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Performance data of screening mammography at a dedicated breast health centre

dc.contributor.authorApffelstaedt, J. P.
dc.contributor.authorSteenkamp, V.
dc.contributor.authorBaatjes, K.
dc.date.accessioned2011-03-18T14:56:53Z
dc.date.available2011-03-18T14:56:53Z
dc.date.issued2008
dc.identifier.citationApffelstaedt, J.P., Steenkamp, V. & Baatjes, K. 2008. Performance data of screening mammography at a dedicated breast health centre.South African Medical Journal, 98(12) 950-953, http://www.samj.org.za/index.php/samj
dc.identifier.issn02569574 (print)
dc.identifier.issn20785135 (EISSN)
dc.identifier.urihttp://hdl.handle.net/10019.1/7047
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground. Mammographic screening has become part of routine health care. We present a first analysis of screening mammography in a dedicated breast health centre in Africa. Objective. To establish a performance benchmark and provide data for health care policy and funding decisions on screening mammography. Method. All mammography performed between January 2003 and August 2008 was entered into a prospective database. Mammography was performed exclusively by certified mammographers and double-read by experienced readers. Results. Outcomes were classified in a simplified classification system based on the Breast Imaging Reporting and Data System (BIRADS). In 40-49-year-old women, 3 192 mammograms led to a recall rate of 4.7%, a biopsy rate of 1.9% and a cancer diagnosis rate of 3.8 per 1000 examinations, for women of 50 years and older, the corresponding figures were 4 446, 5.4%, 2.6% and 9.7 per 1 000. Of the cancers detected, 31% were in situ and, of the invasive cancers, 81% were node-negative. These figures were established by a dedicated surgeon-led team and fall within the range expected in organised screening programmes in resource-rich environments, providing a first benchmark for screening mammography in Africa.
dc.format.extentpp. 950-953
dc.language.isoen_ZA
dc.publisherHealth and Medical Publishing Group (HMPG)
dc.subjectBreast biopsyen_ZA
dc.subjectMammography -- Analysisen_ZA
dc.titlePerformance data of screening mammography at a dedicated breast health centreen_ZA
dc.typeArticle
dc.description.versionPublishers' version
dc.rights.holderHealth and Medical Publishing Group (HMPG)


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