Diagnostic Accuracy of Breast Medical Tactile Examiners (MTEs): A Prospective Pilot Study

Lux MP, Emons J, Bani M, Wunderle M, Sell C, Preuss C, Rauh C, Jud S, Heindl F, Langemann H, Geyer T, Brandl AL, Hack C, Adler W, Schulz-Wendtland R, Beckmann M, Fasching P, Gaß P (2019)

Publication Type: Journal article

Publication year: 2019

Journal

Breast Care Karger

Book Volume: 14

Pages Range: 41-47

Journal Issue: 1

DOI: 10.1159/000495883

Abstract

Background: The usefulness of clinical breast examination (CBE) in general and in breast cancer screening programs has been a matter of debate. This study investigated whether adding vision-impaired medical tactile examiners (MTEs) improves the predictiveness of CBE for suspicious lesions and analyzed the feasibility and acceptability of this approach. Methods: The prospective study included 104 patients. Physicians and MTEs performed CBEs, and mammography and ultrasound results were used as the gold standard. Sensitivity and specificity were calculated and logistic regression models were used to compare the predictive value of CBE by physicians alone, MTEs alone, and physicians and MTEs combined. Results: For CBEs by physicians alone, MTEs alone, and both combined, sensitivity was 71, 82, and 89% and specificity was 55, 45, and 35%, respectively. Using adjusted logistic regression models, the validated areas under the curve were 0.685, 0.692, and 0.710 (median bootstrapped p value (DeLong) = 0.381). Conclusion: The predictive value for a suspicious breast lesion in CBEs performed by MTEs in patients without prior surgery was similar to that of physician-conducted CBEs. Including MTEs in the CBE procedure in breast units thus appears feasible and could be a way of utilizing their skills. (c) 2019 S. Karger AG, Basel

Authors with CRIS profile

Marius Wunderle Professur für Translationale Frauenheilkunde und Geburtshilfe Sebastian Jud Department of Obstetrics and Gynaecology Felix Heindl Medizinische Fakultät Hanna Langemann Department of Obstetrics and Gynaecology Thomas Geyer Department of Obstetrics and Gynaecology Carolin Hack Medizinische Fakultät Werner Adler Lehrstuhl für Biometrie und Epidemiologie Matthias Beckmann Lehrstuhl für Geburtshilfe und Frauenheilkunde Peter Fasching Professur für Translationale Frauenheilkunde und Geburtshilfe Paul Gaß Department of Obstetrics and Gynaecology

How to cite

APA:

Lux, M.P., Emons, J., Bani, M., Wunderle, M., Sell, C., Preuss, C.,... Gaß, P. (2019). Diagnostic Accuracy of Breast Medical Tactile Examiners (MTEs): A Prospective Pilot Study. Breast Care, 14(1), 41-47. https://dx.doi.org/10.1159/000495883

MLA:

Lux, Michael P., et al. "Diagnostic Accuracy of Breast Medical Tactile Examiners (MTEs): A Prospective Pilot Study." Breast Care 14.1 (2019): 41-47.

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