Performance Indicators of Breast Cancer Screening program Based on National Screening Guideline in Rural area of Rudsar City in Gilan Province, Iran.

F. Pakdaman, Sareh Shakerian
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Abstract

Background: According to the World Health Organization (WHO), the high prevalence of breast cancer mortality in the least developed countries is due to the diagnosis at late phases. Accordingly, cost-effective breast cancer screening plans are the most effective methods to control this cancer and increase women’s survival. Methods: This study aimed to evaluate the performance of the breast cancer screening program based on the guidelines of the Iran Ministry of Health on 14,493 eligible women in rural areas of Rudsar city in 2018-19. We calculated performance indicators such as target coverage, identification of the at-risk population, early diagnosis, referral index, and other statistical using SPSS 22 software. Results: Out of 14493 rural women aged 30-59 referred to health homes, 6992 women underwent breast cancer screening. Coverage of the program in the The target population coverage was estimated at 48%. Most high-risk cases were 46 years and older, and the lowest rate was in women of <35 years. We found Thethat results showed that 0.4% of the cases patients (n=27) were identified as the high-risk, and all (100%) referred to group according to the national guidelines with referral to a specialist for further evaluation. of 100%. All patients cases identified as high-risk groups atin the first phase of screening were found with BIRADS (Breast Imaging Reporting and Data System) 4 and 5 based on biopsy specimens. Conclusion: The low target population coverage and the cases with advanced breast cancer indicated the need for more attention and consideration in implementing programs and policies for preventable cancer by all organizations. In this regard, there is a need for relevant interventions and follow-up by health authorities.
伊朗吉兰省鲁德萨尔市农村地区基于国家筛查指南的乳腺癌筛查项目绩效指标
背景:根据世界卫生组织(世卫组织)的资料,最不发达国家乳腺癌死亡率高是由于诊断较晚。因此,具有成本效益的乳腺癌筛查计划是控制这种癌症和提高妇女生存率的最有效方法。方法:本研究旨在评估2018- 2019年鲁德萨尔市农村地区14493名符合条件的妇女根据伊朗卫生部指南开展的乳腺癌筛查项目的效果。我们使用SPSS 22软件计算目标覆盖率、高危人群识别、早期诊断、转诊指数等绩效指标。结果:14493名30-59岁农村妇女转诊到卫生院,6992名妇女接受了乳腺癌筛查。该计划在目标人群中的覆盖率估计为48%。高危病例以46岁及以上的女性居多,<35岁的女性发病率最低。我们发现,结果显示0.4%的病例(n=27)被确定为高危患者,所有(100%)的患者根据国家指南转介给专科医生进行进一步评估。的100%。所有在第一阶段筛查中被确定为高危人群的患者都是根据活检标本使用BIRADS(乳腺成像报告和数据系统)4和5发现的。结论:低目标人群覆盖率和晚期乳腺癌病例表明,各组织在实施可预防癌症的方案和政策时需要更多的关注和考虑。在这方面,卫生当局有必要采取相关干预措施并采取后续行动。
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