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Journal of Public Health Advance Access published online on May 22, 2007
Journal of Public Health, doi:10.1093/pubmed/fdm020
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© The Author 2007, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Cumulative attendance, assessment and cancer detection rate over four screening rounds in five English breast-screening programmes: a retrospective study


Matthew Wallis, Consultant Radiologist1,
Fergus Neilson, QA Co-ordinator2
Helen Hogarth, Research assistant2
Caroline Whitaker, Audit Officer2
Keith Faulkner, QA Director2

1 Breast Screening Unit, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, United Kingdom
2 North East, Yorkshire and the Humber Quality Assurance Reference Centre, 9 Kings way, Silverlink Business Park, Wallsend, Newcastle upon Tyne, NE28 9ND, United Kingdom


Address correspondence to Matthew Wallis, E-mail: mgwallis12{at}aol.com


  Abstract

Background Data collection in the National Health Service Breast Screening Programme monitors performance in a different cohort of women each year.

Methods This paper follows a single cohort study of 57 425 women (aged 50–53, when first invited) over four screening rounds to find: how many women attend screening and how often; how many were assessed; how many times they were assessed; and the number of cancers detected at each round.

Results Average attendance in each round was 76.9% and has remained constant. Only 62% of women have attended all four rounds, but 89.9% have been screened at least once, the average number of attendances being 3.5. Average assessment rate decreased from 7.3 to 3.5%. A total of 11.3% of women were assessed once, 0.91% twice and 0.06% three times. Cancer detection rates have more than doubled from 3.3 per 1000 screened to 6.9.

Conclusions Current monitoring shows constant uptake over time, but when looking at a cohort of individual woman, a much larger percentage have 'ever' attended and a smaller number have attended all invitations. The chance of a woman being assessed at all, if she attends all four rounds, is 12.3%, which can be calculated by summating the recall rates in each round.

Keywords: public health, screening


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