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Breast Pain Patients (n = 2820) All Other Patients (n = 6140) P Value Mean age, years (SD) 40.7 (11.8) 44.9 (13.2) <0.0001 Postmenopausal 523 (19%) 2149 (35%) <0.0001 Race/ethnicity Non-Hispanic White 307 (11%) 1182 (19%) African American 186 (7%) 599 (10%) Hispanic 2231 (79%) 4077 (66%) <0.0001 Other 96 (3%) 282 (5%) Language, English 1042 (37%) 2897 (47%) <0.0001 Education, years (SD) 10.1 (3.7) 10.6 (3.8) <0.0001 6 or less 617 (22%) 1176 (19%) 7 – 11 867 (31%) 1572 (26%) High school/equivalent 716 (25%) 1551 (26%) Some college 383 (14%) 1151 (19%) College degree 224 (8%) 611 (10%) Missing 13 79 Adequate Health Literacy 14% (283/2024) 18% (877/4866) 0.0006 Height (m) 1.58 (0.079) 1.60 (0.077) Weight (kg) 74.3 (18.1) 76.1 (19.3) Body mass index in kg/m2 (SD) 29.5 (6.62) 29.9 (8.08) 0.03 Marital status – married 1196 (42%) 2432 (40%) 0.0006 Domestic partner 246 (9%) 466 (7%) Employment, employed 1008 (36%) 2133 (35%) 0.39 Insurance status Commercial 141 (5%) 386 (6%) Medicare 70 (2%) 252 (4%) AHCCCS (Medicaid) 699 (25%) 1773 (29%) None 1910 (68%) 3729 (61%) <0.0001 Monthly income $ (SD) 1208.03 (1116.00) 1211.92 (1245.34) 0.66 Family history of breast cancer in first degree relative 244 (9%) 748 (12%) <0.0001 Undergoing breast screening (40 years+) 23% (343/1500) 22% (967/4331) 0.97 Age 40 to 49 years 25% (232/927) Age 50 years+ 19% (111/573) Abbreviations: SD, standard deviation; AHCCCS, Arizona Health Care Cost Containment System.
- Table 2.
Recall Rate, Positive Predictive Value, and Cancer Detection Rate of Breast Imaging for Complaint of Breast Pain
Age Recall Rate Positive Predictive Value2 (PPV2) Positive Predictive Value3 (PPV3) Cancer Detection Rate (per 1000 examinations) BCSC National Benchmark13 10.6% 25.4% 31% 4.7 Current Study Under 40 years 88% 0.2% (1/590) 0.2% (1/580) 0.9 40 to 49 years 87% 2.3% (9/391) 2.5% (9/362) 10 Over 50 years 94% 4% (8/202) 4.5% (8/178) 14 P Value (vs BCSC)* <0.0001 <0.0001 <0.0001 0.13 Abbreviation: BCSC, Breast Cancer Surveillance Consortium.
↵* Derived from Pearson Chi-Squared test.
Patient Age Pain Cancer Location Cancer ER/PR ErbB2 (Her2neu) LN Stage 1 45 Left Right mammogram DCIS 81/58 NA NA 0 2 47 Bilateral Right mammogram IDC 90/80 0 1 IIA 3 41 Bilateral Right mass IDC 95/80 0 0 I 4 46 Bilateral Left mammogram IDC 91/53 2+, 1.3 0 I 5 40 Bilateral Right mass ILC 100/90 0 0 I 6 44 Bilateral Left mammogram IDC 95/90 0 0 I 7 48 Bilateral Left mass IDC 95/70 2+, 6.4 0 IIA 8 60 Bilateral Right mammogram DCIS 97/80 NA NA 0 9 50 Bilateral Left mammogram IDC 95/95 2+, 1.1 0 I 10 37 Bilateral Left mammogram IDC 100/100 2+, 1.2 3 IIA 11 37 Bilateral Right mass IDC 90/80 2+, 3.8 2 IIA 12 65 Left Left mammogram IDC 90/60 1+ 0 I 13 52 Left Right mammogram ILC 100/99 1+ 0 I 14 45 Left Right mass IDC 0/0 0 0 IIIA 15 59 Left Right mass IDC 95/90 0 0 2 16 42 Left Right mammogram DCIS 95/0 NA 0 0 17 64 Left Left mammogram DCIS 90/80 NA NA 0 18 63 Left Right mammogram ILC 95/0 0 0 I 19 52 Right Left mammogram DCIS 95/100 NA NA 0 20 49 Right Right mammogram IDC 60/60 3+ 7 IIIA Mean 49.3 Author Year Specialty Location Patients (n) Mean Age (Years) Mean Follow up (months) Breast Cancer Cases (%) Current study 2020 Surgery AZ, USA 2820 40 61 20 (0.7%) Owen et al18 2019 Radiology MO, USA 944 46 44 7 (0.7%) Mema et al22 2019 Radiology NY, USA 374 46 NR 0 (0%) Fonseca et al24 2019 Radiology Canada 953 50 NR 8 (0.8%) Altintas et al15 2018 Radiology Turkey 1294 43 NR 10 (0.8%) Cho et al17 2017 Radiology NC, USA 413 53 24 0 (0%) Chetlen et al19 2017 Radiology PA, USA 236 NR NR 1 (0.4%) Noroozian et al25 2015 Radiology MI, USA 617 49 51 11 (1.8%) Joyce et al1 2014 Surgery Ireland 3331 NR NR 40 (1.2%) Leddy et al21 2013 Radiology SC, USA 257 48 12 3 (1%) Howard et al27 2012 Internal Medicine MA, USA 916 39 NR 2 (0.2%)* Masroor et al26 2009 Radiology Pakistan 207 44 18 0 (0%) Duijm et al20 1998 Radiology Netherlands 987 49 48 4 (0.4%) Total 13,349 106 (0.8%) Abbreviation: NR, not reported.
↵* Study reported 6 patients (0.6%) with breast cancer, however, 4 patients presented with a palpable mass and pain.
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