Epidemiologist, Epidemiology Unit, CPO Piemonte, AOU S Giovanni Battista, Turin, Italy.
J Med Screen. 2012;19 Suppl 1:72-82. doi: 10.1258/jms.2012.012085.
To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe.
We used the European Network for Information on Cancer (EUNICE), a web-based data warehouse (EUNICE Breast Cancer Screening Monitoring, EBCSM) for breast cancer screening, to obtain information on programme characteristics, coverage and participation from its initial application in 10 national and 16 regional programmes in 18 European countries.
The total population targeted by the screening programme services covered in the report comprised 26.9 million women predominantly aged 50-69. Most of the collected data relates to 2005, 2006 and/or 2007. The average participation rate across all programmes was 53.4% (range 19.4-88.9% of personally invited); or 66.4% excluding Poland, a large programme that initiated personal invitations in 2007. Thirteen of the 26 programmes achieved the European Union benchmark of acceptable participation (>70%), nine achieved the desirable level (>75%). Despite considerable invitation coverage across all programmes (79.3%, range 50.9-115.2%) only 48.2% (range 28.4-92.1%) of the target population were actually screened. The overall invitation and examination coverage excluding Poland was 70.9% and 50.3%, respectively.
The results demonstrate the feasibility of European-wide screening monitoring using the EBCSM data warehouse, although further efforts to refine the system and to harmonize standards and data collection practices will be required, to fully integrate all European countries. The more than three-fold difference in the examination coverage should be taken into account in the evaluation of service screening programmes.
总结欧洲人群乳腺癌人群乳腺 X 光筛查计划的参与率和覆盖率。
我们使用欧洲癌症信息网（EUNICE），一个基于网络的数据仓库（EUNICE 乳腺癌筛查监测，EBCSM），来获取来自 18 个欧洲国家的 10 个国家和 16 个地区计划的方案特征、覆盖率和参与率信息，这些信息是从其最初应用中获得的。
报告中涵盖的筛查计划服务所针对的总人口为 2690 万女性，主要年龄在 50-69 岁之间。收集的数据大部分与 2005 年、2006 年和/或 2007 年有关。所有计划的平均参与率为 53.4%（个人邀请的 19.4-88.9%的范围内）；或 66.4%，不包括波兰，该计划是一个在 2007 年开始个人邀请的大型计划。26 个计划中有 13 个达到了欧盟可接受参与率的基准（>70%），9 个达到了理想水平（>75%）。尽管所有计划的邀请覆盖率都很高（79.3%，范围为 50.9-115.2%），但只有 48.2%（范围为 28.4-92.1%）的目标人群实际接受了筛查。不包括波兰的总体邀请和检查覆盖率分别为 70.9%和 50.3%。
这些结果表明，使用 EBCSM 数据仓库进行全欧洲范围内的筛查监测是可行的，尽管需要进一步努力完善系统，并协调标准和数据收集实践，以将所有欧洲国家完全纳入其中。在评估服务筛查计划时，应考虑检查覆盖率的三倍以上差异。
