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 journalArticle

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

Fingerprint

Italy
Breast Neoplasms
Axilla
Frozen Sections
Mammography
Quality Improvement
Dissection
Breast
X-Rays
Neoplasms
Sentinel Lymph Node
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ponti, A., Mano, M. P., Distante, V., Baiocchi, D., Bordon, R., Federici, A., ... Segnan, N. (2007). Audit system on quality of breast cancer diagnosis and treatment (QT): results from the survey on screen-detected lesions in Italy, 2004. Epidemiologia e prevenzione, 31(2-3 Suppl 2), 69-75.

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 journalArticle

Ponti, A, Mano, MP, Distante, V, Baiocchi, D, Bordon, R, Federici, A, Frigerio, A, Mantellini, P, Naldoni, C, Pagano, G, Sapino, A, Taffurelli, M, Tomatis, M, Vettorazzi, M, Zangirolami, F, Zorzi, M, Cataliotti, L, Rosselli Del Turco, M & Segnan, N 2007, 'Audit system on quality of breast cancer diagnosis and treatment (QT): results from the survey on screen-detected lesions in Italy, 2004.', Epidemiologia e prevenzione, vol. 31, no. 2-3 Suppl 2, pp. 69-75.
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. / Audit system on quality of breast cancer diagnosis and treatment (QT) : results from the survey on screen-detected lesions in Italy, 2004. In: Epidemiologia e prevenzione. 2007 ; Vol. 31, No. 2-3 Suppl 2. pp. 69-75.
@article{05390c18dd1444b6b2d7c9db9f78048f,
title = "Audit system on quality of breast cancer diagnosis and treatment (QT): results from the survey on screen-detected lesions in Italy, 2004.",
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.",
author = "Antonio Ponti and Mano, {Maria Piera} and Vito Distante and Diego Baiocchi and Rita Bordon and Antonio Federici and Alfonso Frigerio and Paola Mantellini and Carlo Naldoni and Giovanni Pagano and Anna Sapino and Mario Taffurelli and Mariano Tomatis and Marcello Vettorazzi and Federica Zangirolami and Manuel Zorzi and Luigi Cataliotti and {Rosselli Del Turco}, Marco and Nereo Segnan",
year = "2007",
month = "3",
language = "English",
volume = "31",
pages = "69--75",
journal = "Epidemiologia e prevenzione",
issn = "1120-9763",
publisher = "Zadig s.r.l",
number = "2-3 Suppl 2",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=35348831082&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35348831082&partnerID=8YFLogxK

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 -