Perfil sociodemográfico y descripción del síntoma de presentación en mujeres con cáncer de mama en un estudio de base poblacionalimplicaciones y papel de las enfermeras
- Maria Angustias Diaz-Santos 1
- Alba Marcos-Delgado 2
- Pilar Amiano 3
- Eva Ardanaz 4
- Marina Pollán 4
- Juan Alguacil 5
- 1 Hospital Universitario Juan Ramon Jiménez, Huelva, España
- 2 Área de Medicina Preventiva y Salud Pública, Departamento Ciencias Biomédicas, Universidad de León, León, España
- 3 Departamento de Salud de Gipuzkoa, Instituto de Investigación BioDonostia, San Sebastián, España
- 4 Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
- 5 Centro de Investigación en Recursos Naturales, Salud y Medio Ambiente (RENSMA), Universidad de Huelva, Huelva, España
ISSN: 1130-8621
Año de publicación: 2023
Volumen: 33
Número: 4
Páginas: 303-310
Tipo: Artículo
Otras publicaciones en: Enfermería clínica
Resumen
Objective To describe the frequency and typology of the presenting symptom of women diagnosed of breast cancer in Spain and their socio-demographic profile. Methods Descriptive study nested in a population epidemiological study (MCC-SPAIN) in 10 Spanish provinces. Between 2008 and 2012, 836 histologically confirmed incident cases of breast cancer were recruited who reported some symptom prior to diagnosis in a direct computerized interview. For the comparison of 2 discrete variables, the Pearson Chi square test was used. Results The most frequent presenting symptom among women who reported at least one symptom was noticing a «lump in the breast» (73%), followed far behind by noticing «changes in the breast» (11%). The frequency of the presenting symptom showed some geographic heterogeneity as well as with menopausal status. No association was observed between the type of presenting symptom and the rest of the sociodemographic variables explored, except for the educational level in which women with a higher educational level tended to proportionally report other symptoms different from the «lump in the breast» more frequently than less educated. Postmenopausal women reported noticing changes in the breast (13%) more frequently than premenopausal women (8%), although without reaching statistical significance (P=.056). Conclusions The most frequent presenting symptom is «breast lump», followed by «breast changes». There could be sociodemographic heterogeneity in the type of presenting symptom to be taken into account by nurses in their socio-sanitary interventions.
Referencias bibliográficas
- J. Ferlay, M. Colombet, I. Soerjomataranm, D.M. Parkin, M. Piñeros, A. Znaor, et al. Cancer statistics for the year 2020: An overview Int J Cancer. (2021), 10.1002/ijc.33588
- D. Shottenfeld, J.R. Fraumeni Cancer epidemiology and prevention (3rd ed.), Oxford University Press, New York, NY (2006)
- L.A. Brinton, L. Smith, G.L. Gierach, R.M. Pfeiffer, S.J. Nyante, M.E. Sherman, et al. Breast cancer risk in older women: Results from the NIH-AARP Diet and Health Study Cancer Causes Control., 25 (2014), pp. 843-857, 10.1007/s10552-014-0385-3
- I. Gómez-Acebo, T. Dierssen-Sotos, C. Palazuelos-Calderón, B. Pérez-Gómez, P. Amiano, M. Guevara, et al. Tumour characteristics and survivorship in a cohort of breast cancer: The MCC-Spain study Breast Cancer Res Treat., 181 (2020), pp. 667-678, 10.1007/s10549-020-05600-x
- American Cancer Society. Etapas del cáncer de mama [último acceso 26 Dic 2022].
- Junta de Andalucía. Cáncer de mama (proceso y programa de detección precoz). Cartera de Servicios de Atencion Primaria [último acceso 26 Dic 2022].
- Instituto Nacional del Cancer (NCI). Institutos Nacionales de Salud de los EEUU (NIH). 2016. Significado de cambios y afecciones de los senos [último acceso 26 Dic 2022].
- M.R. Amat El papel de la enfermería en el cáncer de mama Ocronos., 8 (2022), p. 64
- Equipo de investigadores MCC-Spain. Estudio Multi Caso-control en Cáncer (MCC-Spain [último acceso 26 Dic 2022].
- M.C. Turner, E. Gracia-Lavedan, K. Papantoniou, N. Aragones, G. Castaño-Vinyals, T. Dierssen-Sotos, et al. Sleep and breast and prostate cancer risk in the MCC-Spain study Sci Rep., 12 (2022), p. 21807, 10.1038/s41598-022-25789-9
- J. Alonso-Molero, I. Gómez-Acebo, J. Llorca, V. Lope-Carvajal, P. Amiano, M. Guevara, et al. Effect of the use of prediagnosis hormones on breast cancer prognosis: MCC-Spain study Menopause., 29 (2022), pp. 1315-1322, 10.1097/GME.0000000000002069
- A. Palomar-Cros, B.N. Harding, A. Espinosa, K. Papantoniou, B. Pérez-Gómez, K. Straif, et al. Association of time of breakfast and nighttime fasting duration with breast cancer risk in the multicase-control study in Spain Front Nutr., 9 (2022), p. 941477, 10.3389/fnut.2022.941477 eCollection 2022
- T. Dierssen-Sotos, I. Gómez-Acebo, N. Gutiérrez-Ruiz, N. Aragonés, P. Amiano, A.J. Molina de la Torre, et al. Dietary constituents: Relationship with breast cancer prognostic (MCC-SPAIN Follow-Up) Int J Environ Res Public Health., 18 (2020), p. 84, 10.3390/ijerph18010084
- A. Hinchliffe, M. Kogevinas, B. Pérez-Gómez, E. Ardanaz, P. Amiano, A. Marcos-Delgado, et al. Occupational heat exposure and breast cancer risk in the MCC-Spain Study Cancer Epidemiol Biomarkers Prev., 30 (2021), pp. 364-372, 10.1158/1055-9965.EPI-20-0732
- G. Castaño-Vinyals, N. Aragonés, B. Pérez-Gómez, V. Martin, J. Llorca, V. Moreno, et al. Population-based multicase-control study in common tumors in Spain (MCC-Spain): Rationale and study design Gac Sanit., 29 (2015), pp. 308-315, 10.1016/j.gacet a.2014.12.003
- P. Armitage, G. Berry Statistical methods in medical research Blacwell, Oxford (1987)
- S. Siegel, N.J. Castellan Jr. Nonparametrics statistics for the behavioral sciences McGraw-Hill, New York (1988)
- E. Martínez Gómez, A. Couso, F. Arnanz, B. Ochoa, A. Cano, R. García Berrio, et al. Cáncer de mama en mujeres posmenopáusicas Clin Invest Ginecol Obstet., 37 (2010), pp. 178-185, 10.1016/j.gine.2009.07.004
- C. Li, Y. Liu, D. Xue, C.W.H. Chan Effects of nurse-led interventions on early detection of cancer: A systematic review and meta-analysis Int J Nurs Stud., 110 (2020), p. 103684, 10.1016/j.ijnurstu.2020.103684
- F.B.B. Melo, C.A.V. Marques, A.D.S. Rosa, E.N. Figueiredo, M.G.R. Gutiérrez Actions of nurses in early detection of breast cancer Rev Bras Enferm., 70 (2017), pp. 1119-1128, 10.1590/0034-7167-2016-0155
- M. Soler, N. Malats, M. Porta, E. Fernandez, L. Guarner, A. Maguire, et al., PANKRAS II Study Group Medical conditions in patients with pancreatic and biliary diseases: Validity and agreement between data from questionnaires and medical records Dig Dis Sci., 44 (1999), pp. 2469-2477, 10.1023/a:1026635005363