By Adel Gad, Marco Rosselli Del Turco
As managed trials have established that during many ecu international locations breast melanoma mortality can be diminished by way of population-based mammographic screening of ladies over the age of fifty, there's mounting strain to introduce new carrier screening programmes. How may still those programmes be deliberate and monitored ? Is it low-priced ? We invited specialists whowork with the crucial screening programmes in Europe to respond to those questions and to explain their studies. Particualr consciousness has been given to making plans, agency and tracking new screening programmes so one can in achieving optimum results.
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Extra info for Breast Cancer Screening in Europe
Example text
Liaison should be made with those likely to be treating the women from the screening programme, and again further training may be appropriate. Apart from a working knowledge of the procedures to be followed during the screening programme, specific training outside the unit wi" be required for the staff listed below. Medical Staff Radiologists or other doctors reading screening mammograms wi" require specific training in this field. It should be pOinted out that knowledge of clinical mammography does not provide the appropriate training for the interpretation of screening mammograms.
Success is dependent upon the doctor choosing a specialist evaluation team appropriate to the abnormality suspected and in many instances will separate screening from evaluation expertise. In all options, there is the recommendation, actual or implied, that non-palpable disease is best evaluated and treated in specialist breast units. Local medical practice may be important in ensuring the acceptability of whichever option is chosen and this should be discussed by all medical personnel involved.
J. F. M. J. van Oortmarssen Build-up Phase It is assumed that during the period 19901994 the entire country of the Netherlands will gradually be covered by a network of screening units. The screening units will be fixed, mobile or semi-mobile, depending on the population density in the area. Costs Detailed cost studies have been undertaken. From an economic point of view, costs can be divided into direct and indirect costs. Direct costs can again be split up into medical costs and other costs. Costs of different diagnostic and therapeutic procedures and costs of treatment of advanced breast cancer are also assessed as part of the direct medical costs [13,14].