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

Journal article


Publication Details

Author(s): 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
Journal: Breast Care
Publication year: 2019
Volume: 14
Journal issue: 1
Pages range: 41-47
ISSN: 1661-3791


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


FAU Authors / FAU Editors

Adler, Werner PD Dr.
Lehrstuhl für Biometrie und Epidemiologie
Beckmann, Matthias Prof. Dr.
Lehrstuhl für Geburtshilfe und Frauenheilkunde
Fasching, Peter PD Dr.
Professur für Translationale Frauenheilkunde und Geburtshilfe
Gaß, Paul Dr. med.
Frauenklinik
Geyer, Thomas
Frauenklinik
Hack, Carolin PD Dr.
Medizinische Fakultät
Heindl, Felix
Medizinische Fakultät
Jud, Sebastian Dr.
Frauenklinik
Langemann, Hanna Dr. med.
Frauenklinik
Wunderle, Marius
Professur für Translationale Frauenheilkunde und Geburtshilfe


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.

BibTeX: 

Last updated on 2019-22-03 at 08:38