2011-2019年意大利乳腺癌筛查项目关键绩效指标

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annali dell'Istituto superiore di sanita Pub Date : 2022-10-01 DOI:10.4415/ANN_22_04_04

Francesca Battisti, Paola Mantellini, Patrizia Falini, Leonardo Ventura, Livia Giordano, Gianni Saguatti, Marco Zappa, Silvia Deandrea, Giuseppe Gorini

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引用次数: 1

摘要

前言:对2011-2019年意大利有组织乳腺癌筛查项目的绩效指标进行了评估。材料和方法:意大利国家筛查监测中心从150多个区域或分区域筛查方案中收集了汇总数据。对目标人群(50-69岁女性)的邀请和检查覆盖率、参与率(PR)、召回率(RR)、检出率、阳性预测值(PPV)、按5岁年龄组、地理宏观区域(北部、中部、南部岛屿，数据缺失/不完整的三个地区除外)和地区进行估计。结果:覆盖率呈上升趋势，特别是在南岛，PR在意大利全境保持稳定。另一方面，在一些地区，特别是在第一次筛查时，记录到RR升高和PPV降低。讨论和结论:覆盖率的积极增加伴随着一些业绩指标的恶化，为此需要更好的资源分配和工作人员培训。出于这个原因，进一步和持续的监控是必须的。

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Key performance indicators of breast cancer screening programmes in Italy, 2011-2019.

Introduction: Performance indicators for organised breast cancer screening programmes in Italy, 2011-2019, were evaluated.

Materials and methods: Aggregated data were gathered by the National Centre for Screening Monitoring from over 150 regional or sub-regional screening programmes in Italy. Invitation and examination coverage, participation rate (PR), recall rate (RR), detection rate, positive predictive value (PPV) for the target population as a whole (women aged 50-69), by 5-year age-class, geographical macro-area (North, Centre, South-Islands with the exception of three Regions for missing/uncomplete data) and Region were estimated.

Results: Coverage showed an increasing positive trend, especially in the South-Islands, and PR was stable all over Italy. On the other hand, an increasing RR and decreasing PPV were recorded, especially at the first screening test and in some regions.

Discussion and conclusions: The positive increase in coverage is accompanied by a worsening of some performance indicators for which a better resource allocation and staff training are required. For this reason, further and continuous monitoring is mandatory.

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来源期刊

Annali dell'Istituto superiore di sanita PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Annali dell’Istituto Superiore di Sanità is a peer reviewed quarterly science journal which publishes research articles in biomedicine, translational research and in many other disciplines of the health sciences. The journal includes the following material: original articles, reviews, commentaries, editorials, brief and technical notes, book reviews. The publication of Monographic Sections has been discontinued. In case you wish to present a small number of coordinated contributions on specific themes concerning priorities in public health, please contact the Editorial office. The journal is in English.