Breast compression and reported pain during mammographic screening.
Identifieur interne : 000349 ( Main/Exploration ); précédent : 000348; suivant : 000350Breast compression and reported pain during mammographic screening.
Auteurs : N. Moshina [Norvège] ; S. Sagstad [Norvège] ; S. Sebu Deg Rd [Norvège] ; G G Waade [Norvège] ; E. Gran [Norvège] ; J. Music [Norvège] ; S. Hofvind [Norvège]Source :
- Radiography (London, England : 1995) [ 1532-2831 ] ; 2020.
Abstract
INTRODUCTION
We aimed to investigate the association between breast compression and experienced pain during mammographic screening.
METHODS
Using a questionnaire, we collected information on pain experienced during mammography from 1155 women screened in Akershus, February-March 2018, as a part of BreastScreen Norway. The questionnaire provided information on pain using a numeric rating scale (NRS, 0-10) and related factors. Data on compression force (Newton, N), pressure (kilopascal, kPa) and breast characteristics were extracted from the DICOM-header and a breast density software. Log-binomial regression was used to determine the relative risk (RR) of severe versus mild/moderate experienced pain associated with compression parameters, adjusting for breast characteristics and related factors.
RESULTS
Mean score of experienced pain was 2.2, whereas 6% of the women reported severe pain (≥7) during the examination. High body mass index (BMI) (≥27.3 kg/m
CONCLUSION
Women reported low levels of pain during mammography. Further knowledge about factors affecting experienced pain is needed to personalize the examination to the individual woman.
IMPLICATIONS FOR PRACTICE
Pain in shoulder(s) and/or neck prior to screening should be considered by the radiographers in a practical screening setting. A compression force of 100-140 N and pressure of 10.3-13.5 kPa are acceptable with respect to reported pain during mammography.
DOI: 10.1016/j.radi.2019.10.003
PubMed: 32052779
Affiliations:
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Electronic address: Sofie.Sebuodegard@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Waade, G G" sort="Waade, G G" uniqKey="Waade G" first="G G" last="Waade">G G Waade</name><affiliation wicri:level="3"><nlm:affiliation>Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo, Norway. Electronic address: Gunvor.Waade@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Gran, E" sort="Gran, E" uniqKey="Gran E" first="E" last="Gran">E. Gran</name><affiliation wicri:level="1"><nlm:affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Evy.Gran@ahus.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="Music, J" sort="Music, J" uniqKey="Music J" first="J" last="Music">J. Music</name><affiliation wicri:level="1"><nlm:affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Jasmina.Music@ahus.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="Hofvind, S" sort="Hofvind, S" uniqKey="Hofvind S" first="S" last="Hofvind">S. 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Moshina</name><affiliation wicri:level="3"><nlm:affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Nataliia.Moshina@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Sagstad, S" sort="Sagstad, S" uniqKey="Sagstad S" first="S" last="Sagstad">S. Sagstad</name><affiliation wicri:level="3"><nlm:affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Silje.Sagstad@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Sebu Deg Rd, S" sort="Sebu Deg Rd, S" uniqKey="Sebu Deg Rd S" first="S" last="Sebu Deg Rd">S. Sebu Deg Rd</name><affiliation wicri:level="3"><nlm:affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Sofie.Sebuodegard@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Waade, G G" sort="Waade, G G" uniqKey="Waade G" first="G G" last="Waade">G G Waade</name><affiliation wicri:level="3"><nlm:affiliation>Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo, Norway. Electronic address: Gunvor.Waade@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Gran, E" sort="Gran, E" uniqKey="Gran E" first="E" last="Gran">E. Gran</name><affiliation wicri:level="1"><nlm:affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Evy.Gran@ahus.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="Music, J" sort="Music, J" uniqKey="Music J" first="J" last="Music">J. Music</name><affiliation wicri:level="1"><nlm:affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Jasmina.Music@ahus.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog</wicri:regionArea><wicri:noRegion>Lørenskog</wicri:noRegion></affiliation></author><author><name sortKey="Hofvind, S" sort="Hofvind, S" uniqKey="Hofvind S" first="S" last="Hofvind">S. Hofvind</name><affiliation wicri:level="3"><nlm:affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway; Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo, Norway. Electronic address: Solveig.Hofvind@kreftregisteret.no.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway; Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">Radiography (London, England : 1995)</title><idno type="eISSN">1532-2831</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>We aimed to investigate the association between breast compression and experienced pain during mammographic screening.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Using a questionnaire, we collected information on pain experienced during mammography from 1155 women screened in Akershus, February-March 2018, as a part of BreastScreen Norway. The questionnaire provided information on pain using a numeric rating scale (NRS, 0-10) and related factors. Data on compression force (Newton, N), pressure (kilopascal, kPa) and breast characteristics were extracted from the DICOM-header and a breast density software. Log-binomial regression was used to determine the relative risk (RR) of severe versus mild/moderate experienced pain associated with compression parameters, adjusting for breast characteristics and related factors.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Mean score of experienced pain was 2.2, whereas 6% of the women reported severe pain (≥7) during the examination. High body mass index (BMI) (≥27.3 kg/m</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Women reported low levels of pain during mammography. Further knowledge about factors affecting experienced pain is needed to personalize the examination to the individual woman.</p></div><div type="abstract" xml:lang="en"><p><b>IMPLICATIONS FOR PRACTICE</b></p><p>Pain in shoulder(s) and/or neck prior to screening should be considered by the radiographers in a practical screening setting. A compression force of 100-140 N and pressure of 10.3-13.5 kPa are acceptable with respect to reported pain during mammography.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">32052779</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2831</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>05</Month></PubDate></JournalIssue><Title>Radiography (London, England : 1995)</Title><ISOAbbreviation>Radiography (Lond)</ISOAbbreviation></Journal><ArticleTitle>Breast compression and reported pain during mammographic screening.</ArticleTitle><Pagination><MedlinePgn>133-139</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1078-8174(19)30152-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.radi.2019.10.003</ELocationID><Abstract><AbstractText Label="INTRODUCTION">We aimed to investigate the association between breast compression and experienced pain during mammographic screening.</AbstractText><AbstractText Label="METHODS">Using a questionnaire, we collected information on pain experienced during mammography from 1155 women screened in Akershus, February-March 2018, as a part of BreastScreen Norway. The questionnaire provided information on pain using a numeric rating scale (NRS, 0-10) and related factors. Data on compression force (Newton, N), pressure (kilopascal, kPa) and breast characteristics were extracted from the DICOM-header and a breast density software. Log-binomial regression was used to determine the relative risk (RR) of severe versus mild/moderate experienced pain associated with compression parameters, adjusting for breast characteristics and related factors.</AbstractText><AbstractText Label="RESULTS">Mean score of experienced pain was 2.2, whereas 6% of the women reported severe pain (≥7) during the examination. High body mass index (BMI) (≥27.3 kg/m<sup>2</sup>) was associated with a higher RR of pain scores ≥7 (RR 1.86, 95%CI 1.02-3.36) compared to medium BMI (23.7-27.2 kg/m<sup>2</sup>). Low compression pressure (4.0-10.2 kPa) was associated with a higher RR of severe pain (RR 2.93, 95%CI 1.39-6.20), compared with medium compression pressure (10.3-13.5 kPa) after adjusting for contact area, age, compressed breast thickness, volumetric breast density and BMI. The risk of severe versus mild/moderate pain (≥7 versus <7) decreased by 2% with increasing compression force (RR 0.98, 95%CI 0.97-1.00).</AbstractText><AbstractText Label="CONCLUSION">Women reported low levels of pain during mammography. Further knowledge about factors affecting experienced pain is needed to personalize the examination to the individual woman.</AbstractText><AbstractText Label="IMPLICATIONS FOR PRACTICE">Pain in shoulder(s) and/or neck prior to screening should be considered by the radiographers in a practical screening setting. A compression force of 100-140 N and pressure of 10.3-13.5 kPa are acceptable with respect to reported pain during mammography.</AbstractText><CopyrightInformation>Copyright © 2019 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moshina</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Nataliia.Moshina@kreftregisteret.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sagstad</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Silje.Sagstad@kreftregisteret.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sebuødegård</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway. Electronic address: Sofie.Sebuodegard@kreftregisteret.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Waade</LastName><ForeName>G G</ForeName><Initials>GG</Initials><AffiliationInfo><Affiliation>Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo, Norway. Electronic address: Gunvor.Waade@kreftregisteret.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gran</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Evy.Gran@ahus.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Music</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. Electronic address: Jasmina.Music@ahus.no.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hofvind</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cancer Registry of Norway, P.O. 5313 Majorstuen, 0304, Oslo, Norway; Oslo Metropolitan University, P.O. 4, St. Olavs Plass, 0130, Oslo, Norway. Electronic address: Solveig.Hofvind@kreftregisteret.no.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Radiography (Lond)</MedlineTA><NlmUniqueID>9604102</NlmUniqueID><ISSNLinking>1078-8174</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Breast cancer screening</Keyword><Keyword MajorTopicYN="Y">Compression force</Keyword><Keyword MajorTopicYN="Y">Compression pressure</Keyword><Keyword MajorTopicYN="Y">Mammography</Keyword><Keyword MajorTopicYN="Y">Pain</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>10</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>10</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32052779</ArticleId><ArticleId IdType="pii">S1078-8174(19)30152-X</ArticleId><ArticleId IdType="doi">10.1016/j.radi.2019.10.003</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><region name="Østlandet"><name sortKey="Moshina, N" sort="Moshina, N" uniqKey="Moshina N" first="N" last="Moshina">N. Moshina</name></region><name sortKey="Gran, E" sort="Gran, E" uniqKey="Gran E" first="E" last="Gran">E. Gran</name><name sortKey="Hofvind, S" sort="Hofvind, S" uniqKey="Hofvind S" first="S" last="Hofvind">S. Hofvind</name><name sortKey="Music, J" sort="Music, J" uniqKey="Music J" first="J" last="Music">J. Music</name><name sortKey="Sagstad, S" sort="Sagstad, S" uniqKey="Sagstad S" first="S" last="Sagstad">S. Sagstad</name><name sortKey="Sebu Deg Rd, S" sort="Sebu Deg Rd, S" uniqKey="Sebu Deg Rd S" first="S" last="Sebu Deg Rd">S. Sebu Deg Rd</name><name sortKey="Waade, G G" sort="Waade, G G" uniqKey="Waade G" first="G G" last="Waade">G G Waade</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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