Bouchlaka A, Ben Abdallah M, Ben Aissa R, Smida S, Ouechtati A, Boussen H, Gueddana N
Division Recherche Biomédicale, Office National de la Famille et de la Population, Tunis, Tunisie.
Tunis Med. 2009 Jul;87(7):426-31.
To study and analyse the results of breast cancer mammography screening program in the Ariana state and to try to determinate its feasibility and reproducibility on a broader scale.
A pilot study on the mammography feasibility of screening with large scales was initiated, by Family and Population National Office, in September 2003. The duration of the study was fixed at 5 years. The adopted protocol takes account of epidemiologic and socialcultural specificities of Tunisian environment that is in the selection and in the mode of recruitment of the target population as well as in the choice of the adopted radiological protocol.
8244 women were screened in the first round. The majority of sensitized women was recruited in residence and in the reproductive and health centers. Nevertheless, recruitment in residence was proved to be heavy, not very effective and no reproducible in a broader scale. The participation rate was weak (9.6%). The channels of sensitizing used made it possible to touch in manner more important the "young" women (Middle Age 48.6 years). The absence of radiologist on the spot involved the recall of 18.1% of the women for which a complementary assessment was necessary, has to contribute to increase the stress among certain women and to increase the average time of reading which was, in this case, 61.7 days. The majority of the women profited from the double reading of the tests (99.4%). On the whole 50 women presented a cancer including 40 detected by the program and 10 interval cancers.
This study has permitted to study the feasibility of mammography study. Except the topic of the cost, the two hand conditions of his feasibility binds in the systematic invitation of the women as well as in the wider uses of sensitization and information ways of the population.
研究和分析阿丽亚娜省乳腺癌钼靶筛查项目的结果，并尝试确定其在更广泛范围内的可行性和可重复性。
2003年9月，国家家庭与人口办公室启动了一项关于大规模钼靶筛查可行性的试点研究。研究为期5年。所采用的方案考虑了突尼斯环境的流行病学和社会文化特点，包括目标人群的选择和招募方式以及所采用的放射学方案的选择。
第一轮筛查了8244名女性。大多数被宣传的女性是在住所、生殖健康中心招募的。然而，上门招募被证明工作量大、效果不佳且无法在更广泛范围内重复。参与率较低（9.6%）。所采用的宣传渠道使得能够更有效地接触到“年轻”女性（平均年龄48.6岁）。现场没有放射科医生导致18.1%的女性需要进行补充评估召回，这增加了部分女性的压力，并延长了平均读片时间，在此情况下为61.7天。大多数女性的检查都进行了双人读片（99.4%）。总体上有50名女性被诊断为癌症，其中40例由该项目检测出，10例为间期癌。
本研究得以探讨钼靶检查的可行性。除了成本问题外，其可行性的两个方面在于系统地邀请女性以及更广泛地利用对人群的宣传和信息传播方式。
