Clinical Factors Associated with Asymptomatic Women Having Inconclusive Screening Mammography Results: Experiences from a Single Medical Center in Taiwan

Chun-Li Wang, Pi-Shan Hsu, Chia-Yen Lin and Shun-Fa Yang
Additional contact information
Chun-Li Wang: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Pi-Shan Hsu: Department of Family Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan
Chia-Yen Lin: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
Shun-Fa Yang: Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan

IJERPH, 2021, vol. 18, issue 10, 1-10

Abstract: Screening mammography is used worldwide for the early detection of breast cancer in women experiencing no symptoms. The Breast Imaging Reporting and Database System (BI-RADS) is used to report mammographic findings. However, little is known about the clinical characteristics of Asian women with BI-RADS category 0, and we aimed to explore such characteristics in the context of Taiwan. This retrospective cross-sectional study was conducted using data from a single tertiary medical center. We examined the association of blood test data and estrogen exposure–related medical histories with BI-RADS reports from screening mammography of 4280 women between 1 January 2010 and 31 July 2019. The data of 4280 participants were evaluated, and they were categorized into BI-RADS category 0 ( n = 413; 9.6%) and 1–5 ( n = 3867; 90.4%) subgroups. In a multivariate analysis, breast surgery history and premenopausal status had a positive relationship with a category 0 status, with respective risk increases of 64% and 34% ( p = 0.010 and 0.013). Hormone contraceptive use for ≥5 years was a negative independent predictor of having a category 0 status. In conclusion, breast surgery history and premenopausal status significantly increased the likelihood of individuals having incomplete mammographic findings, even when they were older than 45 years. Identifying related factors before screening mammography is helpful for clinical physicians to arrange more proper and alternative examination and obtain a definite diagnosis.

Keywords: mammography; BI-RADS 0; breast cancer screening; preventive medicine (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/10/5410/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/10/5410/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:10:p:5410-:d:557468

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().