Evidence map›Paper›PMID 34624045›Full record

ArticlePloS one2021

Quality assured implementation of the Slovenian breast cancer screening programme.

Katja Jarm, Maksimiljan Kadivec, Cveto Šval, Kristijana Hertl, Maja Primic Žakelj, Peter B Dean, Lawrence von Karsa, Janez Žgajnar, Barbara Gazić, Veronika Kutnar and 5 more

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Katja JarmInstitute of Oncology Ljubljana, Ljubljana, Slovenia.ORCID 0000-0001-6008-5032
Maksimiljan KadivecInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Cveto ŠvalInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Kristijana HertlInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Maja Primic ŽakeljInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Peter B DeanDepartment of Diagnostic Radiology, University of Turku, Turku, Finland.
Lawrence von KarsaFormerly at the International Agency for Research on Cancer, Lyon, France.
Janez ŽgajnarInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Barbara GazićInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Veronika KutnarInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Urban ZdešarInstitute of Occupational Safety, Ljubljana, Slovenia.
Mateja Kurir BorovčićInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Vesna ZadnikInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Igor JosipovićInstitute of Oncology Ljubljana, Ljubljana, Slovenia.
Mateja KrajcInstitute of Oncology Ljubljana, Ljubljana, Slovenia.ORCID 0000-0003-0605-2592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingThe organised, population-based breast cancer screening programme in Slovenia began providing biennial mammography screening for women aged 50-69 in 2008. The programme has taken a comprehensive approach to quality assurance as recommended by the European guidelines for quality assurance in breast cancer screening and diagnosis (4th edition), including centralized assessment, training and supervision, and proactive monitoring of performance indicators. This report describes the progress of implementation and rollout from 2003 through 2019.

methodsThe screening protocol and key quality assurance procedures initiated during the planning from 2003 and rollout from 2008 of the screening programme, including training of the professional staff, are described. The organisational structure, gradual geographical rollout, and coverage by invitation and examination are presented.

resultsThe nationwide programme was up and running in all screening regions by the end of 2017, at which time the nationwide coverage by invitation and examination had reached 70% and 50%, respectively. Nationwide rollout of the population-based programme was complete by the end of 2019. By this time, coverage by invitation and examination had reached 98% and 76%, respectively. The participation rates consistently exceeded 70% from 2014 to 2019.

conclusionsThe successful implementation of the screening programme can be attributed to an independent central management, external guidance, and strict adherence to quality assurance procedures, all of which contributed to increasing governmental and popular support. The benefits of quality assurance have influenced all aspects of breast care and have provided a successful model for multidisciplinary management of other diseases.

Indexed as

Quality Assurance, Health CareBreast NeoplasmsEarly Detection of CancerFemaleHealth Plan ImplementationHumansPatient Acceptance of Health CareRegistriesSlovenia

Identifiers

PMID34624045
PMCPMC8500434

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.