Breast Cancer Screening Programmes across the WHO European Region: Differences among Countries Based on National Income Level.
Breast Cancer Screening Programmes across the WHO European Region: Differences among Countries Based on National Income Level.
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DOI：
10.3390/ijerph14040452
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发表时间：
2017-04-23
影响因子：
--
通讯作者：
Fagnano R
中科院分区：
文献类型：
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作者：
Altobelli E;Rapacchietta L;Angeletti PM;Barbante L;Profeta FV;Fagnano R
乳腺癌是世界上最常见的影响女性的肿瘤。在低收入和中等收入国家，BC的发病率预计将进一步上升，BC似乎将成为一种公共卫生紧急情况。本研究的目的是对世卫组织欧洲地区现有的BC筛查方案进行系统审查，以确定可能的模式。进行多重对应分析，以评估以下各项之间的联系：发生措施；国民总收入水平；筛查方案的类型；组织关于初级预防可改变风险因素的公共信息和宣传运动；筛查服务的类型；筛查机构的年份；筛查覆盖面和数据质量。从目前的数据可以看出，高收入国家与低收入和中等收入国家之间的一个关键区别是，以前的筛查方案组织良好，有经批准的筛查中心，有流动单位以扩大覆盖范围，提供免费的筛查测试；根据高质量的来源提供相当高质量的发生数据，并采用准确的方法估计发病率和死亡率。总之，LMI国家的政府应该分配足够的资源来增加筛查参与率，他们应该提高发病率和死亡率的准确性。
Breast cancer (BC) is the most frequent tumour affecting women all over the world. In low- and middle-income countries, where its incidence is expected to rise further, BC seems set to become a public health emergency. The aim of the present study is to provide a systematic review of current BC screening programmes in WHO European Region to identify possible patterns. Multiple correspondence analysis was performed to evaluate the association among: measures of occurrence; GNI level; type of BC screening programme; organization of public information and awareness campaigns regarding primary prevention of modifiable risk factors; type of BC screening services; year of screening institution; screening coverage and data quality. A key difference between High Income (HI) and Low and Middle Income (LMI) States, emerging from the present data, is that in the former screening programmes are well organized, with approved screening centres, the presence of mobile units to increase coverage, the offer of screening tests free of charge; the fairly high quality of occurrence data based on high-quality sources, and the adoption of accurate methods to estimate incidence and mortality. In conclusion, the governments of LMI countries should allocate sufficient resources to increase screening participation and they should improve the accuracy of incidence and mortality rates.
DOI：
10.5455/msm.2013.25.270-272
发表时间：
2013-12
期刊：
Materia socio-medica
影响因子：
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作者：
Kopeci A;Canaku D;Muja H;Petrela K;Mone I;Qirjako G;Hyska J;Preza K
通讯作者：
Preza K