Il "progetto SQTM" sulla qualità di diagnosi e terapia entro i programmi di screening in Italia: risultati 2010.

Translated title of the contribution: [Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010].

Antonio Ponti, Maria Piera Mano, Mariano Tomatis, Diego Baiocchi, Alessandra Barca, Rosa Berti, Luigi Bisanti, Denise Casella, Silvia Deandrea, Daria Delrio, Giovanni Donati, Fabio Falcini, Brunella Frammartino, Alfonso Frigerio, Paola Mantellini, Carlo Naldoni, Lorenzo Orzalesi, Giovanni Pagano, Francesca Pietribiasi, Alessandra RavaioliMaria Laura Sedda, Mario Taffurelli, Luigi Cataliotti, Nereo Segnan

Research output: Contribution to journalArticle

Abstract

This survey, conducted by the Italian breast screening network (GISMa), collects yearly individual data on diagnosis and treatment on about 50% of all screen-detected, operated lesions in Italy. The 2010 results show good overall quality and an improving trend over time. Critical issues were identified, including waiting times and compliance with the recommendations on not performing frozen section examination on small lesions. Preoperative diagnosis improved constantly over the years, but there is still a large variation between regions and programmes. For almost 90% 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 for ductal carcinoma in situ 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 issues documented by the data. It should be assigned priority to the problem of waiting times. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making monitoring effective in producing quality improvements with shorter waiting times.

Translated title of the contribution[Audit system on quality of breast cancer diagnosis and treatment: results of quality indicators on screen-detected lesions in Italy, 2010].
Original languageItalian
Pages (from-to)87-95
Number of pages9
JournalEpidemiologia e prevenzione
Volume36
Issue number6 Suppl 1
Publication statusPublished - Nov 2012

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

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  • Cite this

    Ponti, A., Mano, M. P., Tomatis, M., Baiocchi, D., Barca, A., Berti, R., Bisanti, L., Casella, D., Deandrea, S., Delrio, D., Donati, G., Falcini, F., Frammartino, B., Frigerio, A., Mantellini, P., Naldoni, C., Orzalesi, L., Pagano, G., Pietribiasi, F., ... Segnan, N. (2012). Il "progetto SQTM" sulla qualità di diagnosi e terapia entro i programmi di screening in Italia: risultati 2010. Epidemiologia e prevenzione, 36(6 Suppl 1), 87-95.