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

Maria Piera Mano, Antonio Ponti, Mariano Tomatis, Diego Baiocchi, Alessandra Barca, Rosa Berti, Rita Bordon, Denise Casella, Daria Delrio, Giovanni Donati, Fabio Falcini, Alfonso Frigerio, Alessia Furini, Paola Mantellini, Carlo Naldoni, Giovanni Pagano, Paola Piccini, Alessandra Ravaioli, Donatella Rodella, Anna SapinoMaria Laura Sedda, Mario Taffurelli, Marcello Vettorazzi, Manuel Zorzi, Luigi Cataliotti, Nereo Segnan

Research output: Contribution to journalArticle

Abstract

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 2007 results show good overall quality of diagnosis and treatment and an improving trend over time. Critical issues were identified concerning waiting times, compliance with the recommendations on not performing frozen section examination on small lesions and on performing specimen X-rays. Preoperative diagnosis reached the acceptable target, but there is a large variation between Regions and programmes. For more than 80%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 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 a shorter waiting times.

Original languageEnglish
Pages (from-to)81-88
Number of pages8
JournalEpidemiologia e prevenzione
Volume34
Issue number5-6 Suppl 4
Publication statusPublished - Sep 2010

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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    Mano, M. P., Ponti, A., Tomatis, M., Baiocchi, D., Barca, A., Berti, R., Bordon, R., Casella, D., Delrio, D., Donati, G., Falcini, F., Frigerio, A., Furini, A., Mantellini, P., Naldoni, C., Pagano, G., Piccini, P., Ravaioli, A., Rodella, D., ... Segnan, N. (2010). Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in Italy, 2007. Epidemiologia e prevenzione, 34(5-6 Suppl 4), 81-88.