[A decentralized breast cancer screening program in the French department of Bas-Rhin].
Since 1989, in the French department of Bas-Rhin, a breast cancer screening program in going on and its results are presented here. This program, concerning women of 50 to 65 years-old, is decentralized, based on private or public radiologists and the motivation of women because there is no invitation. The interval between screening test is 2 years. After 8 years, the results are rather satisfactory: participation rate of the initial cohort is 77% in December 31st 1997, participation at incident screenings is above than 85%, early indicators (recall rate, detection rate, PPV of screening, PPV of biopsy) are improving with time to attain numbers like international studies. The ADEMAS program shows that a decentralized screening program, based on existing medical structures is possible in France. Anyway, it must be organized, evaluated at any time, with a quality assurance system to guarantee the women the best taking charge.
Schaffer
P
P
ADEMAS (Association pour le Dépistage des Maladies du Sein), 10, rue de Leicester, 67000 Strasbourg.
Gairard
B
B
Guldenfels
C
C
Haehnel
P
P
Dale
G
G
Bellocq
J P
JP
Renaud
R
R
D000367:Age Factors; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006801:Humans; D008327:Mammography; D008403:Mass Screening / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D008875:Middle Aged; D011785:Quality Assurance, Health Care; D013997:Time Factors