The Role of Mammography and Innovative Health Informatics Utilization on Breast Cancer Detection in Palestine رسالة ماجستير

Abstract

Background: Breast cancer is the most diagnosed cancer among women worldwide, presenting significant public health challenges. The importance of early detection in improving survival rates is well-recognized, facilitated by advancements in diagnostic technologies such as mammography. This thesis explores the efficacy of early detection strategies in the Palestinian context, in collaboration with the Ministry of Health, using data from two significant datasets: "Mammogram" and "Breast Cancer". Methods: A predominantly quantitative approach, complemented by qualitative insights, is used, with secondary data analyzed through a retrospective cohort design and observational epidemiological model. The research involves all the women in the West Bank who underwent mammography screenings at the Ministry of Health, using a non probability census sampling method to examine 30,000 records over four years. Results: This study finds that the governorate of residence, first pregnancy age and heart diseases are strong predictor of BIRAD scores. It shows an 83.23% detection completeness for high BIRADS cases, indicating effective alignment between mammogram and cancer registries. Regional disparities are evident, with Jenin having the highest case concentration. While most high BIRAD cases are migrated to the breast cancer registry within one month, some experience delays of up to several years. Conclusion and Recommendation: This thesis highlights the vital role of health informatics in early detection and enhancing breast cancer outcomes. The recommendations focus on upgrading data systems, better training for healthcare providers, and advocating for stronger policies to enhance breast cancer management and patient care, urging collective action from all stakeholders in Palestine's healthcare system