1. Monitoring and evaluation of breast cancer screening programmes : selecting candidate performance indicators
- Author
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Muratov, Sergei, Canelo-Aybar, Carlos, Tarride, Jean-Eric, Alonso-Coello, Pablo, Dimitrova, Nadya, Borisch, Bettina, Castells, Xavier, Duffy, Stephen W., Fitzpatrick, Patricia, Follmann, Markus, Giordano, Livia, Hofvind, Solveig, Lebeau, Annette, Quinn, Cecily, Torresin, Alberto, Vialli, Claudia, Siesling, Sabine, Ponti, Antonio, Giorgi Rossi, Paolo, Schünemann, Holger, Nyström, Lennarth, Broeders, Mireille, Autelitano, Mariangela, Colzani, Edoardo, Daneš, Jan, Gräwingholt, Axel, Ioannidou-Mouzaka, Lydia, Knox, Susan, Langendam, Miranda, McGarrigle, Helen, Pérez Gómez, Elsa, van Engen, Ruben, Warman, Sue, Young, Kenneth, van Landsveld-Verhoeven, Cary, Lerda, Donata, Saz-Parkinson, Zuleika, Parmelli, Elena, Janusch-Roi, Annett, Epidemiology and Data Science, APH - Mental Health, APH - Methodology, APH - Quality of Care, and Health Technology & Services Research
- Subjects
0301 basic medicine ,Cancer Research ,Time Factors ,medicine.medical_treatment ,Biopsy ,Quality indicators ,methods ,Breast cancer screening ,0302 clinical medicine ,Health care ,Breast neoplasms/diagnostic imaging ,Mass Screening ,Breast ,Mastectomy ,Health care/standards ,medicine.diagnostic_test ,Middle Aged ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] ,Europe ,Early detection of Cancer ,standards ,Oncology ,030220 oncology & carcinogenesis ,Practice Guidelines as Topic ,Mass screening/methods ,Early detection of Cancer/methods ,Female ,Research Article ,Mammography ,medicine.medical_specialty ,Breast Neoplasms ,lcsh:RC254-282 ,03 medical and health sciences ,Breast cancer ,All institutes and research themes of the Radboud University Medical Center ,Genetics ,medicine ,Humans ,Selection (genetic algorithm) ,Aged ,Quality Indicators, Health Care ,Cancer och onkologi ,business.industry ,Early detection of Cancer*/methods ,Health Plan Implementation ,diagnostic imaging ,Monitoring and evaluation ,Mass screening ,Patient Acceptance of Health Care ,medicine.disease ,030104 developmental biology ,Ranking ,Family medicine ,Cancer and Oncology ,Programme evaluation ,Performance indicator ,Breast neoplasms ,business ,Program Evaluation - Abstract
Background In the scope of the European Commission Initiative on Breast Cancer (ECIBC) the Monitoring and Evaluation (M&E) subgroup was tasked to identify breast cancer screening programme (BCSP) performance indicators, including their acceptable and desirable levels, which are associated with breast cancer (BC) mortality. This paper documents the methodology used for the indicator selection. Methods The indicators were identified through a multi-stage process. First, a scoping review was conducted to identify existing performance indicators. Second, building on existing frameworks for making well-informed health care choices, a specific conceptual framework was developed to guide the indicator selection. Third, two group exercises including a rating and ranking survey were conducted for indicator selection using pre-determined criteria, such as: relevance, measurability, accurateness, ethics and understandability. The selected indicators were mapped onto a BC screening pathway developed by the M&E subgroup to illustrate the steps of BC screening common to all EU countries. Results A total of 96 indicators were identified from an initial list of 1325 indicators. After removing redundant and irrelevant indicators and adding those missing, 39 candidate indicators underwent the rating and ranking exercise. Based on the results, the M&E subgroup selected 13 indicators: screening coverage, participation rate, recall rate, breast cancer detection rate, invasive breast cancer detection rate, cancers > 20 mm, cancers ≤10 mm, lymph node status, interval cancer rate, episode sensitivity, time interval between screening and first treatment, benign open surgical biopsy rate, and mastectomy rate. Conclusion This systematic approach led to the identification of 13 BCSP candidate performance indicators to be further evaluated for their association with BC mortality.
- Published
- 2020