TITLE

Introduction of organised mammography screening in tyrol: results of a one-year pilot phase

AUTHOR(S)
Oberaigner, Willi; Buchberger, Wolfgang; Frede, Thomas; Daniaux, Martin; Knapp, Rudolf; Marth, Christian; Siebert, Uwe
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p91
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Efficiency and efficacy of organised mammography screening programs have been proven in large randomised trials. But every local implementation of mammography screening has to check whether the well established quality standards are met. Therefore it was the aim of this study to analyse the most common quality indices after introducing organised mammography screening in Tyrol, Austria, in a smooth transition from the existing system of opportunistic screening. Methods: In June 2007, the system of opportunistic mammography screening in Tyrol was changed to an organised system by introducing a personal invitation system, a training program, a quality assurance program and by setting up a screening database. All procedures are noted in a written protocol. Most EU recommendations for organised mammography screening were followed, except double reading. All women living in Tyrol and covered by social insurance are now invited for a mammography, in age group 40-59 annually and in age group 60-69 biannually. Screening mammography is offered mainly by radiologists in private practice. We report on the results of the first year of piloting organised mammography screening in two counties in Tyrol. Results: 56,432 women were invited. Estimated participation rate was 34.5% at one year of follow-up (and 55.5% at the second year of follow-up); 3.4% of screened women were recalled for further assessment or intermediate screening within six months. Per 1000 mammograms nine biopsies were performed and four breast cancer cases detected (N = 68). Of invasive breast cancer cases 34.4% were ≤ 10 mm in size and 65.6% were node-negative. In total, six interval cancer cases were detected during one year of follow-up; this is 19% of the background incidence rate. Conclusions: In the Tyrolean breast cancer screening program, a smooth transition from a spontaneous to an organised mammography screening system was achieved in a short time and with minimal additional resources. One year after introduction of the screening program, most of the quality indicators recommended by the European guidelines had been reached. However, it will be necessary to introduce double reading, to change the rule for BI-RADS 3, and to concentrate on actions toward improving the participation rate.
ACCESSION #
59165137

 

Related Articles

  • Correlation between the histopathology and the characteristics of mammographic microcalcifications in malignant breast lesions. Kemal Sivrioglu, Ali; Basekim, Cınar; Mutlu, Hakan; Sonmez, Guner; Saglam, Muzaffer; Ozturk, Ersin; Aksoy Ozcan, Umit; Mahir Atasoy, Mehmet // Gulhane Medical Journal;Mar2014, Vol. 56 Issue 1, p27 

    Purpose: Our aim is to determine whether there is a correlation between the histopathological diagnosis of malignant lesions with mammographic microcalcifications and the characteristics of microcalcifications. Materials and methods: The patients who underwent mammographic study and the...

  • Community-based intervention to promote breast cancer awareness and screening: The Korean experience. Keeho Park; Woi Hyun Hong; Su Yeon Kye; Euichul Jung; Myung-hyun Kim; Hyeong Geun Park // BMC Public Health;2011, Vol. 11 Issue 1, p468 

    Background: There are many differences in culture, community identity, community participation, and ownership between communities in Western and Asian countries; thus, it is difficult to adopt the results of community intervention studies from Western countries. In this study, we conducted a...

  • 45-YEAR-OLD WORRIED ABOUT NIPPLE DISCHARGE. Jamil, Tanvir // Pulse;7/13/2006, Vol. 66 Issue 28, p35 

    The article discusses the case of a mother who had a nipple discharge for over three months. Nipple discharge could be associated with breast cancer in almost 12% of cases. Physicians should always exclude a false nipple discharge. Every women with a unilateral nipple discharge needs referral...

  • Monckeberg medial calcific sclerosis mimicking malignant calcification pattern at mammography. Saxena, A.; Waddell, I. C.; Friesen, R. W.; Michalski, R. T. // Journal of Clinical Pathology;Apr2005, Vol. 58 Issue 4, p447 

    The article presents information about monckeberg medial calcific sclerosis (MC S). MCS is a ring-like calcification of the vascular media of small to medium sized vessels without associated intimal thickening. Almost exclusively, MCS is the underlying condition in what is referred to as breast...

  • Mammography and beyond.  // RN;Jun2004, Vol. 67 Issue 6, p29 

    Describes techniques mostly used as adjuncts rather than as primary screening devices. Difference between digital mammography and the conventional one; Description of a ductal lavage; Usefulness of the magnetic resonance imaging.

  • Effect of Screening Result on Waiting Times to Assessment and Breast Cancer Diagnosis. Chiarelli, Anna M.; Verna Mai; Halapy, Erika E.; Shumak, Rene S.; O'Malley, Frances P.; Klar, Neil S. // Canadian Journal of Public Health;Jul/Aug2005, Vol. 96 Issue 4, p259 

    Background: The effect of severity of screening result on delays to diagnosis has primarily been examined for mammographic abnormalities. This study will examine delays to assessment and diagnosis for women with an abnormal mammogram compared to women with an abnormal clinical breast examination...

  • What is the most common mammographic appearance of T1a and T1b invasive breast cancer? Podkrajšek, Maja; Žgajnar, Janez; HoČevar, Marko // Radiology & Oncology;2008, Vol. 42 Issue 4, p173 

    Background. Data about the mammographic appearance of breast cancer smaller than 10 mm are very limited and different authors use different mammographic criteria. The aim of this study was to determine the most common mammographic appearance of small invasive breast cancers (T1a and T1b )....

  • Screening decreases breast cancer-specific deaths but not all-cause mortality. Farmer, Chris; Kane, Kevin Y. // Journal of Family Practice;Jun2002, Vol. 51 Issue 6, p513 

    This article reports on a new meta-analysis of the Swedish studies about breast cancer. It provides details of the population studied and the study design and validity. Using the evaluation model, breast cancer mortality was reduced with invitation to mammography screening. The cumulative breast...

  • The Contribution of Clinical Breast Examination to the Accuracy of Breast Screening. Chiarelli, Anna M.; Majpruz, Vicky; Brown, Patrick; Thériault, Marc; Shumak, Rene; Mai, Verna // JNCI: Journal of the National Cancer Institute;9/16/2009, Vol. 101 Issue 18, p1236 

    Background: There is controversy about whether adding clinical breast examination (CBE) to mammography improves the accuracy of breast screening. We compared the accuracy of screening among centers that offered CBE in addition to mammography with that among centers that offered only mammography.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics