10-летние результаты реализации маммографического скрининга в Ханты-Мансийском автономном округе-Югре

• Main Authors: Zakharova, N. A., Belaya, J. A., Brentnall, A. R., Захарова, Н. А., Белая, Ю. А., Брентналл, А. Р.
• Format: Article in Journal/Newspaper
• Language: Russian
• Published: Уральский Центр Медицинской и Фармацевтической Информации 2018
• Subjects: SCREENING; MAMMOGRAPHY; BREAST CANCER; МАММОГРАФИЯ; СКРИНИНГ; РАК МОЛОЧНОЙ ЖЕЛЕЗЫ; khanty
• Online Access: http://elib.usma.ru/handle/usma/12688

The main aim of this study is to evaluate the quality of the Breast Cancer Screening Program performed in the Khanty-Mansiysk State Region - Ugra. The screening covers women over 40 years old. The screening interval is 2 years, with two-view mammography and single reading as the standard. During 2007-16 within the Program, 451139 women were screened in the region. The screening coverage rate (2015-16 round) was 41%. 9,3% of screened were referred for further assessment. The screen detection rate was 3.5 per 1000 screened. The test sensitivity for the first round was estimated as 80%. A 42% increase in newly diagnosed stage t1n0M0 breast cancer and 21% reduction in breast cancer detected with tumour size over 20 mm were observed compared to expected absolute number from the 2002-06 trend. Mammographic screening has contributed to a significant reduction in breast cancer mortality – 23,7% reduction using absolute mortality results. Continuous 10-year mammographic screening in Ugra has contributed to a significant improvement in the early disease diagnosis and, as a result, a reduction in absolute mortality rate from breast cancer were observed. In clinical terms, since the findings to date suggest a benefit of the screening, the main aim should be to improve coverage of the population with screening. Цель исследования – оценка качества проведения маммографического скрининга рака молочной в Ханты-Мансийском автономном округе Югре в период с 20007 по 2016 год. Стратегия скрининга: возраст – старше 40 лет, интервал между обследованиями – 2 года, 2 проекции каждой молочной железы, одно прочтение маммограмм (single reader). В 2007- 2016 гг. было обследовано 451139 женщин. дополнительное обследование рекомендовано в 9.3% случаев. Показатель выявления рака молочной железы при скрининге составил 3.5 на 1000 обследованных. охват целевого населения скрининговой маммографией за раунд (2015-2016 гг.) - 41%. Чувствительность скринингового теста - 80%. В целом было отмечено, что в 2016 году фактически абсолютное количество ...