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[Mammography screening in Germany].

S Diekmann1, F Diekmann

  • 1Institut für Radiologie, Charité-Universitätsmedizin Berlin, Berlin, Deutschland.

Der Radiologe
|November 22, 2007
PubMed
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Germany

Area of Science:

  • Oncology
  • Public Health
  • Radiology

Background:

  • Early breast cancer detection via mammography screening can decrease mortality by approximately 25%.
  • Germany has implemented intensified monitoring for high-risk women and general mammography screening programs.
  • The German screening program aims for full establishment by 2008, adhering to European guidelines.

Purpose of the Study:

  • To evaluate the quality and characteristics of the newly established German breast cancer screening program.
  • To compare the German program with international screening initiatives.
  • To identify potential challenges and areas for future development in mammography screening.

Main Methods:

  • Analysis of participation rates (65-80%) and cancer detection rates (8.3-9.4/1000) from initial screening trials.

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  • Consideration of quality assurance parameters including overdiagnosis, lead time, length, and selection bias.
  • Examination of program specifics, such as the separate intensified screening for high-risk individuals.

    • Main Results:

    • The German program has demonstrated high participation rates and met quality criteria in initial trials.
    • A significant portion of high-risk women are screened separately, potentially altering their representation in general screening.
    • Concentration of the program in a few centers may impact future research and training.

    Conclusions:

    • The German breast cancer screening program shows promising initial results regarding participation and detection rates.
    • Program design includes unique features for high-risk groups, necessitating careful evaluation.
    • Future efforts should focus on addressing potential impacts on research and training, and incorporating new technologies like CAD systems.