Two national mammography quality certification programs in Brazil: Framework and main outcomes between 2017 and 2021.

Autor: da Silva SM; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil. Electronic address: sonia.silva@inca.gov.br., Peixoto JE; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil., Aduan FE; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Urban LA; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Travassos LV; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil., Canella EO; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Rego SF; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Campos AC; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil., Araújo AM; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil., Schaefer MB; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Kefalas AL; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Francisco JL; Brazilian Federation of Gynecology and Obstetrics Associations, Av. Brigadeiro Luís Antônio, 3421, sala 903 CEP 01401-001, São Paulo, SP, Brazil., Maranhão NM; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Dos Santos RP; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., di Pace Bauab S; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Kalaf JM; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Chala LF; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Couto HL; Brazilian Society of Mastology, Praça Floriano, 55, sala 801 CEP 20031-924, Rio de Janeiro, RJ, Brazil., Jakubiak RR; Brazilian College of Radiology and Diagnostic Imaging - Mammography Commission, Avenida Paulista, 37 - conj. 71 CEP 01311-902, São Paulo, SP, Brazil., Tinoco GW; National Institute of Cancer/ Ministry of Health - Coordination of Prevention and Monitoring, Rio de Janeiro, Rua do Rezende, 128 sala 303 CEP 22.231-092, Rio de Janeiro, RJ, Brazil.
Jazyk: angličtina
Zdroj: Journal of cancer policy [J Cancer Policy] 2023 Dec; Vol. 38, pp. 100437. Date of Electronic Publication: 2023 Aug 24.
DOI: 10.1016/j.jcpo.2023.100437
Abstrakt: Background: This study aims to provide an academic medical overview of the framework and key outcomes of two mammography quality certification programs in Brazil.
Methods: These programs assess radiation dose and phantom image quality in mammography units through a postal system. Each unit that passes this initial assessment is required to submit a sample of copies of five complete examinations. The quality of the patient images and reports is then reviewed by radiologists and medical physicist experts. Additionally, the number of mammography units and mammography coverage in the target population, were assessed.
Results: During the study period, 1007 units applied to the certification programs, and 934 (92.8%) successfully passed the assessment of radiation dose and phantom image quality. Out of these, 556 (59.5%) also passed the review of clinical image quality and reports, earning certification. The main issues related to mammogram and report quality were associated with the performance of radiographers (in terms of positioning) and radiologists (in terms of interpretation). On average, there are more than two mammography units/10,000 women in the target group. The screening mammography coverage in this group is 26.3% for women relying exclusively on the public healthcare and 58.1% for women with private healthcare plans.
Conclusion: This study demonstrates the suitability of the framework adopted by national mammography quality certification programs in a middle-income country. These programs are carried out by relatively small workforce and at reasonable costs, utilizing postal resources to cover the large number of existing mammographic units and the vast distances within the country.
Policy Statement: All mammography services in Brazil must adhere to the quality requirements for examinations and reference values for radiation dose to women established by the Ministry of Health. This ensures standardized conditions for early detection of breast cancer and minimizes the risk associated with x-rays.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023. Published by Elsevier Ltd.)
Databáze: MEDLINE
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