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Key performance indicators of breast cancer screening programmes in Italy, 2011-2019
Francesca Battisti1, Paola Mantellini1, Patrizia Falini1
1SC Screening e Prevenzione Secondaria, Istituto per lo Studio, la Prevenzione e la Rete Oncologica, Florence, Italy.
Annali Dell'Istituto Superiore Di Sanita
|December 13, 2022
Summary
Italian breast cancer screening programs saw increased coverage from 2011-2019, but a rising recall rate and falling positive predictive value indicate a need for improved resource allocation and training.
Area of Science:
- Public Health
- Oncology
- Epidemiology
Background:
- Evaluation of performance indicators for organized breast cancer screening programs in Italy between 2011 and 2019.
- Focus on key metrics to assess the effectiveness and efficiency of national screening initiatives.
Purpose of the Study:
- To analyze trends in breast cancer screening performance indicators across Italy.
- To identify regional variations and areas for improvement in screening programs.
Main Methods:
- Utilized aggregated data from over 150 Italian regional/sub-regional screening programs.
- Estimated invitation and examination coverage, participation rate (PR), recall rate (RR), detection rate, and positive predictive value (PPV).
- Analyzed data by age group, geographical macro-area, and region.
Main Results:
- Observed a positive increasing trend in coverage, particularly in Southern regions.
- Participation rate (PR) remained stable nationwide.
- Noted an increasing recall rate (RR) and a decreasing positive predictive value (PPV), especially during initial screenings and in specific regions.
Conclusions:
- Increased screening coverage in Italy is associated with a decline in certain performance indicators, necessitating better resource allocation and staff training.
- Continuous monitoring of breast cancer screening programs is crucial for maintaining and improving effectiveness.
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