title: Audit feedback on reading performance of screening mammograms: An international comparison.
abstract: Providing feedback to mammography radiologists and facilities may improve interpretive performance. We conducted a web-based survey to investigate how and why such feedback is undertaken and used in mammographic screening programmes.
  
  
  
  The survey was sent to representatives in 30 International Cancer Screening Network member countries where mammographic screening is offered.
  
  
  
  Seventeen programmes in 14 countries responded to the survey. Audit feedback was aimed at readers in 14 programmes, and facilities in 12 programmes. Monitoring quality assurance was the most common purpose of audit feedback. Screening volume, recall rate, and rate of screen-detected cancers were typically reported performance measures. Audit reports were commonly provided annually, but more frequently when target guidelines were not reached.
  
  
  
  The purpose, target audience, performance measures included, form and frequency of the audit feedback varied amongst mammographic screening programmes. These variations may provide a basis for those developing and improving such programmes.
authors.affiliation: Department of Screening, Cancer Registry of Norway, Oslo, Norway Solveig.Hofvind@kreftregisteret.no.
authors.forename: S
authors.initials: S
authors.lastname: Hofvind
authors.affiliation: Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: R L
authors.initials: RL
authors.lastname: Bennett
authors.affiliation: Centre de Recherche du, CHU de Québec and Centre des Maladies du Sein Deschênes-Fabia, Hôpital du Saint-Sacrement, Quebec, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Brisson
authors.affiliation: Discipline Medical Radiation Sciences, The University of Sydney, Lidcombe, NSW, Australia.
authors.forename: W
authors.initials: W
authors.lastname: Lee
authors.affiliation: Institut National de santé Publique du Québec, Canada.
authors.forename: E
authors.initials: E
authors.lastname: Pelletier
authors.affiliation: CHS National Cancer Control Center, Lady Davis Carmel Medical Center, Haifa, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Flugelman
authors.affiliation: Department of Family Medicine, University of Vermont, Burlington, VT, USA.
authors.forename: B
authors.initials: B
authors.lastname: Geller
mesh_terms: D019985:Benchmarking; D001943:Breast Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging*; D005260:Female; D014943:Global Health; D006801:Humans; D007391:International Cooperation; D020407:Internet; D008327:Mammography / Q000592:standards* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000592:standards* / Q000706:statistics & numerical data; D008485:Medical Audit; D015588:Observer Variation; D011795:Surveys and Questionnaires
keywords: Audit; breast screening; feedback; mammography