Mammographic screening programmes in Europe: organization, coverage and participation

Livia Giordano; Lawrence von Karsa; Mariano Tomatis; Ondrej Majek; Chris de Wolf; Lesz Lancucki; Solveig Hofvind; Lennarth Nyström; Nereo Segnan; Antonio Ponti; G Van Hal; P Martens; O Májek; J Danes; My Catarina von Euler-Chelpin; A Aasmaa; A Anttila; N Becker; Z Péntek; A Budai; S Mádai; P Fitzpatrick; T Mooney; M Zappa; L Ventura; A Scharpantgen; S Hofvind; P Seroczynski; A Morais; V Rodrigues; M J Bento; J Gomes de Carvalho; C Natal; M Prieto; C Sánchez-Contador Escudero; R Zubizarreta Alberti; S B Fernández Llanes; N Ascunce; M Ederra Sanza; G Sarriugarte Irigoien; D Salas Trejo; J Ibáñez Cabanell; M Wiege; G Ohlsson; S Törnberg; M Korzeniewska; C de Wolf; J Fracheboud; J Patnick J; L Lancucki; Eunice Working Group

doi:10.1258/jms.2012.012085

Mammographic screening programmes in Europe: organization, coverage and participation

Livia Giordano, Lawrence von Karsa, Mariano Tomatis, Ondrej Majek, Chris de Wolf, Lesz Lancucki, Solveig Hofvind, Lennarth Nyström, Nereo Segnan, Antonio Ponti, G Van Hal, P Martens, O Májek, J Danes, My Catarina von Euler-Chelpin, A Aasmaa, A Anttila, N Becker, Z Péntek, A BudaiS Mádai, P Fitzpatrick, T Mooney, M Zappa, L Ventura, A Scharpantgen, S Hofvind, P Seroczynski, A Morais, V Rodrigues, M J Bento, J Gomes de Carvalho, C Natal, M Prieto, C Sánchez-Contador Escudero, R Zubizarreta Alberti, S B Fernández Llanes, N Ascunce, M Ederra Sanza, G Sarriugarte Irigoien, D Salas Trejo, J Ibáñez Cabanell, M Wiege, G Ohlsson, S Törnberg, M Korzeniewska, C de Wolf, J Fracheboud, J Patnick J, L Lancucki, Eunice Working Group

Center of Epidemiology and Screening

118 Citations (Scopus)

Abstract

Objectives To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe. Methods 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. Results 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. Conclusions 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 threefold difference in the examination coverage should be taken into account in the evaluation of service screening programmes.

Original language	English
Journal	Journal of Medical Screening
Volume	19 Suppl 1
Pages (from-to)	72-82
Number of pages	11
ISSN	0969-1413
DOIs	https://doi.org/10.1258/jms.2012.012085
Publication status	Published - Sept 2012

Keywords

Breast Neoplasms
Early Detection of Cancer
Europe
Female
Humans
Mammography
Mass Screening

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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https://journals.sagepub.com/doi/pdf/10.1258/jms.2012.012085

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Giordano, L., von Karsa, L., Tomatis, M., Majek, O., de Wolf, C., Lancucki, L., Hofvind, S., Nyström, L., Segnan, N., Ponti, A., Van Hal, G., Martens, P., Májek, O., Danes, J., von Euler-Chelpin, M. C., Aasmaa, A., Anttila, A., Becker, N., Péntek, Z., ... Eunice Working Group (2012). Mammographic screening programmes in Europe: organization, coverage and participation. Journal of Medical Screening, 19 Suppl 1, 72-82. https://doi.org/10.1258/jms.2012.012085

Giordano, L, von Karsa, L, Tomatis, M, Majek, O, de Wolf, C, Lancucki, L, Hofvind, S, Nyström, L, Segnan, N, Ponti, A, Van Hal, G, Martens, P, Májek, O, Danes, J, von Euler-Chelpin, MC, Aasmaa, A, Anttila, A, Becker, N, Péntek, Z, Budai, A, Mádai, S, Fitzpatrick, P, Mooney, T, Zappa, M, Ventura, L, Scharpantgen, A, Hofvind, S, Seroczynski, P, Morais, A, Rodrigues, V, Bento, MJ, Gomes de Carvalho, J, Natal, C, Prieto, M, Sánchez-Contador Escudero, C, Zubizarreta Alberti, R, Fernández Llanes, SB, Ascunce, N, Ederra Sanza, M, Sarriugarte Irigoien, G, Salas Trejo, D, Ibáñez Cabanell, J, Wiege, M, Ohlsson, G, Törnberg, S, Korzeniewska, M, de Wolf, C, Fracheboud, J, Patnick J, J, Lancucki, L & Eunice Working Group 2012, 'Mammographic screening programmes in Europe: organization, coverage and participation', Journal of Medical Screening, vol. 19 Suppl 1, pp. 72-82. https://doi.org/10.1258/jms.2012.012085

@article{7bb9d9dfcf154ab2a8569e2abb4e028c,

title = "Mammographic screening programmes in Europe: organization, coverage and participation",

abstract = "Objectives To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe. Methods 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. Results 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. Conclusions 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 threefold difference in the examination coverage should be taken into account in the evaluation of service screening programmes.",

keywords = "Breast Neoplasms, Early Detection of Cancer, Europe, Female, Humans, Mammography, Mass Screening",

author = "Livia Giordano and {von Karsa}, Lawrence and Mariano Tomatis and Ondrej Majek and {de Wolf}, Chris and Lesz Lancucki and Solveig Hofvind and Lennarth Nystr{\"o}m and Nereo Segnan and Antonio Ponti and {Van Hal}, G and P Martens and O M{\'a}jek and J Danes and {von Euler-Chelpin}, {My Catarina} and A Aasmaa and A Anttila and N Becker and Z P{\'e}ntek and A Budai and S M{\'a}dai and P Fitzpatrick and T Mooney and M Zappa and L Ventura and A Scharpantgen and S Hofvind and P Seroczynski and A Morais and V Rodrigues and Bento, {M J} and {Gomes de Carvalho}, J and C Natal and M Prieto and {S{\'a}nchez-Contador Escudero}, C and {Zubizarreta Alberti}, R and {Fern{\'a}ndez Llanes}, {S B} and N Ascunce and {Ederra Sanza}, M and {Sarriugarte Irigoien}, G and {Salas Trejo}, D and {Ib{\'a}{\~n}ez Cabanell}, J and M Wiege and G Ohlsson and S T{\"o}rnberg and M Korzeniewska and {de Wolf}, C and J Fracheboud and {Patnick J}, J and L Lancucki and {Eunice Working Group}",

year = "2012",

month = sep,

doi = "10.1258/jms.2012.012085",

language = "English",

volume = "19 Suppl 1",

pages = "72--82",

journal = "Journal of Medical Screening",

issn = "0969-1413",

publisher = "SAGE Publications",

}

TY - JOUR

T1 - Mammographic screening programmes in Europe

T2 - organization, coverage and participation

AU - Giordano, Livia

AU - von Karsa, Lawrence

AU - Tomatis, Mariano

AU - Majek, Ondrej

AU - de Wolf, Chris

AU - Lancucki, Lesz

AU - Hofvind, Solveig

AU - Nyström, Lennarth

AU - Segnan, Nereo

AU - Ponti, Antonio

AU - Van Hal, G

AU - Martens, P

AU - Májek, O

AU - Danes, J

AU - von Euler-Chelpin, My Catarina

AU - Aasmaa, A

AU - Anttila, A

AU - Becker, N

AU - Péntek, Z

AU - Budai, A

AU - Mádai, S

AU - Fitzpatrick, P

AU - Mooney, T

AU - Zappa, M

AU - Ventura, L

AU - Scharpantgen, A

AU - Hofvind, S

AU - Seroczynski, P

AU - Morais, A

AU - Rodrigues, V

AU - Bento, M J

AU - Gomes de Carvalho, J

AU - Natal, C

AU - Prieto, M

AU - Sánchez-Contador Escudero, C

AU - Zubizarreta Alberti, R

AU - Fernández Llanes, S B

AU - Ascunce, N

AU - Ederra Sanza, M

AU - Sarriugarte Irigoien, G

AU - Salas Trejo, D

AU - Ibáñez Cabanell, J

AU - Wiege, M

AU - Ohlsson, G

AU - Törnberg, S

AU - Korzeniewska, M

AU - de Wolf, C

AU - Fracheboud, J

AU - Patnick J, J

AU - Lancucki, L

AU - Eunice Working Group

PY - 2012/9

Y1 - 2012/9

N2 - Objectives To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe. Methods 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. Results 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. Conclusions 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 threefold difference in the examination coverage should be taken into account in the evaluation of service screening programmes.

AB - Objectives To summarize participation and coverage rates in population mammographic screening programmes for breast cancer in Europe. Methods 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. Results 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. Conclusions 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 threefold difference in the examination coverage should be taken into account in the evaluation of service screening programmes.

KW - Breast Neoplasms

KW - Early Detection of Cancer

KW - Europe

KW - Female

KW - Humans

KW - Mammography

KW - Mass Screening

U2 - 10.1258/jms.2012.012085

DO - 10.1258/jms.2012.012085

M3 - Journal article

C2 - 22972813

SN - 0969-1413

VL - 19 Suppl 1

SP - 72

EP - 82

JO - Journal of Medical Screening

JF - Journal of Medical Screening

ER -

Mammographic screening programmes in Europe: organization, coverage and participation

Abstract

Keywords

UN SDGs

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