Using the European guidelines to evaluate the Norwegian Breast Cancer Screening Program |
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Authors: | Solveig Hofvind Berta Geller Pamela M Vacek Steinar Thoresen Per Skaane |
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Affiliation: | (1) Department of Screening-based Research, The Cancer Registry of Norway, Montebello, Oslo, 0310, Norway;(2) Office of Health Promotion Research, University of Vermont, 1.South Prospect Street, UHC 4th Floor, Burlington, VT 05401-3444, USA;(3) Ullevaal University Hospital, Oslo, Norway;(4) University of Oslo, Oslo, Norway |
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Abstract: | This is an evaluation of selected process indicators achieved during the first 10 years of performance of the Norwegian Breast
Cancer Screening Program (NBCSP). The indicators are compared with the recommended levels given in the European Guidelines.
The program invites all female residents aged 50–69 years old to two-view mammography biennially. The attendance rate was
76.2%. The recall rates due to positive mammography were 4.6% and 2.6%, and the detection rates were 6.4 and 4.9 per 1,000
screens, in prevalent and subsequent screens, respectively. Mean tumor size was 14.7 mm for screening detected and 21.2 mm
for interval cancers. Axillary lymph node metastases were present in 25.4% and 43.8%, respectively. Detection mode (screening
detected or interval cancer) was shown to be an independent predictor for axillary lymph node metastases and high-grade (Grade
3) tumors. The NBCSP meets the recommendations given in the European Guidelines for most of the process indicators evaluated
in this study. Based on the results, we anticipate a future mortality reduction from breast cancer in women invited to the
NBCSP. |
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Keywords: | Breast cancer screening Interval cancer Mammography Surrogate measures |
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