TY - JOUR
T1 - Audit on quality of breast cancer diagnosis and treatment in Italy, 2008-2009.
AU - Ponti, Antonio
AU - Tomatis, Mariano
AU - Baiocchi, Diego
AU - Barca, Alessandra
AU - Berti, Rosa
AU - Bisanti, Luigi
AU - Bordon, Rita
AU - Casella, Denise
AU - Cogo, Carla
AU - Deandrea, Silvia
AU - Delrio, Daria
AU - Donati, Giovanni
AU - Falcini, Fabio
AU - Frigerio, Alfonso
AU - Leonardo, Nico
AU - Mancini, Silvia
AU - Mantellini, Paola
AU - Naldoni, Carlo
AU - Pagano, Giovanni
AU - Ravaioli, Alessandra
AU - Pietribiasi, Francesca
AU - Sedda, Maria Laura
AU - Taffurelli, Mario
AU - Zorzi, Manuel
AU - Cataliotti, Luigi
AU - Segnan, Nereo
AU - Mano, Maria Piera
PY - 2011/9
Y1 - 2011/9
N2 - This survey, conducted by the Italian breast screening network (GISMa), collects individual data yearly on about 50% of all screen-detected, operated lesions in Italy. The 2008-2009 results show good overall quality of diagnosis and treatment and an improving trend over time. Critical issues were identified, including waiting times and compliance with the recommendations on not performing frozen section examination on small lesions. Pre-operative diagnosis reached the acceptable target, but there is a large variation between regions and programmes. For almost 90% of screen-detected invasive cancers the sentinel lymph node technique (SLN) was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN deserves further investigation. The detailed results have been distributed, also by means of a web-based data warehouse, to regional and local screening programmes in order to allow multidisciplinary discussion and identification of the appropriate solutions to any problem documented by the data. Specialist breast units with adequate case volume and enough resources would provide the best setting for making audits effective in producing quality improvements with shorter waiting times.
AB - This survey, conducted by the Italian breast screening network (GISMa), collects individual data yearly on about 50% of all screen-detected, operated lesions in Italy. The 2008-2009 results show good overall quality of diagnosis and treatment and an improving trend over time. Critical issues were identified, including waiting times and compliance with the recommendations on not performing frozen section examination on small lesions. Pre-operative diagnosis reached the acceptable target, but there is a large variation between regions and programmes. For almost 90% of screen-detected invasive cancers the sentinel lymph node technique (SLN) was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN deserves further investigation. The detailed results have been distributed, also by means of a web-based data warehouse, to regional and local screening programmes in order to allow multidisciplinary discussion and identification of the appropriate solutions to any problem documented by the data. Specialist breast units with adequate case volume and enough resources would provide the best setting for making audits effective in producing quality improvements with shorter waiting times.
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M3 - Article
C2 - 22166352
AN - SCOPUS:84860326654
VL - 35
SP - 87
EP - 95
JO - Epidemiologia e prevenzione
JF - Epidemiologia e prevenzione
SN - 1120-9763
IS - 5-6 Suppl 5
ER -