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Validity of Breast Cancer Symptom Questionnaire and Its Relationship With Breast Ultrasonography in Young Female Night Workers

  • Chae, Chang-Ho (Department of Occupational and Environmental Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2020.03.13
  • 심사 : 2020.04.23
  • 발행 : 2020.09.30

초록

Background: This study aimed to identify the validity of breast cancer symptom questionnaire of worker's special health examination and its relationship with breast ultrasonography findings in young female night workers. Methods: The breast cancer symptom questionnaire data of worker's special health examination and breast ultrasonography results in young female shift workers who worked in one electronic manufacture company were collected from 2014 to 2018. Results: Of the 857 workers, 18 had a Breast Imaging Reporting and Database System category 4 or higher. Among other variables, shift work tenure alone was associated with the risk of having a Breast Imaging Reporting and Database System category higher than 4. The sensitivity, specificity, positive predictive value, and negative predictive value of the symptom questionnaire were 16.7%, 87.7%, 2.8%, and 98.0%, respectively. Conclusion: The current breast cancer symptom questionnaire of the worker's special health examination is inappropriate due to its low sensitivity and positive predictive value. In the future, female night workers will need alternative measures for more accurate screening for breast cancer.

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참고문헌

  1. Ghoncheh M, Pournamdar Z, Salehiniya H. Incidence and mortality and epidemiology of breast cancer in the world. Asian Pac J Canc Prev 2016;17:43-6.
  2. DeSantis CE, Ma J, Gaudet MM, Newman LA, Miller KD, Goding Sauer A, et al. Breast cancer statistics. CA Canc J Clin 2019;69:438-51. 2019. https://doi.org/10.3322/caac.21583
  3. Jung KW, Won YJ, Kong HJ, Lee ES. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2016. Canc Res Treat 2019;51:417-30. https://doi.org/10.4143/crt.2019.138
  4. Ministry of Health and Welfare. Cancer registration statistics [internet]; 2020 Jan 29 [cited 2020 Feb 28] Available at: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv.
  5. Key TJ, Verkasalo PK, Banks E. Epidemiology of breast cancer. Lancet Oncol 2001;2:133-40. https://doi.org/10.1016/s1470-2045(00)00254-0
  6. Kamdar BB, Tergas AI, Mateen FJ, Bhayani NH, Oh J. Night-shift work and risk of breast cancer: a systematic review and meta-analysis. Breast Canc Res Treat 2013;138:291-301. https://doi.org/10.1007/s10549-013-2433-1
  7. Megdal SP, Kroenke CH, Laden F, Pukkala E, Schernhammer ES. Night work and breast cancer risk: a systematic review and meta-analysis. Eur J Canc 2005;41:2023-32. https://doi.org/10.1016/j.ejca.2005.05.010
  8. Jia Y, Lu Y, Wu K, Lin Q, Shen W, Zhu M, et al. Does night work increase the risk of breast cancer? A systematic review and meta-analysis of epidemiological studies. Canc Epidemiol 2013;37:197-206. https://doi.org/10.1016/j.canep.2013.01.005
  9. Wang F, Yeung KL, Chan WC, Kwok CC, Leung SL, Wu C, et al. A meta-analysis on dose-response relationship between night shift work and the risk of breast cancer. Ann Oncol 2013;24:2724-32. https://doi.org/10.1093/annonc/mdt283
  10. Blask DE, Hill SM, Dauchy RT, Xiang SL, Yuan L, Duplessis T, et al. Circadian regulation of molecular, dietary, and metabolic signaling mechanisms of human breast cancer growth by the nocturnal melatonin signal and the consequences of its disruption by light at night. J Pineal Res 2011;51:259-69. https://doi.org/10.1111/j.1600-079X.2011.00888.x
  11. Ijaz S, Verbeek J, Seidler A, Lindbohm ML, Ojajarvi A, Orsini N, et al. Night-shift work and breast cancer-a systematic review and meta-analysis. Scand J Work Environ Health 2013;39:431-47. https://doi.org/10.5271/sjweh.3371
  12. Mendelson E, Bohm-Velez M, Berg W. ACR BI-RADS ultrasound. Reston: American College of Radiology; 2013.
  13. Schernhammer ES, Kroenke CH, Laden F, Hankinson SE. Night work and risk of breast cancer. Epidemiology 2006;17:108-11. https://doi.org/10.1097/01.ede.0000190539.03500.c1
  14. Schernhammer ES, Laden F, Speizer FE, Willett WC, Hunter DJ, Kawachi I, et al. Rotating night shifts and risk of breast cancer in women participating in the nurses' health study. J Natl Canc Inst 2001;93:1563-8. https://doi.org/10.1093/jnci/93.20.1563
  15. Akerstedt T, Knutsson A, Narusyte J, Svedberg P, Kecklund G, Alexanderson K. Night work and breast cancer in women: a Swedish cohort study. BMJ Open 2015;5:e008127. https://doi.org/10.1136/bmjopen-2015-008127
  16. Han MY, Chung CW. Breast cancer screening behaviors in working women. Kor J Women Health Nurs 2006;12:363-70. https://doi.org/10.4069/kjwhn.2006.12.4.363
  17. Goehring C, Morabia A. Epidemiology of benign breast disease, with special attention to histologic types. Epidemiol Rev 1997;19:310-27. https://doi.org/10.1093/oxfordjournals.epirev.a017960
  18. Occupational Safety., Health Research Institute. Practical guideline for worker's special health examination 2017. Ulsan: Occupational Safety and Health Research Institute; 2017.
  19. Ministry of Employment and Labor. The results of worker's health examination; 2018. Available at: http://www.moel.go.kr/info/publicdata/majorpublish/majorPublishView.do?bbs_seq=20191200959.
  20. Korean Breast Cancer Society. Breast cancer facts & figures. Available at: http://www.kbcs.or.kr/sub02/sub04.html.
  21. Kim MJ, Kim EK, Moon HJ, Park VYJ, Yoon JH, Cho E. Positive predictive value of breast ultrasonography BI-RADS category 4 and 5 lesions in one institution. J Kor Soc Breast Screen 2016;13:113-9.
  22. Jeffries DO, Adler DD. Mammographic detection of breast cancer in women under the age of 35. Invest Radiol 1990;25:67-71. https://doi.org/10.1097/00004424-199001000-00017
  23. Jernstrom H, Lerman C, Ghadirian P, Lynch HT, Weber B, Garber J, et al. Pregnancy and risk of early breast cancer in carriers of BRCA1 and BRCA2. Lancet 1999;354:1846-50. https://doi.org/10.1016/S0140-6736(99)04336-6