Hospital do Servidor Público Estadual "Francisco Morato de Oliveira", São Paulo, SP, Brazil.
Hospital da Mulher, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2024 Oct 14;22:eAO0760. doi: 10.31744/einstein_journal/2024AO0760. eCollection 2024.
Antonini et al. evaluated gynecologists', obstetricians', and family and community physicians knowledge of breast cancer screening and their adherence to recommendations defined by the BI-RADS™ system. The study demonstrated that inadequate training resulted in insufficient screening and failure to follow the protocols recommended by the BIRADS™ system.
■ Variability in screening protocols: only 42.8% of gynecologists and obstetricians follow the 40-74 years protocol, while 76.6% of family physicians follow the 50-69 years protocol.
■ High rate of incorrect BIRADS. interpretation: there were 46.3% incorrect responses among gynecologists and obstetricians and 77.9% among family physicians, highlighting significant knowledge gaps.
■ Misconception about breast ultrasound: 39.1% of gynecologists and obstetricians and 20.3% of family physicians incorrectly consider ultrasound as a screening method.
■ Impact of inadequate training: inadequate training leads to improper screening practices that do not align with the BIRADS. recommended guidelines.
To evaluate the knowledge and practices of gynecologists, obstetricians, and family and community physicians in Brazil regarding breast cancer screening, mammographic findings defined by the BIRADS™ system, and their approach to suspected clinical lesions.
This was an observational, cross-sectional, descriptive study conducted using an online research questionnaire distributed via email to 9,000 gynecologists and obstetricians and 5,600 family and community and preventive medicine doctors actively practicing in Brazil.
Among gynecologists and obstetricians, 42.8% follow the 40-74 years screening, 33.5% follow the 50-69 years screening, and 23.6% do not follow any specific protocol. Among the family and community physicians, 76.6% follow the 50-69 years screening protocol, and 23.4% do not follow any specific protocol. When we evaluated the responses regarding the behaviors of each BIRADS™ classification, 46.3% of responses were wrong among gynecologists and obstetricians, and 77.9% were wrong among community and preventive medicine doctors, exhibiting a significant difference. The role of breast ultrasound in screening was evaluated; 39.1% of gynecologists and obstetricians and 20.3% of community and preventive medicine doctors consider it as a screening method. Among gynecologists and obstetricians who do not follow any screening protocol, 94.7% consider ultrasound as a screening method. Among community and preventive medicine doctors, only 26.5% of physicians who follow the 50-69 years screening method consider it as a screening method.
Inadequate training results in gynecologists and obstetricians, and family and community physicians performing inadequate screening and not following the recommended practices outlined in the BIRADS™ system.
Antonini 等人评估了妇科医生、产科医生和家庭医生对乳腺癌筛查的知识掌握程度以及他们对 BI-RADS™系统定义的建议的遵守情况。研究表明，培训不足导致筛查不足且未能遵循 BI-RADS™系统推荐的方案。
筛选方案存在差异：只有 42.8%的妇科医生和产科医生遵循 40-74 岁的方案，而 76.6%的家庭医生遵循 50-69 岁的方案。
高比例的不正确 BI-RADS 解读：妇科医生和产科医生中有 46.3%的回答不正确，家庭医生中有 77.9%的回答不正确，这突显了明显的知识差距。
对乳腺超声的误解：39.1%的妇科医生和产科医生以及 20.3%的家庭医生错误地将超声视为筛查方法。
培训不足的影响：培训不足导致筛查实践不当，不符合 BI-RADS 推荐的指南。
评估巴西妇科医生、产科医生和家庭医生及社区医生在乳腺癌筛查、BI-RADS™系统定义的乳腺影像学发现以及对疑似临床病变的处理方面的知识和实践情况。
这是一项观察性、横断面、描述性研究，使用在线研究问卷通过电子邮件分发给 9000 名妇科医生和产科医生以及 5600 名活跃于巴西的家庭和社区及预防医学医生。
在妇科医生和产科医生中，42.8%遵循 40-74 岁的筛查方案，33.5%遵循 50-69 岁的筛查方案，23.6%不遵循任何特定方案。在家庭和社区医生中，76.6%遵循 50-69 岁的筛查方案，23.4%不遵循任何特定方案。在评估每个 BI-RADS™分类的行为的回答时，妇科医生和产科医生中有 46.3%的回答是错误的，家庭医生中有 77.9%的回答是错误的，存在显著差异。评估乳腺超声在筛查中的作用；39.1%的妇科医生和产科医生以及 20.3%的家庭医生认为它是一种筛查方法。在不遵循任何筛查方案的妇科医生和产科医生中，94.7%认为超声是一种筛查方法。在遵循 50-69 岁筛查方法的家庭医生中，只有 26.5%认为超声是一种筛查方法。
培训不足导致妇科医生、产科医生和家庭医生进行不充分的筛查，并且不遵循 BI-RADS™系统中规定的推荐实践。
