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Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey

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Titel: Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
Autoren: Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
Weitere Verfasser: Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park, Nam, Jung Mo
Quelle: BMC Womens Health
BMC Women's Health, Vol 23, Iss 1, Pp 1-9 (2023)
Verlagsinformationen: Springer Science and Business Media LLC, 2023.
Publikationsjahr: 2023
Schlagwörter: Overdiagnosis, Breast Neoplasms* / epidemiology, Breast Neoplasms, Thyroid cancer, 03 medical and health sciences, Breast cancer, 0302 clinical medicine, South Korea, Humans, Mass Screening, Thyroid Neoplasms, Early Detection of Cancer, Ultrasonography, Research, Gynecology and obstetrics, Breast Neoplasms* / diagnosis, 3. Good health, Asymptomatic, Thyroid Neoplasms* / diagnostic imaging, Cross-Sectional Studies, Thyroid Neoplasms* / epidemiology, Screening, RG1-991, Thyroid cancer screening, Female, Self Report, National screening survey, Public aspects of medicine, RA1-1270, Early Detection of Cancer / methods, Mammography
Beschreibung: Background South Korea has the highest incidence of thyroid cancer worldwide, raising questions regarding the possibility of overdiagnosis. Examining the factors affecting thyroid cancer screening is crucial in elucidating the reasons for this unusually high incidence of thyroid cancer. Therefore, in the present study, we investigated the association between breast cancer screening and thyroid cancer screening to determine the potential role of breast cancer screening in the overdiagnosis of thyroid cancer in South Korea. Methods We analyzed the data of women aged > 30 years who were enrolled in the 2014 Korean National Cancer Screening Survey. Self-reported breast cancer screening behavior was categorized as follows: no screening, mammography only, ultrasonography only, and both ultrasonography and mammography. Thyroid cancer screening behavior was categorized as follows: those who had or had not undergone ultrasonography screening. Logistic regression analysis was used to examine the associations between breast and thyroid cancer screening behaviors. Results Of the 2270 participants, a total of 569 (25.1%) were screened for thyroid cancer. Those who underwent only mammography, only ultrasonography, or both mammography and ultrasonography were more likely to be screened for thyroid cancer than those who did not undergo breast cancer screening (odds ratio [OR]: 1.47, 95% confidence interval [CI] 1.06–2.04; OR 2.71, 95% CI 1.83–4.02; OR 2.75, 95% CI 1.99–3.80, respectively). Conclusions Our findings indicate that thyroid cancer screening in Korea is likely to be performed on an opportunistic basis. Therefore, a nationwide public health and medical initiative is needed to curb the unnecessary use of thyroid screening in the asymptomatic general population.
Publikationsart: Article
Other literature type
Sprache: English
ISSN: 1472-6874
DOI: 10.1186/s12905-023-02205-6
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/36782225
https://doaj.org/article/a4eedec3be1b466d9d649b594d885252
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CC BY NC ND
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  Data: Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
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  Data: <searchLink fieldCode="AR" term="%22Eunhye+Lee%22">Eunhye Lee</searchLink><br /><searchLink fieldCode="AR" term="%22Sung+Hoon+Jeong%22">Sung Hoon Jeong</searchLink><br /><searchLink fieldCode="AR" term="%22Chung+Mo+Nam%22">Chung Mo Nam</searchLink><br /><searchLink fieldCode="AR" term="%22Jae+Kwan+Jun%22">Jae Kwan Jun</searchLink><br /><searchLink fieldCode="AR" term="%22Eun-Cheol+Park%22">Eun-Cheol Park</searchLink>
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  Data: Eunhye Lee<br />Sung Hoon Jeong<br />Chung Mo Nam<br />Jae Kwan Jun<br />Eun-Cheol Park<br />Nam, Jung Mo
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  Data: BMC Womens Health<br />BMC Women's Health, Vol 23, Iss 1, Pp 1-9 (2023)
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  Data: 2023
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  Data: <searchLink fieldCode="DE" term="%22Overdiagnosis%22">Overdiagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+Neoplasms*+%2F+epidemiology%22">Breast Neoplasms* / epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+Neoplasms%22">Breast Neoplasms</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+cancer%22">Thyroid cancer</searchLink><br /><searchLink fieldCode="DE" term="%2203+medical+and+health+sciences%22">03 medical and health sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%220302+clinical+medicine%22">0302 clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22South+Korea%22">South Korea</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Mass+Screening%22">Mass Screening</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+Neoplasms%22">Thyroid Neoplasms</searchLink><br /><searchLink fieldCode="DE" term="%22Early+Detection+of+Cancer%22">Early Detection of Cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Ultrasonography%22">Ultrasonography</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Gynecology+and+obstetrics%22">Gynecology and obstetrics</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+Neoplasms*+%2F+diagnosis%22">Breast Neoplasms* / diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%223%2E+Good+health%22">3. Good health</searchLink><br /><searchLink fieldCode="DE" term="%22Asymptomatic%22">Asymptomatic</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+Neoplasms*+%2F+diagnostic+imaging%22">Thyroid Neoplasms* / diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-Sectional+Studies%22">Cross-Sectional Studies</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+Neoplasms*+%2F+epidemiology%22">Thyroid Neoplasms* / epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Screening%22">Screening</searchLink><br /><searchLink fieldCode="DE" term="%22RG1-991%22">RG1-991</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+cancer+screening%22">Thyroid cancer screening</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Report%22">Self Report</searchLink><br /><searchLink fieldCode="DE" term="%22National+screening+survey%22">National screening survey</searchLink><br /><searchLink fieldCode="DE" term="%22Public+aspects+of+medicine%22">Public aspects of medicine</searchLink><br /><searchLink fieldCode="DE" term="%22RA1-1270%22">RA1-1270</searchLink><br /><searchLink fieldCode="DE" term="%22Early+Detection+of+Cancer+%2F+methods%22">Early Detection of Cancer / methods</searchLink><br /><searchLink fieldCode="DE" term="%22Mammography%22">Mammography</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Background South Korea has the highest incidence of thyroid cancer worldwide, raising questions regarding the possibility of overdiagnosis. Examining the factors affecting thyroid cancer screening is crucial in elucidating the reasons for this unusually high incidence of thyroid cancer. Therefore, in the present study, we investigated the association between breast cancer screening and thyroid cancer screening to determine the potential role of breast cancer screening in the overdiagnosis of thyroid cancer in South Korea. Methods We analyzed the data of women aged > 30 years who were enrolled in the 2014 Korean National Cancer Screening Survey. Self-reported breast cancer screening behavior was categorized as follows: no screening, mammography only, ultrasonography only, and both ultrasonography and mammography. Thyroid cancer screening behavior was categorized as follows: those who had or had not undergone ultrasonography screening. Logistic regression analysis was used to examine the associations between breast and thyroid cancer screening behaviors. Results Of the 2270 participants, a total of 569 (25.1%) were screened for thyroid cancer. Those who underwent only mammography, only ultrasonography, or both mammography and ultrasonography were more likely to be screened for thyroid cancer than those who did not undergo breast cancer screening (odds ratio [OR]: 1.47, 95% confidence interval [CI] 1.06–2.04; OR 2.71, 95% CI 1.83–4.02; OR 2.75, 95% CI 1.99–3.80, respectively). Conclusions Our findings indicate that thyroid cancer screening in Korea is likely to be performed on an opportunistic basis. Therefore, a nationwide public health and medical initiative is needed to curb the unnecessary use of thyroid screening in the asymptomatic general population.
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        Value: 10.1186/s12905-023-02205-6
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      – SubjectFull: Breast Neoplasms* / epidemiology
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