40至69岁女性未及时转诊至预防医学机构进行乳腺癌检测及其与乳腺影像报告和数据系统（BI-RADS）分类的关联

Non-timely referral of women aged 40 to 69 to preventive medicine for breast cancer detection and its association with the BI-RADS classification.

作者信息

Gutiérrez Georgina Lizeth Villagrana, García Alberto Monroy, Benavente Evelyn Patricia Larraga, Mejía Fernando Herrera, Gómez Roberto Terrones, Villalón Fernando Rodríguez

机构信息

Headship Family Medicine, FMU1, DAOB Aguascalientes, IMSS, ZC 20270 Aguascalientes, México.

Immunology and Cancer Laboratory, UIMEO, H Oncology, CMN SXXI, IMSS, Z.C. 06720 México City, México.

出版信息

Prev Med Rep. 2023 Aug 15;35:102369. doi: 10.1016/j.pmedr.2023.102369. eCollection 2023 Oct.

DOI:10.1016/j.pmedr.2023.102369

PMID:37654516

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10465932/

Abstract

PURPOSE

In the first level of health care, the timely detection of breast cancer is essential to prevent the progression of the disease, obtain optimal treatment and improve the prognosis and survival of patients. The objective of this study was to analyze the opportunity in referral to the Preventive Medicine Modules offered to women aged 40 to 69 years of the Family Medicine Unit 1, of the Mexican Social Security Institute, Decentralized Administrative Operation Body, Aguascalientes, Mexico, by their family physician, and its impact in the findings of mammographic screening according to the BI-RADS classification. Methods This was a cross-sectional comparative study of 412 mammograms performed on women aged 40 to 69, who were treated in the preventive medicine modules from January 2019 to June 2021. Data collection was carried out by simple random sampling using a checklist. Multiple logistic regression models adjusted for age were applied.

RESULTS

A total of 90.29% of the patients who underwent screening mammography were not referred in a timely manner to the preventive medicine modules by the family physician, this delay in diagnosis and treatment increased by 3.01 times the probability of having a classification BI-RADS suspected of malignancy compared to those women whose referral was timely (OR adj = 3.01, 95% CI 1.04-8.72, p = 0.041).

CONCLUSION

The untimely referral of women aged 40-69 to preventive medicine modules for the detection of breast cancer increases the risk of finding a malignant lesión.

摘要

目的

在初级卫生保健中，乳腺癌的及时检测对于预防疾病进展、获得最佳治疗以及改善患者的预后和生存率至关重要。本研究的目的是分析墨西哥社会保障机构阿瓜斯卡连特斯市第一家庭医学单位（分散行政运营机构）的家庭医生将40至69岁女性转介至预防医学模块的时机，及其对根据乳腺影像报告和数据系统（BI-RADS）分类进行的乳房X线筛查结果的影响。方法：这是一项横断面比较研究，对2019年1月至2021年6月在预防医学模块接受治疗的40至69岁女性进行的412例乳房X线检查进行了分析。使用清单通过简单随机抽样进行数据收集。应用了针对年龄进行调整的多元逻辑回归模型。