scholarly journals Implementation of the German Mammography Screening Program (German MSP) and First Results for Initial Examinations, 2005-2009

Breast Care ◽  
2016 ◽  
Vol 11 (3) ◽  
pp. 183-187 ◽  
Author(s):  
Daniela Malek ◽  
Vanessa Kääb-Sanyal
Keyword(s):  
Mammography Screening ◽  
Ductal Carcinoma ◽  
Screening Program ◽  
Breast Cancer Incidence ◽  
Performance Outcomes ◽  
Long Term Effects ◽  
Screening Process ◽  
Federal States ◽  
Target Values ◽  
Mammography Screening Program

Background: The German Mammography Screening Program (German MSP) is population-based and intended for women aged 50-69 years (approximately 10.5 million). The program started in 2005 and was implemented within 5 years. This article describes the implementation, structure, and screening process, and presents the results of initial examinations for the prevalence phase. Methods: Data were collected annually from invitation centers (invitation, attendance), screening units (performance, outcomes), and cancer registries (incidence). Results: In 2009, 92% of all annually eligible women were invited; 50% of the annually eligible population participated. The total cancer detection rate in the period of 2005-2009 was 8.1/1,000; the corresponding recall rate was 5.9%. 19.6% of detected cancers were ductal carcinoma in situ; 76.7% of invasive cancers were ≤ 20 mm in size, 30.2% were ≤ 10 mm, and 75.3% were node-negative. During the implementation period, incidence increased by 37 and 56% in the old and new federal states, respectively. Incidence rates decreased following the prevalence phase. Conclusion: The German MSP was successfully implemented. The results of the prevalence phase meet the target values of the European guidelines. Proper functioning of the program is also verified by its effects on breast cancer incidence. To draw reliable conclusions regarding the long-term effects of the program, results from the routine screening rounds have to be awaited.

scholarly journals Trends in Breast Cancer Incidence and Stage Distribution Before and During the Introduction of the Mammography Screening Program in Lithuania

2019 ◽  
Vol 26 (1) ◽  
pp. 107327481882109 ◽  
Author(s):  
Laura Steponaviciene ◽  
Ruta Briediene ◽  
Rasa Vanseviciute ◽  
Giedre Smailyte
Keyword(s):  
Breast Cancer ◽  
Mammography Screening ◽  
Screening Program ◽  
Breast Cancer Incidence ◽  
Age Groups ◽  
Target Population ◽  
Steady Increase ◽  
Incidence Trends ◽  
Implementation Period ◽  
Mammography Screening Program

Background: The aim of this study was to analyze the incidence trends of localized and advanced breast cancer (BC) before and during the implementation of the mammography screening program (MSP) in Lithuania. Methods: The study period was divided into 2 intervals: the prescreening period (1998-2005) and implementation period (2006-2012). Analysis was performed for 3 age-groups: 0 to 49 years, 50 to 69 (target population), and older than 70. Results: In all age-groups, the incidence of localized BC has shown a steady increase, while the incidence of advanced stage BC has decreased. In the target population, during the study period, the stage I BC incidence increased statistically significantly by 10.3% per year (from 3.3 per 100 000 in 1998 to 12.2 per 100 000 in 2012). The increase in localized BC was faster in the period before the implementation of the MSP than during the implementation in 2006 to 2012 (10.3% and 5.7%). A slightly statistically significant decrease was observed for advanced BC during the study period (−1.1% per year), while during the implementation of the MSP, significant changes were not seen. Conclusions: The results of our study indicate that the implementation of the MSP in Lithuania did not significantly influence trends of localized and advanced BC. Changes observed during the study period, including the prescreening and screening introduction periods, may reflect the general trends in the awareness of BC and improvements in diagnostics.

scholarly journals Kuwait National Mammography Screening Program: outcomes of 5 years of screening in Kuwaiti women

2021 ◽  
Vol 41 (5) ◽  
pp. 257-267
Author(s):  
Hanaa Abdulla Alkhawari ◽  
Akram Mahmoud Asbeutah ◽  
Abdullah Abdulaziz Almajran ◽  
Latifa Abdullah AlKandari
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Mammography Screening ◽  
Ductal Carcinoma ◽  
Screening Program ◽  
Retention Rate ◽  
Lobular Carcinoma ◽  
Participation Rate ◽  
Program Outcomes ◽  
Mammography Screening Program

BACKGROUND: Breast cancer is the most common malignancy among women in Kuwait, representing 39.8% of all female cancer cases. OBJECTIVES: Report the data of the Kuwait National Mammography Screening Program (KNMSP) for a 5-year period. DESIGN: Prospective data collection. SETTING: Population-based screening. SUBJECTS AND METHODS: We included mammography screens done for Kuwaiti women (age 40 years and older) who attended the KNMSP from 2014 to 2019 to screen for breast cancer. A full-field digital mammography system was used to acquire the mammographic images in craniocaudal and mediolateral oblique projections. Independent double-blind reading of the mammograms was performed by two radiologists. MAIN OUTCOME MEASURE: Early detection of breast cancer. SAMPLE SIZE: 14 773 asymptomatic women met inclusion criteria (mean [SD] age, 51.8 (8.2). RESULTS: Lesions were detected in 551 women (3.7%). These included 233 malignant lesions (233/551, 42.3%), 57 high-risk lesions (10.3%) and 261 benign lesions (47.4%). The participation rate was 7.8% of the target population of women 40–69 years of age. The majority of breast cancer cases were reported in the age group 45–49 years (23.2%). The KNMSP study recall rate for 5 consecutive years was in a range of 11.9–16.5% (mean, 14.3%). The detection rate of ductal/lobular carcinoma in situ and invasive breast cancer were 2.5 and 13.6 per 1000 screened women, respectively. Invasive ductal carcinoma was the most common type. Only 4314 women followed up within 12–15 months of the first mammography for a retention rate of 29.2%. CONCLUSIONS: Screening mammography improves early detection of breast cancer in women older than 40 years but poor participation is a limitation. We are aiming to increase the participation rate to 70% of the population. LIMITATIONS: Lack of participation by women. CONFLICT OF INTEREST: None.

scholarly journals Influence of Risk Category and Screening Round on the Performance of an MR Imaging and Mammography Screening Program in Carriers of the BRCA Mutation and Other Women at Increased Risk

Radiology ◽  
2018 ◽  
Vol 286 (2) ◽  
pp. 443-451 ◽  
Author(s):  
Suzan Vreemann ◽  
Albert Gubern-Mérida ◽  
Margrethe S. Schlooz-Vries ◽  
Peter Bult ◽  
Carla H. van Gils ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Mammography Screening ◽  
Screening Program ◽  
Brca Mutation ◽  
Risk Category ◽  
Increased Risk ◽  
Mammography Screening Program

EVALUATION OF PREVENTIVE TECHNOLOGIES IN GERMANY

2001 ◽  
Vol 17 (3) ◽  
pp. 329-337 ◽  
Author(s):  
Matthias Perleth ◽  
Reinhard Busse ◽  
Bernhard Gibis ◽  
Angela Brand
Keyword(s):  
Prostate Cancer ◽  
Mammography Screening ◽  
Preventive Measures ◽  
Screening Program ◽  
Normal Pregnancy ◽  
Sufficient Evidence ◽  
German Studies ◽  
Psa Screening ◽  
German Healthcare System ◽  
Mammography Screening Program

Objective: In this article, three preventive strategies—mammography screening for breast cancer, PSA screening for prostate cancer, and routine ultrasound in normal pregnancy—are discussed in the context of German health care.Methods: Epidemiologic data and German studies evaluating different aspects of these preventive measures were identified and analyzed.Results: Only a few studies could be identified that investigate these preventive measures. Despite sufficient evidence, in part derived from a German study, there is not yet a mammography screening program. In contrast, ultrasound in pregnancy is offered routinely, although there are controversies regarding the benefit of this practice. PSA screening is not offered as part of the screening program for prostate cancer. However, PSA tests as well as mammographies are done in large numbers in German ambulatory care—a practice that could be considered wild or opportunistic screening.Conclusions: These case studies show that preventive programs and practices in Germany are not sufficiently based on sound evidence. The paucity of evaluation activities related to prevention in Germany is probably due to the low threshold to introduce new preventive programs into the German healthcare system in the past.

Population-Based Mammography Screening in Clinical Practice

1994 ◽  
Vol 35 (5) ◽  
pp. 487-491 ◽  
Author(s):  
E. Thurfjell
Keyword(s):  
Clinical Practice ◽  
Mammography Screening ◽  
Screening Program ◽  
Population Based ◽  
Age Group ◽  
Surgical Biopsy ◽  
Cancer Rate ◽  
Node Metastasis ◽  
Median Size ◽  
Mammography Screening Program

The results from the prevalence round of a population-based mammography screening program in Uppsala county are presented. We invited 48 517 women aged 40 to 74 years to mammography screening. The age subgroup 40 to 54 years was examined with two-view mammograms, while women in age group 55 to 74 years were offered one-view screening. The number of attending women was 41 761 (86% of those invited), of whom 2002 (4.8%) were recalled for further examinations, and 423 (1.0%) were referred for surgical biopsy. A total of 241 (0.58%) women were diagnosed to have breast cancer. About 1/3 of the cancers were stage 2 or more advanced, but only 20% of the invasive cancers had lymph node metastasis. The median size of an invasive cancer was 16 mm. After age-adjusting the cancer rate, the results indicate that the Swedish two-county study can be duplicated in clinical practice.

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