Monitoring and evaluation of breast cancer screening programmes : selecting candidate performance indicators

Autor: Muratov, Sergei, Canelo-Aybar, Carlos, Tarride, Jean-Eric, Alonso-Coello, Pablo, Dimitrova, Nadya, Borisch, Bettina, Castells, Xavier, Duffy, Stephen W., Fitzpatrick, Patricia, Follmann, Markus, Giordano, Livia, Hofvind, Solveig, Lebeau, Annette, Quinn, Cecily, Torresin, Alberto, Vialli, Claudia, Siesling, Sabine, Ponti, Antonio, Giorgi Rossi, Paolo, Schünemann, Holger, Nyström, Lennarth, Broeders, Mireille, Autelitano, Mariangela, Colzani, Edoardo, Daneš, Jan, Gräwingholt, Axel, Ioannidou-Mouzaka, Lydia, Knox, Susan, Langendam, Miranda, McGarrigle, Helen, Pérez Gómez, Elsa, van Engen, Ruben, Warman, Sue, Young, Kenneth, van Landsveld-Verhoeven, Cary, Lerda, Donata, Saz-Parkinson, Zuleika, Parmelli, Elena, Janusch-Roi, Annett
Přispěvatelé: Epidemiology and Data Science, APH - Mental Health, APH - Methodology, APH - Quality of Care, Health Technology & Services Research
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Cancer Research
Time Factors
medicine.medical_treatment
Biopsy
Quality indicators
methods
Breast cancer screening
0302 clinical medicine
Health care
Breast neoplasms/diagnostic imaging
Mass Screening
Breast
Mastectomy
Health care/standards
medicine.diagnostic_test
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Women's cancers Radboud Institute for Health Sciences [Radboudumc 17]
Europe
Early detection of Cancer
standards
Oncology
030220 oncology & carcinogenesis
Practice Guidelines as Topic
Mass screening/methods
Early detection of Cancer/methods
Female
Research Article
Mammography
medicine.medical_specialty
Breast Neoplasms
lcsh:RC254-282
03 medical and health sciences
Breast cancer
All institutes and research themes of the Radboud University Medical Center
Genetics
medicine
Humans
Selection (genetic algorithm)
Aged
Quality Indicators
Health Care

Cancer och onkologi
business.industry
Early detection of Cancer*/methods
Health Plan Implementation
diagnostic imaging
Monitoring and evaluation
Mass screening
Patient Acceptance of Health Care
medicine.disease
030104 developmental biology
Ranking
Family medicine
Cancer and Oncology
Programme evaluation
Performance indicator
Breast neoplasms
business
Program Evaluation
Zdroj: BMC CANCER
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
BMC Cancer, Vol 20, Iss 1, Pp 1-10 (2020)
BMC cancer, 20(1):795. BioMed Central
BMC Cancer
BMC cancer, 20:795. BioMed Central
BMC Cancer, 20
BMC Cancer, 20, 1
ISSN: 1471-2407
Popis: Background In the scope of the European Commission Initiative on Breast Cancer (ECIBC) the Monitoring and Evaluation (M&E) subgroup was tasked to identify breast cancer screening programme (BCSP) performance indicators, including their acceptable and desirable levels, which are associated with breast cancer (BC) mortality. This paper documents the methodology used for the indicator selection. Methods The indicators were identified through a multi-stage process. First, a scoping review was conducted to identify existing performance indicators. Second, building on existing frameworks for making well-informed health care choices, a specific conceptual framework was developed to guide the indicator selection. Third, two group exercises including a rating and ranking survey were conducted for indicator selection using pre-determined criteria, such as: relevance, measurability, accurateness, ethics and understandability. The selected indicators were mapped onto a BC screening pathway developed by the M&E subgroup to illustrate the steps of BC screening common to all EU countries. Results A total of 96 indicators were identified from an initial list of 1325 indicators. After removing redundant and irrelevant indicators and adding those missing, 39 candidate indicators underwent the rating and ranking exercise. Based on the results, the M&E subgroup selected 13 indicators: screening coverage, participation rate, recall rate, breast cancer detection rate, invasive breast cancer detection rate, cancers > 20 mm, cancers ≤10 mm, lymph node status, interval cancer rate, episode sensitivity, time interval between screening and first treatment, benign open surgical biopsy rate, and mastectomy rate. Conclusion This systematic approach led to the identification of 13 BCSP candidate performance indicators to be further evaluated for their association with BC mortality.
Databáze: OpenAIRE