Comparisons of assessment pathways after abnormal mammography screening in Denmark, Norway, and Spain
Permanent lenke
https://hdl.handle.net/10037/34434Dato
2024-01-29Type
Journal articleTidsskriftartikkel
Peer reviewed
Forfatter
Jørgensen, Susanne Fogh; Sagstad, Silje; Louro, Javier; Román, Marta; Castells, Xavier; Hofvind, Solveig Sand-Hanssen; Njor, SisseSammendrag
Methods - We included women aged 50–69 years from Denmark, Norway, and Spain, who were recalled for assessment after screening mammography, and recorded all procedures performed during six months after diagnosis, and the timing of the procedures. Women were followed for two years and screen-detected and interval cancer, and sensitivity of recall was calculated and compared.
Results - In total, data from 24,645 Danish, 30,050 Norwegian, and 41,809 Spanish women were included in the study. Most of the women had some assessment within 2 months in all three countries. SDC rates were higher in Denmark (0.57) and Norway (0.60) compared to Spain (0.38), as were the IC rates, i.e. 0.25 and 0.18 vs. 0.12, respectively. The sensitivity of the diagnostic follow-up was somewhat higher in Denmark (98.3%) and Norway (98.2%), compared to Spain (95.4%), but when excluding non-invasive assessment pathways, the sensitivities were comparable.
Conclusion - This comparison study showed variation in the assessment procedures used in the three countries as well as the SDC and IC rates and the sensitivity of recall.