Key performance indicators of breast cancer screening programmes in Italy, 2011-2019
Authors
Francesca Battisti, Paola Mantellini, Patrizia Falini, Leonardo Ventura, Livia Giordano, Gianni Saguatti, Marco Zappa, Silvia Deandrea, Giuseppe Gorini
Abstract
Introduction: Performance indicators for organised breast cancer screening programmes in Italy, 2011-2019, were evaluated.
Materials and Methods: Aggregated data were gathered by the National Centre for Screening Monitoring from over 150 regional or sub-regional screening programmes in Italy. Invitation and examination coverage, participation rate (PR), recall rate (RR), detection rate positive predictive value (PPV) for the target population as a whole (women aged 50-69), by 5-year age-class, geographical macro-area (North, Centre, South-Islands) and Region were estimated.
Results: Coverage showed an increasing positive trend, especially in the South-Islands, and PR was stable all over Italy. A negative increasing RR and decreasing PPV were recorded, especially at the first screening test and in some regions.
Discussion and Conclusions: The positive increase in coverage is accompanied by a worsening of some performance indicators for which a better resource allocation and staff training are required. For this reason further and continuous monitoring is mandatory.
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