Results from the Swiss mammography screening pilot programme

作者: J.-L Bulliard , J.-P De Landtsheer , F Levi

DOI: 10.1016/S0959-8049(03)00238-7

关键词: Cancer detectionOpportunistic screeningMammography screeningPredictive value of testsQuality standardMass screeningMammographyGynecologyFamily medicineIncidence (epidemiology)Medicine

摘要: The first Swiss mammography screening pilot programme operated between 1993 and 1998. Approximately 15000 women aged 50-69 years residing in western Switzerland (canton of Vaud) were offered a biennial screening. Quality standard recommendations for met most performance indicators. Some 4.6%/2.3% (prevalent/incident round) participants referred further assessment, 84.7%/75.6% them turned out not to have cancer. Specificity was high (96.1%/98.2%) the cancer detection rate amounted 7.0/1000 5.9/1000 prevalent incident rounds, respectively. 30%/26% cancers screened interval cancers, which at more advanced stage than screen-detected tumours. Screening performances improved with time age. objectives feasibility acceptability an organised liberal healthcare system, where routine opportunistic existed, achieved contributed implementation programmes two additional cantons.

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