Evaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumps
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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 |
id |
UFSP_26c7993bcc5b7776c6d25cc782003f51 |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br/:11600/53691 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
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 |