Cent Eur J Public Health 2017, 25(4):303-306 | DOI: 10.21101/cejph.a4684

High participation rate in mammography screening: experience from Croatia

Zrinka Puharić1, Mirna Žulec1, Ivana Ceronja2, Andrea Šupe Parun3
1 Study of Nursing, Technical College in Bjelovar, Bjelovar, Croatia
2 Croatian Health Insurance Fund, Zagreb, Croatia
3 Croatian Institute of Public Health, Zagreb, Croatia

Objective: The aim of the study was to analyse the results of three cycles of mammography screening (MS) in the Croatian National Programme (CNP) for Early Breast Cancer Detection for women aged 50-69 years in the Bjelovar-Bilogora County (BBC) from 2006-2014.

Methods: Data on women aged 50-69 screened during a 9-year period were obtained from the Croatian Cancer Registry and Institute of Public Health reports. Participation rate and performance indicators were examined.

Results: The total of 57,428 women were invited to mammography screening in BBC during a 9-year period and 31,402 mammograms in total were performed. The response rate of 84% in BBC was consistently higher than the national average of about 60% reported in 2007, 2013 and 2014.

Conclusion: The National Programme in BBC has been carried out continuously for nine years with a higher response rate compared with the national average, as a result of additional efforts of the Croatian Institute of Public Health team, as well as good cooperation among all programme stakeholders. It was concluded that to achieve better results in the response of women to screening and consequently reduced mortality from breast cancer is possible through tailored health promotion activities.

Keywords: mammography screening, breast cancer, participation rate

Received: January 8, 2016; Revised: May 10, 2017; Published: December 30, 2017  Show citation

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Puharić Z, Žulec M, Ceronja I, Parun AŠ. High participation rate in mammography screening: experience from Croatia. Cent Eur J Public Health. 2017;25(4):303-306. doi: 10.21101/cejph.a4684. PubMed PMID: 29346854.
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    References

    1. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013 Apr;49(6):1374-403. Go to original source... Go to PubMed...
    2. Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, et al. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide:IARC CancerBase No. 11 [Internet]. Lyon: International Agency for Research on Cancer; 2013 [cited 2016Nov 16]. Available from: http://globocan.iarc.fr.
    3. Council Recommendation of 2 December 2003 on cancer screening (2003/878/EC). Off J Eur Union. 2003 Dec 16;46(L327):34-8.
    4. Perry N, Broeders M, de Wolf C, Törnberg S, Holland R, von Karsa L, editors. European guidelines for quality assurance in breast cancer screening and diagnosis. 4th ed. Luxembourg: Office for Official Publications of the European Communities; 2006.
    5. Gabe R, Duffy SW. Evaluation of service screening mammography in practice: the impact on breast cancer mortality. Ann Oncol. 2005;16 Suppl 2:ii153-62. Go to original source... Go to PubMed...
    6. Džono-Boban A, Čale Mratović M, Mašanović M. Analysis of the results of mammography screening in Dubrovnik-Neretva County 2006-2009. Acta Med Croatica. 2010 Dec;64(5):453-9. (In Croatian.) Go to PubMed...
    7. Epidemiological News: Results of implementation of the National Program for early detection of breast cancer. Zagreb: Croatian Institute of Public Health November; 2015.
    8. Croatian National Cancer Registry. Cancer incidence in Croatia 2012. No. 37. Zagreb: Croatian Institute of Public health; 2014.
    9. Foca F, Mancini S, Bucchi L, Puliti D, Zappa M, Naldoni C, et al; IMPACT Working Group. Decreasing incidence of late-stage breast cancer after the introduction of organized mammography screening in Italy. Cancer. 2013 Jun 1;119(11):2022-8. Go to original source... Go to PubMed...
    10. Heywang-Koebrunner S, Bock K, Heindel W, Hecht G, Regitz-Jedermann L, Hacker A, et al. Mammography screening - as of 2013. Geburtshilfe Frauenheilkd. 2013 Oct;73(10):1007-16. Go to original source... Go to PubMed...
    11. Oberaigner W, Buchberger W, Frede T, Knapp R, Marth C, Siebert U. Breast cancer incidence and mortality in Tyrol/Austria after fifteen years of opportunistic mammography screening. BMC Public Health. 2010 Feb 20;10:86. Go to original source... Go to PubMed...
    12. Hanson K, Montgomery P, Bakker D, Conlon M. Evaluation of an intervention designed to recruit Canadian women to mammography screening. J Community Health Nurs. 2011 Jul;28(3):130-43. Go to original source... Go to PubMed...
    13. Sohl SJ, Moyer A. Tailored interventions to promote mammography screening: a meta-analytic review. Prev Med. 2007 Oct;45(4):252-61. Go to original source... Go to PubMed...
    14. Legler J, Meissner HI, Coyne C, Breen N, Chollette V, Rimer BK. The effectiveness of interventions to promote mammography among women with historically lower rates of screening. Cancer Epidemiol Biomarkers Prev. 2002 Jan;11(1):59-71.
    15. Lagerlund M, Sontrop J, Zackrisson S. Psychosocial factors and attendance at a population-based mammography screening program in a cohort of Swedish women. BMC Womens Health. 2014 Feb 24;14(1):33. Go to original source... Go to PubMed...
    16. Stamenić V, Strnad M. Urban-rural differences in a population-based breast cancer screening program in Croatia. Croat Med J. 2011 Feb;52(1):76-86. Go to original source... Go to PubMed...
    17. François G, Van Roosbroeck S, Hoeck S, Markovskaia E, Van Hal G. A pivotal role for the general practitioner in a mixed mammographic screening model. Rev Epidemiol Sante Publique. 2012 Apr;60(2):150-6. Go to original source... Go to PubMed...
    18. Kaltsa A, Holloway A, Cox K. Factors that influence mammography screening behaviour: a qualitative study of Greek women's experiences. Eur J Oncol Nurs. 2013 Jun;17(3):292-301. Go to original source... Go to PubMed...

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