Long-term outcomes of Türkiye's first population-based mammography screening program: a decade of breast cancer detection and survival analysis in Bahçeşehir

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dc.authoridOzmen, Vahit/0000-0003-2973-8247
dc.authoridVarol, Gamze/0000-0002-3490-3406
dc.contributor.authorOzcinar, Beyza
dc.contributor.authorAribal, Erkin
dc.contributor.authorCabioglu, Neslihan
dc.contributor.authorGurdal, Sibel Ozkan
dc.contributor.authorVarol, Gamze
dc.contributor.authorAkyurt, Nuran
dc.contributor.authorSezgin, Efe
dc.date.accessioned2025-04-06T12:23:44Z
dc.date.available2025-04-06T12:23:44Z
dc.date.issued2025
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractBackgroundThe Bah & ccedil;e & scedil;ehir population-based mammography screening program (BMSP) is an example of T & uuml;rkiye's first population-based screening program. This study aims to reveal the successful implementation of population-based secreening program in one of the low- and middle-income countries, T & uuml;rkiye and long-term results of patients diagnosed with breast cancer during BMSP. MethodsThis study was conducted between 2009 and 2019, in the Bah & ccedil;e & scedil;ehir county of Istanbul. Women between the ages of 40 and 69 living in this region were invited every two years to undergo clinical breast examination (CBE) and mammography screening. All data was recorded in a dedicated software program. Women diagnosed with breast cancer were followed as a separate cohort. ResultsDuring the 10-year screening period, 8,825 women were screened and 146 (1.7%) breast cancers were detected. The median age at diagnosis for these patients was 52.9 years (40-69). The risk of breast cancer was 1.39 times higher (95% CI: 1.01-1.93) in women aged >= 50 compared to those less than 50 years (p = 0.045). The Cox regression analysis revealed that age at first birth, and number of births were significant predictors of breast cancer risk (p < 0.001, and p = 0.011). The breast cancer rate tends to increase as the breast density category progresses from A to D (p < 0.001). The median follow-up time for 146 breast cancer patients was 95.3 months. The 10-year breast cancer specific survival rate was 85%. ConclusionsThis study demonstrates that with a committed team and sufficient infrastructure, screening mammography can be effectively carried out in T & uuml;rkiye, leading to early detection and lower mortality rates. The recommended age to commence screening is 40 years old.
dc.description.sponsorshipBreast Health Society of Turkiye (MEMEDER); Roche Turkiye
dc.description.sponsorshipBMSP was funded mainly by the Breast Health Society of Turkiye (MEMEDER) and partly by Roche Turkiye. The Breast Health Center was rented by Bahcese-hir Municipality. General Electric supported the periodic routine maintenance of the digital mammography device.
dc.identifier.doi10.1186/s12905-024-03521-1
dc.identifier.issn1472-6874
dc.identifier.issue1
dc.identifier.pmid39755627
dc.identifier.scopus2-s2.0-85214100100
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s12905-024-03521-1
dc.identifier.urihttps://hdl.handle.net/20.500.11776/17164
dc.identifier.volume25
dc.identifier.wosWOS:001390153700003
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Womens Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250406
dc.subjectPopulation-based breast cancer secreening
dc.subjectBreast cancer
dc.subjectBreast density
dc.subjectEarly stage
dc.subjectMortality
dc.subjectRisk
dc.subjectSurvival
dc.subjectLow and middle-income country
dc.titleLong-term outcomes of Türkiye's first population-based mammography screening program: a decade of breast cancer detection and survival analysis in Bahçeşehir
dc.typeArticle

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