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Breast compression and experienced pain during mammography by use of three different compression paddles

European Journal of Radiology Apr 19, 2019

Moshina N, et al. - In this investigation, researchers used three different compression paddles to compare pain experienced during mammography screening: a fixed paddle standardizing pressure (study paddle), a flexible, and a fixed paddle. From a questionnaire completed by 4,675 women screened in BLINDED, May-November 2017, as part of BreastScreen BLINDED, information was gathered on pain experienced during mammography using a numeric rating scale (NRS) ranging from 0-10. They used linear regression to identify the association of a score of ≥7 vs <7 on NRS for experienced pain by compression paddle, adjusting for pressure, breast characteristics and associated factors. The mean of experienced pain for the study and flexible paddle did not differ, and for the study paddle, it was lower than the fixed paddle. Before mammography, pain in shoulder(s) and/or neck was related to 33% higher risk of a score of ≥7 vs <7 for experienced pain. During mammography, most women reported low scores of experienced pain, regardless of the compression paddle used.
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