Modes of Early Detection of Breast Cancer in Katowice Region, Poland

Jan Eugeniusz Zejda and Angelina Kaleta
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Jan Eugeniusz Zejda: Department of Epidemiology, School of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland
Angelina Kaleta: Department of Epidemiology, School of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland

IJERPH, 2020, vol. 17, issue 8, 1-7

Abstract: Background: Our 2004 survey of breast cancer survivors in the Katowice region (Poland) showed that the detection of the disease was triggered by self-examination in 58.9%, mammography in 19.2%, and clinical examination in 19.7% of cases. The purpose of the current study (2019/2020) was to determine if the implementation of national screening (mammography) in 2007 resulted in an increase of the relative contribution of mammography to detection of cancer. Methods: Subjects were 215 breast cancer patients, members of self-support groups in Katowice region. The questionnaire included questions on early detection of breast cancer, participation in screening, and socio-economic status. Results: Early detection of cancer was initiated by self-examination in 63.7%, mammography in 22.8%, clinical examination in 13.5% of subjects. Age at detection depended on the method ( p < 0.001): 54.1 ± 10.8 years for self-examination, 60.0 ± 7.6 years for mammography, and 58.7 ± 10.8 years for clinical examination. Conclusions: Both in 2004 and 2020 self-examination is the most frequent method of early detection of breast cancer in the study area. The contribution of mammography remains on a low level (23%). This finding could be explained by a low participation in screening and by age of 50 years used as the entry criterion to national screening of breast cancer in Poland.

Keywords: breast cancer; early diagnosis; survivors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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