Promotion Department, Faculty of Public health and Tropical Medicine, Jazan University, Jazan, Saudi Arabia
| | - Abdulaziz Darraj
- Jazan Health Directorate, Ministry of Health, P.O. Box 1121, Abu Arish 45911, Jazan, Saudi Arabia
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