Abstract
Background: The Breast Imaging-Reporting and Data System (BI-RADS ® ) is an international classification developed to systematize breast assessment, exam interpretation, and the preparation of reports of specific breast imaging exams. Objective: The objective of this study was to validate with experts a booklet directed to medical and nursing professionals in the Family Health Strategy on the categorization of Breast Imaging Reporting and Data System in order to describe the reports of mammography. Methods: This was a technology-validation study of the methodological-development type. The evaluation was performed with 11 experts, including seven radiologists and four mastologists, four men and seven women, with a mean age of 45 years, meantime of being in the profession of 22 years, and an average 15 years of working experience of in the field. Results: The individual, mean, and global Content Validity Index (CVI) was calculated. The booklet was validated with a CVI of 0.89. The suggestions of the experts were analyzed, and some of them were implemented for the final version of the booklet. Conclusion: The booklet was validated and will contribute significantly to the daily activities of medical and nursing professionals in the Family Health Strategy in relation to the interpretation of the mammographic report and the orientation regarding the referral, agility, and qualification of the patient to the specialized service.
Highlights
Breast cancer reflects the most incident malignant neoplasm among women around the world and in Brazil, excluding non-melanoma skin cancers, corresponding to approximately 28% of new cases every year [1]
In an attempt to change this situation, the Brazilian National Health Policy has been prioritizing measures for control of breast cancer, through guidelines from the Ministry of Health, so that the identification of the disease occurs in the initial phase, through strategies based on measures of screening and early diagnosis of cancer [2]
Mammographic screening aims at the detection of breast lesions at an early stage of the disease and the reduction of mortality rates caused by this type of cancer through early diagnosis [ 2 ]
Summary
Breast cancer reflects the most incident malignant neoplasm among women around the world and in Brazil, excluding non-melanoma skin cancers, corresponding to approximately 28% of new cases every year [1]. The diagnosis of breast cancer in less developed countries like, Brazil, occurs in more advanced stages of the disease and it contributes to increasing the complications related to the treatment, interfering the quality of life and reducing survival. Mammographic screening aims at the detection of breast lesions at an early stage of the disease and the reduction of mortality rates caused by this type of cancer through early diagnosis [ 2 ]. There are two main strategies for the detection of breast cancer: education to promote early diagnosis of the disease and annual mammographic screening in all women over 40 years of age [ 4 ]. The Breast Imaging-Reporting and Data System (BI-RADS ® ) is an international classification developed to systematize breast assessment, exam interpretation, and the preparation of reports of specific breast imaging exams
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