Evaluación de resultados en el programa de detección precoz del cáncer de mama del Principado de Asturias / Assessment of results in the early diagnosis of breast cancer program in Asturias Community

Objetivo. Evaluar y difundir los resultados intermedios del Programa de detección precoz de cáncer de mama del Principado de Asturias. Material y métodos. El periodo de estudio corresponde a los años 2005 a 2009, los indicadores son los propuestos en la Guía europea de garantía de calidad en cribado mamográfico, la fuente de información para los casos fue el sistema de información de anatomía patológica, las características del tumor se recogen del informe de anatomía patológica. La clasificación de los diagnósticos en relación con el programa procede del sistema de información propio del mismo. Resultados. En el periodo se diagnosticaron 1.384 cánceres de mama en la población diana del programa. Un 49% fueron casos diagnosticados en el programa, un 13% cánceres de intervalo, un 17% fueron diagnosticados en mujeres que decidieron no participar en el programa y un 22% en mujeres que por diversas razones no habían sido invitadas a participar. Los diagnósticos más avanzados se producen en el grupo de los cánceres de intervalo y los más precoces en población no invitada. Conclusiones. Cuando el sistema sanitario se dirige a la población asintomática para ofrecerle una medida de prevención debe asegurarse que esta presenta un balance favorable. Los resultados de esta evaluación son consistentes con los estándares aceptados y con los encontrados en otras evaluaciones(AU)

Objective. To evaluate and disseminate the intermediate results of a breast cancer early detection program in the Asturias Community. Material and Methods. We report the results of screening examinations performed between 2005 and 2009, using the indicators proposed in the European Guidelines on Quality Assurance in Mammography Screening. The information sources for breast cancer cases diagnosed were the pathology information system and the information on the characteristics of the tumour from the pathology report. The classification of the diagnostic features of the program was from its own information system. Results. A total of 1,384 breast cancers were diagnosed in the program target population during the study period, of which 49% were diagnosed in the program, 13% were interval cancers, 17% were diagnosed in women who chose not to participate in the program, and 22% in women who for various reasons had not been invited to participate. The most advanced diagnoses were made in the group of interval cancers and the earliest diagnoses were made in the uninvited population. Conclusions. When the healthcare system is directed towards the asymptomatic population to provide a measure of prevention, it must ensure that there is a favourable balance. The results of this evaluation are consistent with accepted standards and with those found in other assessments(AU)

[Assessment of results in the early diagnosis of breast cancer program in Asturias Community]. / Evaluación de resultados en el programa de detección precoz del cáncer de mama del Principado de Asturias.

OBJECTIVE: To evaluate and disseminate the intermediate results of a breast cancer early detection program in the Asturias Community. MATERIAL AND METHODS: We report the results of screening examinations performed between 2005 and 2009, using the indicators proposed in the European Guidelines on Quality Assurance in Mammography Screening. The information sources for breast cancer cases diagnosed were the pathology information system and the information on the characteristics of the tumour from the pathology report. The classification of the diagnostic features of the program was from its own information system. RESULTS: A total of 1,384 breast cancers were diagnosed in the program target population during the study period, of which 49% were diagnosed in the program, 13% were interval cancers, 17% were diagnosed in women who chose not to participate in the program, and 22% in women who for various reasons had not been invited to participate. The most advanced diagnoses were made in the group of interval cancers and the earliest diagnoses were made in the uninvited population. CONCLUSIONS: When the healthcare system is directed towards the asymptomatic population to provide a measure of prevention, it must ensure that there is a favourable balance. The results of this evaluation are consistent with accepted standards and with those found in other assessments.