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英国国民医疗服务体系乳腺筛查计划(2000 - 2005年)的结果。

Results from the UK NHS Breast Screening Programme 2000-05.

作者信息

Bennett R L, Blanks R G, Patnick J, Moss S M

机构信息

Cancer Screening Evaluation Unit, Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey, UK.

出版信息

J Med Screen. 2007;14(4):200-4. doi: 10.1258/096914107782912068.

Abstract

OBJECTIVE

To present results from the UK NHS breast screening programme (NHSBSP) for the six-year period from 1 April 1999 to 31 March 2005, and to compare these with targets.

METHODS

Data are collected annually from all UK screening units on standard KC62 return forms.

RESULTS

The prevalence of screen-positive cancer (cancer detection rate) has increased at both rounds during the six-year period. At the incident round, cancer detection rates increased by 24%, from 5.4 per 1000 in 2000 to 6.7 per 1000 in 2005 and the detection of small cancers (< or = 10 mm) has increased by 40%. Generally, quality measures in the programme continue to improve. However, while rates of recall at the incident screen decreased from 3.8% in 2000 to 3.6% in 2005, at the prevalent round, in 2005, 22% of units continued to recall more than 10% of women to assessment.

CONCLUSIONS

The results suggest that the performance of the programme continues to improve. In the future, analysis of data on interval cancers will assist the interpretation of cancer detection rates.

摘要

目的

呈现1999年4月1日至2005年3月31日这六年期间英国国民健康服务体系乳腺筛查项目(NHSBSP)的结果,并将其与目标进行比较。

方法

每年从英国所有筛查单位收集标准KC62回执表格中的数据。

结果

在这六年期间的两轮筛查中,筛查呈阳性的癌症患病率(癌症检出率)均有所上升。在初筛轮次中,癌症检出率提高了24%,从2000年的每1000人5.4例增至2005年的每1000人6.7例,小癌症(≤10毫米)的检出率提高了40%。总体而言,该项目的质量指标持续改善。然而,虽然初筛时的召回率从2000年的3.8%降至2005年的3.6%,但在现患轮次中,2005年有22%的单位继续将超过10%的女性召回进行评估。

结论

结果表明该项目的表现持续改善。未来,对间期癌数据的分析将有助于解读癌症检出率。

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