The effect of an organized, nationwide breast cancer screening programme on non-organized mammography activities

被引:21
作者
Boncz, Imre [1 ]
Sebestyen, Andor [2 ]
Pinter, Istvan [3 ]
Battyany, Istvn [4 ]
Ember, Istvan [5 ]
机构
[1] Univ Pecs, Dept Hlth Econ Policy & Mangement, H-7621 Pecs, Hungary
[2] Cty Baranya Hlth Insurance Fund Adm, Pecs, Hungary
[3] Univ Pecs, Dept Med 2, Pecs, Hungary
[4] Univ Pecs, Dept Radiol, H-7621 Pecs, Hungary
[5] Univ Pecs, Inst Publ Hlth & Prevent Med, H-7621 Pecs, Hungary
关键词
D O I
10.1258/jms.2008.007070
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Objectives To analyse the effect of an organized, nationwide breast cancer screening programme on non-organized mammography activities in Hungary. Setting The nationwide dataset of the Hungarian National Health Insurance Fund Administration covering the years 2000-2005. Methods Data derived from the nationwide database of the Hungarian National Health Insurance Fund Administration. The study includes all women undergoing mammography before (2000-2001) and after (2002-2003/2004-2005) the introduction of organized screening. Results The number of women having non-organized (opportunistic/diagnostic) mammograms was around 250,000 in 2000-2001, but increased to 350,000 in 2005. In the age group 45-64 years in 2000-2001, only 27.4% of all women undergoing mammography were examined within locally-organized programmes. After the introduction of the nationwide programme, this percentage increased to 61.0% in 2002-2003, and 56.3% in 2004-2005. After the introduction of the nationwide organized programme (2002-2003), the proportion of organized screening mammographies remained among the highest in county Hajdu-Bihar (78.4%) and Zala (88.3%) and increased significantly in county Vas (87.7%). Conclusion The introduction of an organized nationwide screening programme in Hungary resulted in increases in the number of screening mammographies, and also of non-organized mammographies. Although the ratio of organized screening versus non-organized mammography changed in favour of screening mammographies, there are large within-country differences between counties.
引用
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页码:14 / 17
页数:4
相关论文
共 17 条
[1]
[Anonymous], 2006, EUR GUID QUAL ASS BR
[2]
Mammography requests in general practice during the introduction of nationwide breast cancer screening, 1988-1995 [J].
Beemsterboer, PMM ;
de Koning, HJ ;
Looman, CWN ;
Borsboom, GJJM ;
Bartelds, AIM ;
van der Maas, PJ .
EUROPEAN JOURNAL OF CANCER, 1999, 35 (03) :450-454
[3]
Bodo Miklos, 1997, Orvosi Hetilap, V138, P1801
[4]
The organisation and results of first screening round of the Hungarian nationwide organised breast cancer screening programme [J].
Boncz, I. ;
Sebestyen, A. ;
Doebrossy, L. ;
Pentek, Z. ;
Budai, A. ;
Kovacs, A. ;
Dozsa, C. ;
Ember, I. .
ANNALS OF ONCOLOGY, 2007, 18 (04) :795-799
[5]
Boncz I, 2006, SWISS MED WKLY, V136, P328
[6]
Results from the Swiss mammography screening pilot programme [J].
Bulliard, JL ;
De Landtsheer, JP ;
Levi, F .
EUROPEAN JOURNAL OF CANCER, 2003, 39 (12) :1761-1769
[7]
The debate over mass mammography: Is it beneficial for women? [J].
Dilhuydy, MH ;
Barreau, B .
EUROPEAN JOURNAL OF RADIOLOGY, 1997, 24 (02) :86-93
[8]
Mammography screening rates decline: A person-time approach to evaluation [J].
Feldstein, Adrianne C. ;
Vogt, Thomas M. ;
Aickin, Mikel ;
Hu, Weiming R. .
PREVENTIVE MEDICINE, 2006, 43 (03) :178-182
[9]
Opportunistic breast cancer early detection in Tyrol, Austria 1996-2004 - Is a mammography-screening program necessary? [J].
Frede, TE .
EUROPEAN JOURNAL OF RADIOLOGY, 2005, 55 (01) :130-138
[10]
Is screening for breast cancer with mammography justifiable? [J].
Gotzsche, PC ;
Olsen, O .
LANCET, 2000, 355 (9198) :129-134