Lessons learned from mammography screening

被引:0
作者
Vomweg T.W. [1 ]
机构
[1] Mammographie-Screening-Programm Mittelrhein, Radiologisches Institut Dr. von Essen, Emil-Schüller-Strasse 31–33, Koblenz
来源
Der Pneumologe | 2017年 / 14卷 / 3期
关键词
Cancer screening; Early detection of cancer; Informed consent; Overdiagnosis; Overtreatment;
D O I
10.1007/s10405-017-0104-3
中图分类号
学科分类号
摘要
Background: The quality-assured German mammography screening program has now been in operation throughout the country for 10 years. Aim: The experience gained over the years by the implementation of mammography screening has taught us important lessons to be considered for the introduction of any new screening program. Material and methods: During the course of the program it was necessary to continuously adapt binding guidelines regarding documentation and quality assurance. Additionally, new legal frameworks and information material for clients had to be developed. The impacts of these changes on the procedures, in particular the methods of communication within the mammography screening program are presented in this article. Results and discussion: Prior to the introduction of new screening programs, test methods have to come under closer scrutiny and should be assessed with respect to broader issues at an earlier stage. The frequency and invasiveness of additional and follow-up examinations, as well as an evaluation of potential overdiagnosis and associated overtreatment is of particular importance. A structured data matching between the screening program and the national registry in order to identify interval diseases and to calculate sensitivity and specificity of the screening method is obligatory. The information material accompanying the invitation to screening must clearly convey the pros and cons of a screening program for the target group in order that an informed decision can be made. © 2017, The Author(s).
引用
收藏
页码:131 / 139
页数:8
相关论文
共 50 条
[31]   Time to stop mammography screening? [J].
Gotzsche, Peter C. .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2011, 183 (17) :1957-1958
[32]   Advantages and Disadvantages of Mammography Screening [J].
Heywang-Koebrunner, Sylvia H. ;
Hacker, Astrid ;
Sedlacek, Stefan .
BREAST CARE, 2011, 6 (03) :199-207
[33]   Drawing blood from young children: lessons learned from a trial in Ghana [J].
Newton, Sam ;
Doku, Victor ;
Geissler, Wenzel ;
Asante, Kwaku Poku ;
Cousens, Simon .
TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 2009, 103 (05) :497-499
[34]   Overdiagnosis of Invasive Breast Cancer Due to Mammography Screening: Results From the Norwegian Screening Program [J].
Kalager, Mette ;
Adami, Hans-Olov ;
Bretthauer, Michael ;
Tamimi, Rulla M. .
ANNALS OF INTERNAL MEDICINE, 2012, 156 (07) :491-U61
[35]   Online information about mammography screening in Italy from 2014 to 2021 [J].
Attena, Francesco ;
Abagnale, Lucia ;
Avitabile, Angela .
BMC WOMENS HEALTH, 2022, 22 (01)
[36]   Comparison of mammography results from individual and organized screening for breast cancer [J].
Tron, Arthur ;
Caulliez, Segolene ;
Malmartel, Alexandre .
JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION, 2021, 50 (05)
[37]   Lessons to be learned for gastroenterology from recent issues in clinical trial methodology [J].
Ohmann, C ;
Albrecht, J .
CANADIAN JOURNAL OF GASTROENTEROLOGY, 2000, 14 (04) :293-298
[38]   Effects of Mammography Screening Under Different Screening Schedules: Model Estimates of Potential Benefits and Harms [J].
Mandelblatt, Jeanne S. ;
Cronin, Kathleen A. ;
Bailey, Stephanie ;
Berry, Donald A. ;
de Koning, Harry J. ;
Draisma, Gerrit ;
Huang, Hui ;
Lee, Sandra J. ;
Munsell, Mark ;
Plevritis, Sylvia K. ;
Ravdin, Peter ;
Schechter, Clyde B. ;
Sigal, Bronislava ;
Stoto, Michael A. ;
Stout, Natasha K. ;
van Ravesteyn, Nicolien T. ;
Venier, John ;
Zelen, Marvin ;
Feuer, Eric J. .
ANNALS OF INTERNAL MEDICINE, 2009, 151 (10) :738-W247
[39]   Mammography screening in less developed countries [J].
Li, JunJie ;
Shao, ZhiMin .
SPRINGERPLUS, 2015, 4
[40]   Discussing the benefits and harms of screening mammography [J].
Brennan, Meagan ;
Houssami, Nehmat .
MATURITAS, 2016, 92 :150-153