Uleer Christoph, Wagner Joachim, Moisidis-Tesch Christina
Gynecologic Oncology Group Practice Hildesheim and Mammographic Screening Unit Goettingen-Hildesheim, Germany.
Gynecologic Oncology Group Practice Voelklingen and Mammographic Screening Unit Saarland, Germany.
Breast Care (Basel). 2013 Mar;8(1):35-9. doi: 10.1159/000348358.
The introduction of the Mammography Screening Program (MSP) in 2005 has changed the early detection of breast cancer in Germany significantly. We analyzed the frequency and ensuing health care costs of mammograms performed for the early detection of breast cancer before and after the introduction of the MSP. Furthermore, we analyzed the influence of the MSP on the demographics of physicians (gynecologists versus radiologists) performing mammograms in Germany. Whereas the number of 'curative' mammograms has decreased since the introduction of the MSP, 2 million 'curative' mammograms per year are still being performed in addition to the 4.6 million mammograms performed annually in the MSP at an additional health care cost of approximately €100 million per year. Only 12% of screening and 'curative' mammograms are being performed and evaluated by gynecologists.
2005年引入的乳腺X线筛查项目（MSP）显著改变了德国乳腺癌的早期检测情况。我们分析了MSP引入前后为早期检测乳腺癌而进行的乳腺X线检查的频率及随之产生的医疗保健费用。此外，我们还分析了MSP对德国进行乳腺X线检查的医生（妇科医生与放射科医生）人口统计学的影响。自MSP引入以来，“治疗性”乳腺X线检查的数量有所减少，但除了MSP每年进行的460万次乳腺X线检查外，每年仍有200万次“治疗性”乳腺X线检查，每年额外的医疗保健费用约为1亿欧元。只有12%的筛查和“治疗性”乳腺X线检查由妇科医生进行和评估。
