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HOW TO REACH 70% RESPONSE RATE IN THE NATIONAL BREAST CANCER SCREENING PROGRAM IN CROATIA?

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Improving breast cancer screening (BCS) response rates in Croatia requires a more accurate invitation database. Enhancing data quality can increase BCS participation and optimize mammography appointment availability.

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Area of Science:

  • Public Health
  • Oncology
  • Epidemiology

Background:

  • A mammography response rate over 70% is crucial for successful national breast cancer screening programs (BCS).
  • The Croatian BCS program faces challenges in achieving optimal response rates, necessitating an evaluation of its operational efficiency.
  • Understanding factors influencing participation is key to enhancing screening program effectiveness.

Purpose of the Study:

  • To assess the impact of invitation database accuracy on BCS response rates in Croatia.
  • To evaluate the availability of mammography services in relation to screening program demands.
  • To identify strategies for improving BCS participation through database enhancement and service optimization.

Main Methods:

  • A cross-sectional study utilizing questionnaire data from 21 BCS county coordinators.
  • Analysis of invitation database quality and mammography appointment availability using Microsoft Office Excel.
  • Statistical correlation analysis between database accuracy and BCS response rates.

Main Results:

  • 17% of women were not reachable due to inaccurate addresses, with county variations from 7% to 31%.
  • Only 8 out of 21 counties had adequate mammography appointments for initial and repeat invitations.
  • A higher proportion of unavailable women correlated with lower BCS response rates (ρ=-0.51, p=0.018).

Conclusions:

  • Improving the accuracy of the BCS invitation database is essential for increasing participation.
  • Enhanced database accuracy can optimize mammography appointment scheduling for both initial and follow-up screenings.
  • Addressing data quality issues is a critical step towards maximizing the impact of the Croatian breast cancer screening program.