Monitoring and evaluation of breast cancer screening programmes: selecting candidate performance indicators
Por:
Muratov, S, Canelo-Aybar, C, Tarride, JE, Alonso-Coello, P, Dimitrova, N, Borisch, B, Castells, X, Duffy, SW, Fitzpatrick, P, Follmann, M, Giordano, L, Hofvind, S, Lebeau, A, Quinn, C, Torresin, A, Vialli, C, Siesling, S, Ponti, A, Rossi, PG, Schunemann, H, Nystrom, L, Broeders, M, ECIBC Contributor Grp
Publicada:
24 ago 2020
Resumen:
BackgroundIn 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.MethodsThe 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.ResultsA 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 >20mm, cancers <= 10mm, lymph node status, interval cancer rate, episode sensitivity, time interval between screening and first treatment, benign open surgical biopsy rate, and mastectomy rate.ConclusionThis systematic approach led to the identification of 13 BCSP candidate performance indicators to be further evaluated for their association with BC mortality.
Filiaciones:
Muratov, S:
McMaster Univ, Fac Hlth Sci, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Canelo-Aybar, C:
CIBERESP, Inst Invest Biomed St Pau IIB St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Tarride, JE:
McMaster Univ, Fac Hlth Sci, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Alonso-Coello, P:
CIBERESP, Inst Invest Biomed St Pau IIB St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Dimitrova, N:
European Commiss, Joint Res Ctr, Via E Fermi 2749 TP 127, I-21027 Ispra, VA, Italy
Borisch, B:
Univ Geneva, Inst Global Hlth, Geneva, Switzerland
Castells, X:
IMIM Hosp del Mar, Med Res Inst, Barcelona, Spain
Duffy, SW:
Queen Mary Univ London, London, England
Fitzpatrick, P:
Natl Screening Serv, Dublin, Ireland
UCD, Sch Publ Hlth Physiotherapy & Sports Sci, Dublin, Ireland
Follmann, M:
German Canc Soc, Berlin, Germany
Giordano, L:
CPO Piedmont AOU Citta Salute & Sci, Turin, Italy
Hofvind, S:
Canc Registry Norway, Oslo, Norway
Lebeau, A:
Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany
Private Grp Practice Pathol, Hamburg, Germany
Quinn, C:
St Vincents Univ Hosp, Dublin, Ireland
Torresin, A:
ASST Grande Osped Metropolitano, Milan, Italy
Vialli, C:
European Commiss, Joint Res Ctr, Via E Fermi 2749 TP 127, I-21027 Ispra, VA, Italy
Siesling, S:
Netherlands Comprehens Canc Org IKNL, Utrecht, Netherlands
Univ Twente, Enschede, Netherlands
Ponti, A:
CPO Piedmont AOU Citta Salute & Sci, Turin, Italy
Rossi, PG:
AUSL Reggio Emilia, IRCCS, Reggio Emilia, Italy
Schunemann, H:
McMaster Univ, Fac Hlth Sci, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Nystrom, L:
Umea Univ, Dept Epidemiol & Global Hlth, Umea, Sweden
Broeders, M:
Radboud Univ Nijmegen, Radboud Inst Hlth Sci, Med Ctr, Nijmegen, Netherlands
Gold, Green Published
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