title: Assessment of actions for breast cancer early detection in Brazil using process indicators: a descriptive study with Sismama data, 2010-2011.
abstract: to assess actions for breast cancer early detection in the Brazilian National Health System using process indicators.
  
  
  
  this is a descriptive study with secondary data from the Breast Cancer Information System (Sismama), for the period from 2010 to 2011.
  
  
  
  5,759,503 mammograms and 44,892 histopathological tests were assessed; screening mammography was predominant (96.2%), with annual interval (44.6%) and 51.2% of the patients were in the recommended age group (50 to 69 years); mammogram report was emitted in 30 days in 61.7% of the cases; among the 17,343 malignant lesions confirmed in the histopathological tests, 66.4% were detected through clinical examination.
  
  
  
  screening actions and early diagnosis in disagreement with the Ministry of Health's recommendations may compromise its effectiveness and entail greater risk to women; it is necessary to improve professional's adherence to screening guidelines, as well as enhance the control and assessment of the health services.
authors.affiliation: Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil.
authors.forename: Jeane Glaucia
authors.initials: JG
authors.lastname: Tomazelli
authors.affiliation: Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil.
authors.forename: Arn
authors.initials: A
authors.lastname: Migowski
authors.affiliation: Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil.
authors.forename: Caroline Madalena
authors.initials: CM
authors.lastname: Ribeiro
authors.affiliation: Ministério da Saúde, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro-RJ, Brasil.
authors.forename: Mônica de
authors.initials: M
authors.lastname: Assis
authors.affiliation: Secretaria de Estado de Saúde do Rio de Janeiro, Coordenação de Apoio à Gestão da Vigilância da Saúde, Rio de Janeiro-RJ, Brasil.
authors.forename: Dolores Maria Franco de
authors.initials: DM
authors.lastname: Abreu
mesh_terms: D000368:Aged; D001938:Brazil / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration; D017410:Practice Guidelines as Topic