Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in Italy for 2006 and preliminary results for 2007.

Mariano Tomatis, Maria Piera Mano, Diego Baiocchi, Alessandra Barca, Rita Bordon, Denise Casella, Giovanni Donati, Rosa Berti, Luigi Filippini, Alfonso Frigerio, Alessia Furini, Paola Mantellini, Carlo Naldoni, Giovanni Pagano, Deborah Ramera, Alessandra Ravaioli, Anna Sapino, Mario Taffurelli, Marcello Vettorazzi, Manuel ZorziLuigi Cataliotti, Marco Rosselli Del Turco, Nereo Segnan, Antonio Ponti

Research output: Contribution to journalArticlepeer-review

Abstract

Within this survey, conducted by the Italian Breast Screening Network (Gruppo Italiano per lo Screening Mammografico, GISMa), individual data are collected yearly on more than 50% of all screen-detected operated lesions in Italy. In 2006, results showed overall good diagnosis and treatment quality and an improving trend over time. Critical issues were identified in waiting times, compliance with recommendations on not performing frozen section examination on small lesions and on performing specimen X-ray. Pre-operative diagnosis reached the acceptable target, but there is a large variation between Regions and programmes. The sentinel lymph node technique (SLN) was performed on the axilla in more than 70% of screen-detected invasive cancers, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN in ductal carcinoma in situ deserves further investigation. The detailed results have been distributed to regional and local screening programmes, also by means of an online database, in order to allow multidisciplinary discussion and the identification of appropriate solutions to any problems documented by the data. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making audit effective in producing quality improvement with a shortening of waiting times.

Original languageEnglish
Pages (from-to)83-90
Number of pages8
JournalEpidemiologia e prevenzione
Volume33 Suppl 2
Publication statusPublished - May 2009

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in Italy for 2006 and preliminary results for 2007.'. Together they form a unique fingerprint.

Cite this