Mammography screening in Italy: 2007 survey

Area of Science:

• Oncology
• Public Health
• Epidemiology

Background:

• The Osservatorio Nazionale Screening (ONS) has monitored Italian breast cancer screening programs since 2002.
• Data collection methods and program organization vary across different Italian regions.
• Previous reports highlighted the need for increased screening activity and coverage.

Purpose of the Study:

• To provide an updated report on the status of breast cancer screening programs in Italy for 2007.
• To analyze screening activity, coverage, participation rates, and detection rates across all Italian regions.
• To identify regional disparities and trends in breast cancer screening.

Main Methods:

• Analysis of data from national and regional screening programs for women aged 50-69 years in 2007.
• Calculation of theoretical and actual screening extension, participation rates, and detection rates.
• Comparison of screening indicators between Northern, Central, and Southern Italy.

Main Results:

• In 2007, actual screening extension reached 62.3%, surpassing the critical 50% threshold.
• Coverage remains imbalanced, with Southern Italy at 52% compared to Northern and Central regions.
• Participation rates were stable (55-57% crude, 59-61% adjusted), with a downward trend towards the South.
• Detection rates for invasive cancers and in situ carcinomas were reported, with variations by age group.

Conclusions:

• Italian breast cancer screening programs achieved significant progress in coverage in 2007.
• Persistent regional inequalities in coverage and participation require targeted interventions.
• Lower screening volumes and age-related diagnostic challenges necessitate program optimization.