Estensione dell'età-bersaglio del programma di screening mammografico e governo della pratica mammografica in Emilia-Romagna

Translated title of the contribution: Extension of the target age range of mammography screening programme and governance of mammography practice in the Emilia-Romagna Region (Northern Italy)

Priscilla Sassoli de Bianchi, Alessandra Ravaioli, Stefano Ferretti, Alba Carola Finarelli, Adriana Giannini, Carlo Naldoni, Piera Sanna, Lauro Bucchi

Research output: Contribution to journalArticlepeer-review

Abstract

"OBJECTIVES: to evaluate the effectiveness of the regional law No.1035 enacted in 2009 by the local government of the Emilia- Romagna Region (Northern Italy) with the purpose of revising the rules of access to breast-care services. The law dictated the extension of the organised mammography screening programme to women aged 45-49 and 70-74 years in order to decrease their spontaneous screening rates and, thus, the waiting times for the access to diagnostic mammography by women of all ages.

DESIGN: study of time trends (joinpoint regression analysis and before/ after analysis) in annual percent mammography rates and in waiting times for access to clinical radiology facilities (2006-2014) among resident women. The information was taken from the regional Department of Health.

SETTING: public and accredited private radiology facilities.

MAIN OUTCOME MEASURES: age-specific and waiting-time-specific (months) percent rates of organised screening mammography, spontaneous screening mammography, and diagnostic mammography.

RESULTS: following the regional law No.1035, screening rates among women aged 45-49 and 70-74 years reached levels comparable to those attained by women aged 50-69 years. Spontaneous screening rates dropped and waiting times for spontaneous screening mammography (women aged 40-44 years) were cut. For diagnostic mammography, the rates remained stable, except for a decrease among women aged 35-39 and 45-49 years, and waiting times decreased in a constant manner over the study period.

CONCLUSIONS: the above-mentioned law met most of its goals. Comprehensive programmes regulating mammography practice at the population level can be effective."

Translated title of the contributionExtension of the target age range of mammography screening programme and governance of mammography practice in the Emilia-Romagna Region (Northern Italy)
Original languageItalian
Pages (from-to)38-45
Number of pages8
JournalEpidemiologia e prevenzione
Volume41
Issue number1
DOIs
Publication statusPublished - Mar 23 2017

Keywords

  • English Abstract
  • Journal Article

Fingerprint

Dive into the research topics of 'Extension of the target age range of mammography screening programme and governance of mammography practice in the Emilia-Romagna Region (Northern Italy)'. Together they form a unique fingerprint.

Cite this