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Abstract
QUALITY OF BREAST CANCER EARLY DETECTION SERVICES: AUDIT OF BREAST SERVICE IN AL YARMOUK TEACHING HOSPITAL
Khalid Rajab Kareem*, Marwah Imad Al Ameen, Sarah Ali Hussein and Farah Qahtan Mahgoob
ABSTRACT
Background: Breast cancer (BC) is a global challenge. Women in low and middle-income countries facesteeplechases to BC care, from accessing early detection programs to receiving timely diagnosis and treatment.The current study objective is to assess the quality of breast cancer early detection services in a single center.Patients and methods: A cross sectional study conducted in the breast-early detection clinic in Al Yarmoukteaching hospital. Data collection and interviewing beneficiaries was done for calendar year 2022. Three measuresregarding mammograms interpretation and another two for cancer detection were calculated. Results: A total of2456 mammograms were performed, 381patients had abnormal-mammograms. Recall rate was 15.5%, while33.5% were lost at follow-up imaging. A total of 118 patients were recommended for FNA/Biopsy, of them22.8% were lost to follow-up. 77.2% received FNA/Biopsy within 1-30 days. The rate of having breast cancer ifone received a biopsy after abnormal mammogram was 60.4%. The cancer detection rate after abnormalmammogram test was 22.3/1000 mammograms performed. Both cancer detection indicators exceed thebenchmarks. Conclusions: High-quality BC early detection service is achievable if certain considerations weremet.
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