Journal
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
Volume 46, Issue 2, Pages 230-236Publisher
ELSEVIER SCIENCE INC
DOI: 10.1111/1753-6405.13203
Keywords
BreastScreen; screening outcomes; risk-based screening; breast cancer
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Funding
- Australian Government Department of Health [2000004049]
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This review evaluates the current availability and reporting of data for risk-based breast cancer screening in Australia and suggests that there is potential to utilize existing data collection and reporting systems to support this approach.
Objective: There is growing interest in more risk-based approaches to breast cancer screening in Australia. This would require more detailed reporting of BreastScreen data for factors of interest in the assessment and monitoring of risk-based screening. This review assesses the current and potential availability and reporting of BreastScreen data for this purpose. Methods: We systematically searched governmental BreastScreen reports and peer-reviewed literature to assess current and potential availability of outcomes for predetermined factors including breast cancer risk factors and factors important for implementing, monitoring or evaluating risk-based screening. Outcomes evaluated were BreastScreen Performance Indicators routinely included in BreastScreen Australia monitoring reports, and key tumour characteristics. Results: All outcomes were reported annually by age group, except for tumour hormone receptor status, nodal involvement and grade. Screening participation was reported nationally for many factors important for risk-based screening; other reporting was ad hoc or unavailable. Conclusions: There is potential to build on BreastScreen's existing high-quality national data collection and reporting systems to inform and support risk-based breast screening. Implications for public health: Enhanced BreastScreen data collection and reporting would improve the evidence base and support evaluation of risk-based screening and improve the detail available for benchmarking any future changes to the program.
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