Thursday, February 18, 2016

BREAST SELF EXAMINATION: RELIABILITY QUESTIONED??

Breast Self Examination (BSE) is the process of self screening of breast cancer. That we all know!!
However, while there are numerous research going on at student/faculty level about knowledge and attitude of BSE, interesting is the fact that BSE has long been discarded as the screening process. 

According to World Health Organization (2012), there is minimal evidence supporting the efficacy of BSE as a screening method. Kosters and Gotzchse (2003) conducted a meta-analysis in order to explore the efficacy of BSE. Two studies which included 3,88,535 women were included in the review. The analysis revealed that BSE led to unwanted distress, anxiety and greater number of invasive procedures. The false positive results were also greater in population of women who had undergone BSE as compared to the women who had not undergone BSE. 

However, it is still promoted!! What could be the reason?

Although WHO (2012) recommends against its use as screening method, it states that it can be used as the method of raising awareness and empowering women. Thus, nurses should be aware of the Evidence Based Practice that follows. While suggesting the patient about BSE, it is necessary to help them understand the possibility of false positive results and undue stress that it may bring along with it.

The student nurses who are searching for a research topic could use this one, i.e. the Changing practice of Breast Self Examination (BSE) or The knowledge/attitude of changing practice of BSE??

Hence, Breast Self Examination is the method of raising awareness and empowering women by helping them to understand and take control of their body,  NOT A RELIABLE SCREENING METHOD. 

References:
World Health Organization. (2012) Breast Cancer: Prevention and Control [Online]. Available from: https://www.blogger.com/blogger.g?blogID=3036035428696811962#editor/target=post;postID=1369389078637849683 [Accessed 18 February 2016].

Koster, J.P and Gotzsche, P.C. (2003) Regular Self Examination or Clinical Examination for Early Detection of Breast Cancer. Cochrane Database Systematic Review. 

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