Analysis of interval cancers observed in an Italian mammography screening programme (2000–2006) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-09

AUTHORS

F. Caumo, F. Vecchiato, M. Pellegrini, M. Vettorazzi, S. Ciatto, S. Montemezzi

ABSTRACT

PURPOSE: The purpose of this study was to assess the interval cancer (IC) proportional incidence and review IC cases observed in an Italian mammography screening programme during 2000-2006. MATERIALS AND METHODS: ICs were identified through linkage of a screening database with the local cancer registry and hospital discharge records to calculate proportional (observed/expected) incidence. Negatively reported mammograms preceding ICs underwent blind review (randomly mixed with negative controls in a 2:1 ratio) by three expert radiologists and classified according to European guidelines criteria (OC=occult, MS=minimal sign, SE=screening error) according to majority report. Proportional IC incidence and rate of reviewed IC classified as SE were compared with European guideline standards. RESULTS: Proportional IC incidence was 10.8% in the first and 40.0% in the second year of the interval (European standard=30% or 50%, respectively). Sensitivity estimate for the 2-year interval was 74.6%. ICs were reviewed as SE, MS or OC in 15.0%, 14.0% or 71.0% of cases, respectively. Corresponding review results for negative controls were 7.0%, 25.0% or 68.0%, respectively. Positive predictive value for IC was 51.7% for SE and 21.8% for MS reporting category, respectively (p=0.008). European standard (<20% reviewed as SE) was reached. CONCLUSIONS: The study shows that the sensitivity of the mammography programme was good, complying with European guideline recommendations. Assessment of IC-based early indicators of screening efficacy is feasible in a current screening programme and should become a routine procedure. More... »

PAGES

907-914

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11547-009-0424-4

DOI

http://dx.doi.org/10.1007/s11547-009-0424-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037809054

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19551342


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