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 language | English |
|---|---|
| Pages (from-to) | 69-75 |
| Number of pages | 7 |
| Journal | Epidemiologia e prevenzione |
| Volume | 31 |
| Issue number | 2-3 Suppl 2 |
| Publication status | Published - Mar 2007 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Audit system on quality of breast cancer diagnosis and treatment (QT) : results from the survey on screen-detected lesions in Italy, 2004. / Ponti, Antonio; Mano, Maria Piera; Distante, Vito; Baiocchi, Diego; Bordon, Rita; Federici, Antonio; Frigerio, Alfonso; Mantellini, Paola; Naldoni, Carlo; Pagano, Giovanni; Sapino, Anna; Taffurelli, Mario; Tomatis, Mariano; Vettorazzi, Marcello; Zangirolami, Federica; Zorzi, Manuel; Cataliotti, Luigi; Rosselli Del Turco, Marco; Segnan, Nereo.
In: Epidemiologia e prevenzione, Vol. 31, No. 2-3 Suppl 2, 03.2007, p. 69-75.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Audit system on quality of breast cancer diagnosis and treatment (QT)
T2 - results from the survey on screen-detected lesions in Italy, 2004.
AU - Ponti, Antonio
AU - Mano, Maria Piera
AU - Distante, Vito
AU - Baiocchi, Diego
AU - Bordon, Rita
AU - Federici, Antonio
AU - Frigerio, Alfonso
AU - Mantellini, Paola
AU - Naldoni, Carlo
AU - Pagano, Giovanni
AU - Sapino, Anna
AU - Taffurelli, Mario
AU - Tomatis, Mariano
AU - Vettorazzi, Marcello
AU - Zangirolami, Federica
AU - Zorzi, Manuel
AU - Cataliotti, Luigi
AU - Rosselli Del Turco, Marco
AU - Segnan, Nereo
PY - 2007/3
Y1 - 2007/3
N2 - 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.
AB - 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.
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M3 - Article
C2 - 17824364
AN - SCOPUS:35348831082
VL - 31
SP - 69
EP - 75
JO - Epidemiologia e prevenzione
JF - Epidemiologia e prevenzione
SN - 1120-9763
IS - 2-3 Suppl 2
ER -