Experience of pain during mammographic screening by three different compression paddles
Radiography (London, England : 1995)(2023)
Abstract
Introduction: Experience of pain during screening mammography is shown to affect further attendance negatively. We aimed to explore the experience of pain during screening mammography using three different breast compression paddles.Methods: Using a self-report questionnaire, we collected information on pain experienced during mammography from 938 women screened in Bode at Nordland Hospital County in 2018, as a part of BreastScreen Norway. Pain was assessed by a numeric rating scale (NRS, 0-10). A fixed paddle, a flexible paddle or a fixed paddle standardizing pressure (study paddle) were used during screening. Compression force (kg) was recorded by the radiographers for each screening examination. Log-binomial regression was used to determine the relative risk (RR) of severe (& GE;7 on NRS) versus mild/moderate (<7 on NRS) experience of pain associated with type of compression paddle, adjusting for breast tenderness, shoul-der(s) and/or neck pain prior to screening, compression force, age, body mass index and screening history.Results: Mean score of self-reported experienced pain was 2.8 for the fixed, 2.3 for the flexible and 2.8 for the study paddle (p < 0.03 for fixed versus flexible and for flexible versus study paddle). Adjusted RR of severe pain was higher for the fixed (RRAdj 2.01, 95%CI 1.13-3.59) and the study paddle (RRAdj 2.52, 95%CI 1.44-4.42) compared to the flexible paddle. Breast tenderness was associated with a higher risk (RRAdj 1.93, 95%CI 1.04-3.58) of severe pain compared to no breast tenderness.Conclusion: Women screened with the flexible paddle reported lower experience of pain than those screened with the fixed or study paddle. Implication for practice: The flexible compression paddle might be the best choice regarding experience of pain in screening mammography. Breast tenderness should be considered by the radiographers in a practical screening setting.& COPY; 2023 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.
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Key words
Mammography,Breast compression,Pain,Breast cancer,Surveys and questionnaires
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