Knowledge, Attitude and Practice of Breast Cancer Screening among Female General Practitioners in Riyadh, Saudi Arabia
Cancer Research Journal
Volume 2, Issue 6, November 2014, Pages: 108-113
Received: Oct. 19, 2014;
Accepted: Nov. 4, 2014;
Published: Nov. 27, 2014
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Mohammed Yehia Saeedi, Deputy Ministry for Public Health, Assistant Deputy for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
Fahad Al Amri, Deputy Ministry for Public Health, Assistant Deputy for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
Ahmed Khair Ibrahim, Public Health & Community Medicine School, Faculty of Medicine, Assiut University, Asyut, Egypt
Kassim Kassim, Deputy Ministry for Public Health, Assistant Deputy for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
Background: Breast cancer has been ranked as the 1st cancer in women in Kingdom of Saudi Arabia. Screening, early detection and proper treatment of Breast Cancer was associated with more chances of better prognosis and long-term survival. The role general practitioner’s role is to provide professional knowledge, skills and support for patients as well as their caregiver about screening and prevention. This study aimed to investigate the level of knowledge of Breast Cancer risk factors, beliefs, diagnosis and practice of Breast Self Examination, Clinical Breast Examination and mammography among female General Practitioners who are currently working in primary health care center in Riyadh city, Kingdom of Saudi Arabia. Methods: A cross-sectional study was conducted using a self-administered questionnaire among female physicians, currently working as General Practitioners in Primary Health Care centers were invited. Descriptive statistics: mean, standard deviation, frequencies, percentage were calculated. Results: The majority (90%) of the respondents believed that Breast Cancer is a major health problem and 96% were aware of the importance of mammography as a screening method. But only 19% of the studied physicians requested mammogram as screening tool for women aged 40 years or more. Conclusion: The current study demonstrated that knowledge about breast cancer screening was satisfactory and highlighted the need for the provision of continuing medical education programs to improve the general practitioners' practice on cancer screening tools.
Mohammed Yehia Saeedi,
Fahad Al Amri,
Ahmed Khair Ibrahim,
Knowledge, Attitude and Practice of Breast Cancer Screening among Female General Practitioners in Riyadh, Saudi Arabia, Cancer Research Journal.
Vol. 2, No. 6,
2014, pp. 108-113.
Bray, F., et al., Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer, 2013. 132(5): p. 1133-45.
Soerjomataram, I., et al., Global burden of cancer in 2008: a systematic analysis of disability-adjusted life-years in 12 world regions. Lancet, 2012. 380(9856): p. 1840-50.
Stojadinovic, A., et al., Consensus recommendations for advancing breast cancer: risk identification and screening in ethnically diverse younger women. J Cancer, 2011. 2: p. 210-27.
Cancer Facts &Figures. Atlanta: American Cancer Society, in2012.
DeSantis, C., et al., Breast cancer statistics, 2013. CA Cancer J Clin, 2014. 64(1): p. 52-62.
Al-Eid , H., Cancer Incidence Report Saudi Arabia 2009 S. Bazarbashi and A. Al-Zahrani, Editors. decemcer 2012.
Ravichandran, K. and A.S. Al-Zahrani, Association of reproductive factors with the incidence of breast cancer in Gulf Cooperation Council countries. East Mediterr Health J, 2009. 15(3): p. 612-21.
Abdurrahman Al Diab, S.Q., Khalid A. Al Saleh,, A.A. Farjah H. Al Qahtani, Mohammed A. Alghamdi, A. Alsaif,, and V.F.Q.a.M.R.Q. Areej A. Bokhari, Review on Breast Cancer in the Kingdom of Saudi Arabia. Middle-East Journal of Scientific Research, 2013. 14 ((4)): p. 532-543.
E. Senkus1, S.K., F. Penault-Llorca3,4, P. Poortmans5, A. Thompson6, S. Zackrisson7 & F. Cardoso8,9, on behalf of the ESMO Guidelines Working Group*, Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up†. Annals of Oncology, August 2013. 24 ((Supplement 6)): p. vi7–vi23.
Al-Amoudi, S.M., W.A. Sait, and H.S. Abduljabbar, Health care provider's role in facing the future burden of breast cancer in Saudi. Saudi Med J, 2010. 31(12): p. 1359-62.
Ibrahim, E.M., et al., The present and the future of breast cancer burden in the Kingdom of Saudi Arabia. Med Oncol, 2008. 25(4): p. 387-93.
Chiarelli, A.M., et al., The contribution of clinical breast examination to the accuracy of breast screening. J Natl Cancer Inst, 2009. 101(18): p. 1236-43.
Smith, R.A., et al., Cancer screening in the United States, 2010: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin, 2010. 60(2): p. 99-119.
Bevers, T.B., et al., NCCN clinical practice guidelines in oncology: breast cancer screening and diagnosis. J Natl Compr Canc Netw, 2009. 7(10): p. 1060-96.
Thomas, D.B., et al., Randomized trial of breast self-examination in Shanghai: final results. J Natl Cancer Inst, 2002. 94(19): p. 1445-57.
Mittra, I., et al., A cluster randomized, controlled trial of breast and cervix cancer screening in Mumbai, India: methodology and interim results after three rounds of screening. Int J Cancer, 2010. 126(4): p. 976-84.
Independent, U.K.P.o.B.C.S., The benefits and harms of breast cancer screening: an independent review. Lancet, 2012. 380(9855): p. 1778-86.
Marmot, M.G., et al., The benefits and harms of breast cancer screening: an independent review. Br J Cancer, 2013. 108(11): p. 2205-40.
Group., N.Z.G., Suspected Cancer in Primary Care: Guidelines for investigation, referral and reducing ethnic disparities. Ministry of Health, Wellington, 2009.
Emery, J.D., et al., The role of primary care in early detection and follow-up of cancer. Nat Rev Clin Oncol, 2014. 11(1): p. 38-48.
Singletary, S.E., Rating the risk factors for breast cancer. Ann Surg, 2003. 237(4): p. 474-82.
Richie, R.C. and J.O. Swanson, Breast cancer: a review of the literature. J Insur Med, 2003. 35(2): p. 85-101.
IBM-SPSS. Statistical package for social science. Ver.21. Standard version. SPSS Inc.; 2012, .
P, A., Missing data, Sage University Series on Quantative Applications in the Social Sciences. . 2001: Sage Publications, Thousand Oaks, CA.
Olsen, A.H., et al., Breast cancer mortality in Copenhagen after introduction of mammography screening: cohort study. BMJ, 2005. 330(7485): p. 220.
Koçak S, Ç.L., Özbaş S, et al, Risk factors in breast cancer, risk assessment and prevention: 2010 Istanbul consensus meeeting report. The J of Breast Health, 2011. 7: p. 47-67.
Ghanem, S., et al., Knowledge of risk factors, beliefs and practices of female healthcare professionals towards breast cancer, Morocco. Pan Afr Med J, 2011. 10: p. 21.
Ibrahim, N.A. and O.O. Odusanya, Knowledge of risk factors, beliefs and practices of female healthcare professionals towards breast cancer in a tertiary institution in Lagos, Nigeria. BMC Cancer, 2009. 9: p. 76.
Cockburn, J., et al., Encouraging attendance at screening mammography: knowledge, attitudes and intentions of general practitioners. Med J Aust, 1989. 151(7): p. 391-6.
Bekker, H., L. Morrison, and T.M. Marteau, Breast screening: GPs' beliefs, attitudes and practices. Fam Pract, 1999. 16(1): p. 60-5.
Meissner, H.I., et al., Breast cancer screening beliefs, recommendations and practices: primary care physicians in the United States. Cancer, 2011. 117(14): p. 3101-11.
Richards, M.A., et al., Influence of delay on survival in patients with breast cancer: a systematic review. Lancet, 1999. 353(9159): p. 1119-26.
Klabunde, C.N., M.S. O'Malley, and A.D. Kaluzny, Physicians' reactions to change in recommendations for mammography screening. Am J Prev Med, 1997. 13(6): p. 432-8.