Audit system on Quality of breast cancer diagnosis and Treatment (QT): results of quality indicators on screen-detected lesions in Italy, 2007

作者：Mano Maria Piera^*; Ponti Antonio; Tomatis Mariano; Baiocchi Diego; Barca Alessandra; Berti Rosa; Bordon Rita; Casella Denise; Delrio Daria; Donati Giovanni; Falcini Fabio; Frigerio Alfonso; Furini Alessia; Mantellini Paola; Naldoni Carlo; Pagano Giovanni; Piccini Paola; Ravaioli Alessandra; Rodella Donatella; Sapino Anna; Sedda Maria Laura; Taffurelli Mario; Vettorazzi Marcello; Zorzi Manuel; Cataliotti Luigi; Segnan Nereo

来源：Epidemiologia e Prevenzione, 2010, 34(5-6): 81-88.

• breast cancer screening quality treatment survey
• Italy

This survey, conducted by the Italian Breast Screening Network (GISMa), collects individual data yearly on about 50% of all screen-detected, operated lesions in Italy The 2007 results show good overall quality of diagnosis and treatment and an improving trend over time. Critical issues were identified concerning waiting times, compliance with the recommendations on not performing frozen section examination on small lesions and on performing specimen X-rays. Preoperative diagnosis reached the acceptable target, but there is a large variation between Regions and programmes. For more than 80% of screen-detected invasive cancers the sentinel lymph node technique (SLN) was performed on the axilla, avoiding a large number of potentially harmful dissections. On the other hand, potential overuse of SLN deserves further investigation.
The detailed results have been distributed, also by means of a web data-warehouse, to regional and local screening programmes in order to allow multidisciplinary discussion and identification of the appropriate solutions to any problem documented by the data. Specialist Breast Units with adequate case volume and enough resources would provide the best setting for making audits effective in producing quality improvements with a shorter waiting times.

• 出版日期2010-12