Audit system on quality of breast cancer diagnosis and treatment (QT): results of quality indicators on screen-detected lesions in Italy in 2005 and preliminary results for 2006.

Maria Piera Mano, Vito Distante, Mariano Tomatis, Diego Baiocchi, Alessandra Barca, Rita Bordon, Giovanni Donati, Luigi Filippini, Alfonso Frigerio, Paola Mantellini, Carlo Naldoni, Giovanni Pagano, Deborah Ramera, Alessandra Ravaioli, Anna Sapino, Mario Taffurelli, Marcello Vettorazzi, Federica Zangirolami, Manuel Zorzi, Luigi CataliottiMarco Rosselli del Turco, Nereo Segnan, Antonio Ponti

Research output: Contribution to journalArticle

Abstract

Within this survey, conducted by the Italian Group of Mammography Screening (GISMa), individual data are collected yearly on more than 50% of all screen-detected operated lesions in Italy. In 2005, results showed overall good diagnosis and treatment quality, and an improving trend over time. Critical issues were identified in waiting times, compliance with the recommendations on not performing frozen section examination on small lesions and on performing specimen X-ray. Pre-operative diagnosis has reached the acceptable target, but room for improvement still exists. 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 deserves further investigation. The detailed results have been distributed to local and regional screening programmes 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 would provide the best setting for making audit effective in producing quality improvement.

Original languageEnglish
Pages (from-to)77-84
Number of pages8
JournalEpidemiologia e prevenzione
Volume32
Issue number2 Suppl 1
Publication statusPublished - Mar 2008

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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    Mano, M. P., Distante, V., Tomatis, M., Baiocchi, D., Barca, A., Bordon, R., Donati, G., Filippini, L., Frigerio, A., Mantellini, P., Naldoni, C., Pagano, G., Ramera, D., Ravaioli, A., Sapino, A., Taffurelli, M., Vettorazzi, M., Zangirolami, F., Zorzi, M., ... Ponti, A. (2008). Audit system on quality of breast cancer diagnosis and treatment (QT): results of quality indicators on screen-detected lesions in Italy in 2005 and preliminary results for 2006. Epidemiologia e prevenzione, 32(2 Suppl 1), 77-84.