The effect of an organized, nationwide breast cancer screening programme on non-organized mammography activities
The effect of an organized, nationwide breast cancer screening programme on non-organized mammography activities
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DOI：
10.1258/jms.2008.007070
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发表时间：
2008-01-01
影响因子：
2.9
通讯作者：
Ember, Istvan
中科院分区：
文献类型：
--
作者：
Boncz, Imre;Sebestyen, Andor;Ember, Istvan
目的分析有组织的，全国范围内的乳腺癌筛查计划对非组织的乳房X线摄影活动在Hungary.Setting匈牙利国家健康保险基金管理局覆盖的2000-2005.Methods全国数据集的影响，数据来自全国范围内的数据库匈牙利国家健康保险基金管理局。该研究包括所有妇女接受乳房X光检查之前（2000-2001年）和之后（2002-2003/2004-2005年）推出有组织的screening.Results的妇女人数有非组织（机会性/诊断）乳房X光检查在2000-2001年约为250，000，但在2005年增加到350，000。2000-2001年，在45-64岁年龄组中，只有27.4%的接受乳房X光检查的妇女在地方组织的方案中接受了检查。在实施全国方案后，这一比例在2002-2003年增加到61.0%，在2004-2005年增加到56.3%。在推出全国性有组织的方案之后，2002-2003年），有组织的乳房X线检查比例在哈伊杜-比哈尔邦仍然是最高的（78.4%）和扎拉（88.3%），县VAS显著增加结论在匈牙利推行有组织的全国性筛查方案，增加了乳房X线检查的数量，以及无组织的乳房X光检查。虽然有组织的筛查与无组织的乳房X线摄影的比例发生变化，有利于筛查乳房X线摄影，但国家内部各州之间存在很大差异。
Objectives To analyse the effect of an organized, nationwide breast cancer screening programme on non-organized mammography activities in Hungary.Setting The nationwide dataset of the Hungarian National Health Insurance Fund Administration covering the years 2000-2005.Methods Data derived from the nationwide database of the Hungarian National Health Insurance Fund Administration. The study includes all women undergoing mammography before (2000-2001) and after (2002-2003/2004-2005) the introduction of organized screening.Results The number of women having non-organized (opportunistic/diagnostic) mammograms was around 250,000 in 2000-2001, but increased to 350,000 in 2005. In the age group 45-64 years in 2000-2001, only 27.4% of all women undergoing mammography were examined within locally-organized programmes. After the introduction of the nationwide programme, this percentage increased to 61.0% in 2002-2003, and 56.3% in 2004-2005. After the introduction of the nationwide organized programme (2002-2003), the proportion of organized screening mammographies remained among the highest in county Hajdu-Bihar (78.4%) and Zala (88.3%) and increased significantly in county Vas (87.7%).Conclusion The introduction of an organized nationwide screening programme in Hungary resulted in increases in the number of screening mammographies, and also of non-organized mammographies. Although the ratio of organized screening versus non-organized mammography changed in favour of screening mammographies, there are large within-country differences between counties.