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

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dc.citation.issue6]
dc.citation.volume11]
dc.contributor.authorSanvido, Vanessa Monteiro [UNIFESP]
dc.contributor.authorWatanabe, Andrea Yumi [UNIFESP]
dc.contributor.authorde Araujo Neto, Joaquim Teodoro [UNIFESP]
dc.contributor.authorElias, Simone [UNIFESP]
dc.contributor.authorFacina, Gil [UNIFESP]
dc.contributor.authorPinto Nazario, Afonso Celso [UNIFESP]
dc.coverageDelhi
dc.date.accessioned2020-06-26T16:30:39Z
dc.date.available2020-06-26T16:30:39Z
dc.date.issued2017
dc.description.abstractIntroduction: 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 yearsen
dc.description.abstract298 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%en
dc.description.abstractthe 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.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med Unifesp EPM, Dept Gynaecol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extentXC01-XC05
dc.identifierhttp://dx.doi.org/10.7860/JCDR/2017/25504.9987]
dc.identifier.citationJournal Of Clinical And Diagnostic Research. Delhi, v. 11, n. 6, p. XC01-XC05, 2017.
dc.identifier.doi10.7860/JCDR/2017/25504.9987
dc.identifier.fileWOS000405448500069.pdf
dc.identifier.issn2249-782X
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/53691
dc.identifier.wosWOS:000405448500069
dc.language.isoeng
dc.publisherPremchand Shantidevi Research Foundation
dc.relation.ispartofJournal Of Clinical And Diagnostic Research
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBreast neoplasmsen
dc.subjectMammographyen
dc.subjectPhysical examinationen
dc.subjectSelf-examinationen
dc.titleEvaluation of the Efficacy of Clinical Breast Examination Gloves in the Diagnosis of Breast Lumpsen
dc.typeinfo:eu-repo/semantics/article
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