Audit system on quality of breast cancer diagnosis and treatment (QT): results from the survey on screen-detected lesions in Italy, 2004.

Antonio Ponti, Maria Piera Mano, Vito Distante, Diego Baiocchi, Rita Bordon, Antonio Federici, Alfonso Frigerio, Paola Mantellini, Carlo Naldoni, Giovanni Pagano, Anna Sapino, Mario Taffurelli, Mariano Tomatis, Marcello Vettorazzi, Federica Zangirolami, Manuel Zorzi, Luigi Cataliotti, Marco Rosselli Del Turco, Nereo Segnan

Research output: Contribution to journalArticlepeer-review

Abstract

Within this survey, conducted by the Italian Group for Mammography Screening (GISMa), individual data are collected yearly on more than 50% of all screen-detected operated lesions in Italy. In 2004, overall results show a good diagnosis and treatment quality and an improving trend over time. Critical issues have been identified in waiting times, compliance to the recommendations on not performing frozen section examination on small lesions and on performing specimen X-ray. Pre-operative diagnosis has reached an acceptable level, but room for improvement still exists. The sentinel lymph node technique (SLN) was performed on the axilla in almost 70% of screen-detected invasive cancers, 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 to local and regional screening programmes in order to enable multidisciplinary discussion and the identification of appropriate solutions to any problems documented by the data. Specialist Breast Units with adequate case volumes would provide the best setting for effective audits leading to quality improvement.

Original languageEnglish
Pages (from-to)69-75
Number of pages7
JournalEpidemiologia e prevenzione
Volume31
Issue number2-3 Suppl 2
Publication statusPublished - Mar 2007

ASJC Scopus subject areas

  • Medicine(all)

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