Evidence map›Paper›PMID 35641985›Full record

ArticleBMC health services research2022

Integrating mammography screening programmes into specialist breast centres in Italy: insights from a national survey of Senonetwork breast centres.

Silvia Deandrea, Francesca Ferrè, Rosanna D'Antona, Catia Angiolini, Marina Bortul, Lauro Bucchi, Francesca Caumo, Lucio Fortunato, Livia Giordano, Monica Giordano and 11 more

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

21 authors.

Silvia Deandrea *Environmental Health Unit, Agency for Health Protection, Pavia, Italy.
Francesca Ferrè *Department EMbeDS, Management and Health Laboratory, Institute of Management, Sant'Anna School of Advanced Studies, Pisa, Italy.
Rosanna D'Antona *Europa Donna Italia, Milan, Italy.
Catia AngioliniSOD Oncologia Della Mammella, Breast Unit, DAI Oncologico, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Marina BortulBreast Unit, Division of General Surgery, Azienda Sanitaria Universitaria Giuliano Isontina, Hospital of Cattinara, Trieste, Italy.
Lauro BucchiRomagna Cancer Registry, Romagna Cancer Institute, IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori (IRST) Dino Amadori, Meldola, Italy. lauro.bucchi@irst.emr.it.ORCID http://orcid.org/0000-0002-6771-8119
Francesca CaumoDepartment of Breast Radiology, Veneto Institute of Oncology, IRCCS, Padua, Italy.
Lucio FortunatoBreast Centre, San Giovanni-Addolorata Hospital, Rome, Italy.
Livia GiordanoCPO Piedmont, AOU Cittá Della Salute E Della Scienza, Turin, Italy.
Monica GiordanoMedical Oncology Department, Azienda Socio Sanitaria Territoriale Lariana, Como, Italy.
Paola MantelliniScreening Unit, ISPRO - Oncological Network, Prevention and Research Institute, Florence, Italy.
Irene MartelliDepartment EMbeDS, Management and Health Laboratory, Institute of Management, Sant'Anna School of Advanced Studies, Pisa, Italy.
Giuseppe MelucciSS Radiologia Senologica, ASL 'SS. Annunziata', Taranto, Italy.
Carlo NaldoniEuropa Donna Italia, Milan, Italy.
Eugenio PaciItalian Group for Mammography Screening, Florence, Italy.
Loredana PauEuropa Donna Italia, Milan, Italy.
Gianni SaguattiSenology Unit, Local Health Authority, Bologna, Italy.
Elisabetta SestiniEuropa Donna Italia, Milan, Italy.
Corrado TinterriBreast Unit, Humanitas Cancer Centre, Rozzano, Milano, Italy.
Milena Vainieri *Department EMbeDS, Management and Health Laboratory, Institute of Management, Sant'Anna School of Advanced Studies, Pisa, Italy.
Luigi Cataliotti *A.P.S. Senonetwork Italia, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite recommendations, mammography screening is often insufficiently integrated into specialist breast centres. A national, cross-sectional, voluntary, online survey on this issue was carried out among the Italian breast centres associated with Senonetwork, the Italian network of breast cancer services.

methodsA 73-item questionnaire was created, pre-tested and piloted. Centres integrating and not integrating a screening programme were compared using the unified theory of acceptance and use of technology (UTAUT) model. Centres' clustering was performed using the Gower's distance metric. Groups and clusters were compared with the equality-of-means test.

resultsThe response rate was 82/128 (65%). Overall, 84% (69/82) breast centres reported a collaboration with a screening programme in performing and/or reading mammograms and in the diagnostic work-up of women with abnormal screening results. The same proportion was observed among those centres responding to all questions (62/74). Performance expectancies (or the perceived usefulness of integration in terms of clinical quality, patient convenience, ease of job, and professional growth), satisfaction and motivation were higher in those centres collaborating with the screening programme. Effort expectancy indicators (or the degree to which the respondents believe that the integration is easy to implement) and those concerning the existence of facilitating conditions were lower both in centres collaborating and not collaborating with the screening programme. Among the former, six clusters of centres, distributed from 'no integration' to 'high', were identified. In cluster analysis, the highest level of integration was associated with higher agreement that integration eases the job, offers better opportunities for professional growth, and makes the working environment more satisfactory. The least integrated cluster assigned the lowest score to the statement that local health authority made available the resources needed.

conclusionsWhile confirming the positive effects of integrating screening programmes into breast centres, this survey has brought to light specific difficulties that must be faced. The results provide insights into the importance of integration focusing on the perspectives of professional career and motivation. The deficiency of facilitating conditions to integration is modifiable. Screening professionals' societies may have a role as initiators of the integration. Other supporting actions may be included in health laws at the national and regional level.

Indexed as

Breast NeoplasmsMammographyCross-Sectional StudiesEarly Detection of CancerFemaleHumansItalyBreast centreHealth services integrationMammography screeningSurveyUTAUT

Identifiers

PMID35641985
PMCPMC9153866

What OpenQuestion holds

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Registered trials

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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.