Breast cancer mammographic diagnosis performance in a public health institution: a retrospective cohort study

Juliana M.R.B. Mello, Fernando P. Bittelbrunn, Marcio A. B. C. Rockenbach, Guilherme G. May, Leonardo M. Vedolin, Marilia S. Kruger, Matheus D. Soldatelli, Guilherme Zwetsch, Gabriel T. F. de Miranda, Saone I. P. Teixeira, Bruna S. Arruda
2017 Insights into Imaging  
Objectives To evaluate the quality assurance of mammography results at a reference institution for the diagnosis and treatment of breast cancer in southern Brazil, based on the BIRADS (Breast Imaging Reporting and Data System) 5th edition recommendations for auditing purposes. Materials and methods Retrospective cohort and crosssectional study with 4502 patients (9668 mammographies)) who underwent at least one or both breast mammographies throughout 2013 at a regional public hospital, linked to
more » ... a federal public university. The results were followed until 31 December 2014, including true positives (TPs), true negatives (TNs), false positives (FPs), false negatives (FNs), positive predictive values (PPVs), negative predictive value (NPV), sensitivity and specificity, with a confidence interval of 95%. Results The study showed high quality assurance, particularly regarding sensitivity (90.22%) and specificity (92.31%). The overall positive predictive value (PPV) was 65.35%, and the
doi:10.1007/s13244-017-0573-2 pmid:28980214 pmcid:PMC5707220 fatcat:wie7orpjevepxgw47v4gsdfhgy