Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps

Detalhes bibliográficos
Autor(a) principal: Sanvido, Vanessa Monteiro [UNIFESP]
Data de Publicação: 2017
Outros Autores: Watanabe, Andrea Yumi [UNIFESP], de Araujo Neto, Joaquim Teodoro [UNIFESP], Elias, Simone [UNIFESP], Facina, Gil [UNIFESP], Pinto Nazario, Afonso Celso [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/0013000016cv7
DOI: 10.7860/JCDR/2017/25504.9987
Texto Completo: http://dx.doi.org/10.7860/JCDR/2017/25504.9987
https://repositorio.unifesp.br/handle/11600/53691
Resumo: Introduction: Recent studies have questioned the efficacy of mammo-graphy in reducing breast cancer-related mortality. Additionally, the efficacies of commercially available gloves marketed as aiding the detection of breast lumps have not been independently verified. Aim: To evaluate the efficacy of clinical breast examination gloves in the detection of breast lumps. Materials and Methods: During the period from October 2011 to June 2012, patients were submitted to clinical examination with and without gloves. This prospective study involved 202 patients who underwent conventional clinical breast examination (test 1) or clinical breast examination with Sensifemme r gloves (test 2). All patients underwent subsequent bilateral ultrasonography (test 3) to confirm the findings of the physical examinations. The Chi-square test was used to compare values, while the kappa concordance index was used to determine the concordance between the diagnostic tests. Results: The mean age of the patients was 43 years
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spelling Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast LumpsBreast neoplasmsMammographyPhysical examinationSelf-examinationIntroduction: Recent studies have questioned the efficacy of mammo-graphy in reducing breast cancer-related mortality. Additionally, the efficacies of commercially available gloves marketed as aiding the detection of breast lumps have not been independently verified. Aim: To evaluate the efficacy of clinical breast examination gloves in the detection of breast lumps. Materials and Methods: During the period from October 2011 to June 2012, patients were submitted to clinical examination with and without gloves. This prospective study involved 202 patients who underwent conventional clinical breast examination (test 1) or clinical breast examination with Sensifemme r gloves (test 2). All patients underwent subsequent bilateral ultrasonography (test 3) to confirm the findings of the physical examinations. The Chi-square test was used to compare values, while the kappa concordance index was used to determine the concordance between the diagnostic tests. Results: The mean age of the patients was 43 years298 breast lumps were detected. In the clinical examination group (test 1), sensitivity was 54%, specificity was 78%, and accuracy was 57%. These rates for clinical breast examinations with gloves (test 2) were 68%, 58%, and 66%, respectively. The glove increased the diagnosis of breast nodules by 14%the rate of false-positives was also higher (42% for test 2 compared to 22% for test 1). The accuracy of the glove was found to be superior to clinical examination after 100 patients had been examined. The kappa indices for test 1 vs. test 3 and for test 2 vs. test 3 were 0.15 and 0.16, respectively. Conclusion: Clinical examination using the glove was more effective than clinical examination with bare hands for the diagnosis of breast lumps, as it increased the sensitivity and accuracy of lump detection. However, this was at the expense of a higher false-positive rate, which can lead to further tests, unnecessary biopsies, and patient anxiety. The concordance of clinical examination results (whether performed with or without the glove) with those of ultrasonography is weak. Moreover, the glove has a steep learning curve that may discourage its use in certain circumstances.Univ Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, BrazilWeb of SciencePremchand Shantidevi Research Foundation2020-06-26T16:30:39Z2020-06-26T16:30:39Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionXC01-XC05application/pdfhttp://dx.doi.org/10.7860/JCDR/2017/25504.9987Journal Of Clinical And Diagnostic Research. Delhi, v. 11, n. 6, p. XC01-XC05, 2017.10.7860/JCDR/2017/25504.9987WOS000405448500069.pdf2249-782Xhttps://repositorio.unifesp.br/handle/11600/53691WOS:000405448500069ark:/48912/0013000016cv7engJournal Of Clinical And Diagnostic ResearchDelhiinfo:eu-repo/semantics/openAccessSanvido, Vanessa Monteiro [UNIFESP]Watanabe, Andrea Yumi [UNIFESP]de Araujo Neto, Joaquim Teodoro [UNIFESP]Elias, Simone [UNIFESP]Facina, Gil [UNIFESP]Pinto Nazario, Afonso Celso [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-03T04:27:02Zoai:repositorio.unifesp.br/:11600/53691Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:59:21.946558Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
title Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
spellingShingle Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
Sanvido, Vanessa Monteiro [UNIFESP]
Breast neoplasms
Mammography
Physical examination
Self-examination
Sanvido, Vanessa Monteiro [UNIFESP]
Breast neoplasms
Mammography
Physical examination
Self-examination
title_short Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
title_full Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
title_fullStr Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
title_full_unstemmed Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
title_sort Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
author Sanvido, Vanessa Monteiro [UNIFESP]
author_facet Sanvido, Vanessa Monteiro [UNIFESP]
Sanvido, Vanessa Monteiro [UNIFESP]
Watanabe, Andrea Yumi [UNIFESP]
de Araujo Neto, Joaquim Teodoro [UNIFESP]
Elias, Simone [UNIFESP]
Facina, Gil [UNIFESP]
Pinto Nazario, Afonso Celso [UNIFESP]
Watanabe, Andrea Yumi [UNIFESP]
de Araujo Neto, Joaquim Teodoro [UNIFESP]
Elias, Simone [UNIFESP]
Facina, Gil [UNIFESP]
Pinto Nazario, Afonso Celso [UNIFESP]
author_role author
author2 Watanabe, Andrea Yumi [UNIFESP]
de Araujo Neto, Joaquim Teodoro [UNIFESP]
Elias, Simone [UNIFESP]
Facina, Gil [UNIFESP]
Pinto Nazario, Afonso Celso [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sanvido, Vanessa Monteiro [UNIFESP]
Watanabe, Andrea Yumi [UNIFESP]
de Araujo Neto, Joaquim Teodoro [UNIFESP]
Elias, Simone [UNIFESP]
Facina, Gil [UNIFESP]
Pinto Nazario, Afonso Celso [UNIFESP]
dc.subject.por.fl_str_mv Breast neoplasms
Mammography
Physical examination
Self-examination
topic Breast neoplasms
Mammography
Physical examination
Self-examination
description Introduction: Recent studies have questioned the efficacy of mammo-graphy in reducing breast cancer-related mortality. Additionally, the efficacies of commercially available gloves marketed as aiding the detection of breast lumps have not been independently verified. Aim: To evaluate the efficacy of clinical breast examination gloves in the detection of breast lumps. Materials and Methods: During the period from October 2011 to June 2012, patients were submitted to clinical examination with and without gloves. This prospective study involved 202 patients who underwent conventional clinical breast examination (test 1) or clinical breast examination with Sensifemme r gloves (test 2). All patients underwent subsequent bilateral ultrasonography (test 3) to confirm the findings of the physical examinations. The Chi-square test was used to compare values, while the kappa concordance index was used to determine the concordance between the diagnostic tests. Results: The mean age of the patients was 43 years
publishDate 2017
dc.date.none.fl_str_mv 2017
2020-06-26T16:30:39Z
2020-06-26T16:30:39Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.7860/JCDR/2017/25504.9987
Journal Of Clinical And Diagnostic Research. Delhi, v. 11, n. 6, p. XC01-XC05, 2017.
10.7860/JCDR/2017/25504.9987
WOS000405448500069.pdf
2249-782X
https://repositorio.unifesp.br/handle/11600/53691
WOS:000405448500069
dc.identifier.dark.fl_str_mv ark:/48912/0013000016cv7
url http://dx.doi.org/10.7860/JCDR/2017/25504.9987
https://repositorio.unifesp.br/handle/11600/53691
identifier_str_mv Journal Of Clinical And Diagnostic Research. Delhi, v. 11, n. 6, p. XC01-XC05, 2017.
10.7860/JCDR/2017/25504.9987
WOS000405448500069.pdf
2249-782X
WOS:000405448500069
ark:/48912/0013000016cv7
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Journal Of Clinical And Diagnostic Research
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv XC01-XC05
application/pdf
dc.coverage.none.fl_str_mv Delhi
dc.publisher.none.fl_str_mv Premchand Shantidevi Research Foundation
publisher.none.fl_str_mv Premchand Shantidevi Research Foundation
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1822251785338748928
dc.identifier.doi.none.fl_str_mv 10.7860/JCDR/2017/25504.9987