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[Initial results with breast screening in the Enschede area. II. Efficiency]
A G Boekema1, G Dornseiffen, H J Mulder
1Integraal Kankercentrum Stedendriehoek Twente, Enschede.
Nederlands Tijdschrift Voor Geneeskunde
|September 5, 1992
Summary
Breast cancer screening in Enschede caused significant psychological burden and long waits for women. False-positive results were common, leading to increased diagnostics and consultations for specialists.
Area of Science:
- Oncology
- Public Health
Context:
- Evaluation of breast cancer screening program in Enschede region after 18 months.
- Comparison with national cost-effectiveness analysis data.
Purpose:
- Assess screening efficiency based on adverse side effects and difficulties.
- Analyze psychological burden, waiting times, and diagnostic workload.
Summary:
- Screening led to considerable psychological burden and extended uncertainty for women, with final results taking ~5 weeks.
- 41% of referred women received false-positive results; waiting times for biopsy averaged 3 weeks.
- Increased diagnostics (factor 17 for non-palpable tumors) and multidisciplinary consultations were noted, exceeding expectations.
Impact:
- Highlights the significant psychological impact and logistical challenges of breast cancer screening.
- Identifies areas for improvement in referral pathways and diagnostic procedures.
- Informs future cost-effectiveness analyses and screening program implementations.