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14 March 2024: Clinical Research

Comparison of Presentation Types and Clinical Findings of Rural and Urban Patients with Mastalgia: A Retrospective Analysis of 730 Patients from Turkey

Gultekin Ozan Kucuk ABCDEF*

DOI: 10.12659/MSM.943448

Med Sci Monit 2024; 30:e943448

Table 2 Pain characteristics of patients and comparisons by rural vs urban location.

Pain characteristicsTotal (n=730)Rural (n=232)Urban (n=498)p value
Pain type
 Cyclic280 (38.4%)70 (30.2%)210 (42.2%)0.002b
 Non-cyclic450 (61.6%)162 (69.8%)288 (57.8%)
Pain location
 Right201 (27.5%)70 (30.2%)131 (26.3%)0.283b
 Left387 (53.0%)124 (53.4%)263 (52.8%)
 Bilateral142 (19.5%)38 (16.4%)104 (20.9%)
Pain distribution on breast
 Focal pain (less than 25%)133 (18.2%)41 (17.7%)92 (18.5%)0.794b
 Diffuse pain597 (81.8%)191 (82.3%)406 (81.5%)
 Duration of pain (months)3 (0.03–240)5 (0.03–180)3 (0.03–240)0.227a
Nipple-areola complex pain
 Yes57 (7.8%)24 (10.3%)33 (6.6%)0.111c
 No.673 (92.2%)208 (89.79%)465 (93.4%)
Isolated breast or radiating pain
 Isolated breast pain293 (40.1%)96 (41.4%)197 (39.6%)0.640b
 Radiating pain437 (59.9%)136 (58.6%)301 (60.4%)
Pain score
 1: no effect on daily life405 (55.5%)127 (54.7%)278 (55.8%)0.520b
 2: slight effect on daily life162 (22.2%)57 (24.6%)105 (21.1%)
 3: affects sleep or admits emergency163 (22.3%)48 (20.7%)115 (23.1%)
Breast quadrant pain localizations
 Right upper-outer quadrant288 (39.5%)100 (43.1%)188 (37.8%)0.168b
 Right upper inner quadrant134 (18.4%)51 (22.0%)83 (16.7%)0.084b
 Right lower-outer quadrant240 (32.9%)74 (31.9%)166 (33.3%)0.700b
 Right lower-inner quadrant113 (15.5%)42 (18.1%)71 (14.3%)0.181b
 Left upper-inner quadrant193 (26.4%)75 (32.3%)118 (23.7%)0.014b
 Left upper-outer quadrant430 (58.9%)136 (58.6%)294 (59.0%)0.915b
 Left lower-inner quadrant177 (24.2%)64 (27.6%)113 (22.7%)0.151b
 Left lower-outer quadrant360 (49.3%)106 (45.7%)254 (51.0%)0.181b
Descriptive statistics of non-normal distributed numerical variables are presented as median (minimum value-maximum value).
a Mann-Whitney U test;
b Pearson’s chi-square test;
c Yates continuity correction;
d Fisher’s exact test.
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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750