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BreastCheck Programme Statistics 2006

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The Following Statistics' tables are available:


Screening Activity Overall
The figures reported relate to those women contacted by BreastCheck between 1 January and 31 December 2006. Programme standards, against which performance is measured, are based on European Guidelines for Quality Assurance in Mammography Screening (4th Edition). In 2006 BreastCheck invited over 83,000 women for screening for a first or subsequent time. The number of women invited has increased year on year since inception of the programme, with a corresponding increasing number of women screened each year (Figure 1); this year over 63,000 women accepted the invitation to screening (Figure 2).The Programme Standardised Detection Ratio remains well above target.

Performance Parameter 2006
Number of women invited 83,491
Number of eligiblewomen invited * 81,011
Number of women who opted not to consent 868
Number of women who attended for screenin 63,271
Eligible women acceptance rate (includes women who opted not to consent) 78.1%
Known target population acceptance rate ** 74.8%
Number of women recalled for assessment 1,903
Number of open benign biopsies 67
Number of cancers detected 337
Cancers detected per 1,000 women screened 5.3
Number of in situ cancers 73
Number of invasive cancers < 15mm 113
Standardised Detection Ratio 0.9

* Eligible refers to the known target population less those women excluded or suspended by the Programme based on certain eligibility criteria.

** Known target refers to all women of screening age that are known to the Programme.

Details of the ineligible categories
Excluded – Women in follow up care for breast cancer, not contactable by An Post, physical / mental incapacity (while BreastCheck attempts to screen all eligible women, certain forms of physical or mental incapacity may preclude screening), terminal illness, other.
Suspended – Women on extended vacation/working abroad, previous mammogram less than a year previously, opt to wait until next round,woman wished to defer appointment, unwilling to reschedule, other.

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Screening Activity By Type Of Screen
Of eligible women invited for the first time or for a subsequent screening, similar proportions attended for screening this year. Those who do not respond to their first invitation for screening are invited again in the subsequent round; the percentage of previous non-attenders taking up this invitation for screening was lower this year at 18% compared to 27% in 2005.

Performance Parameter First Invited Population Previous Non-Attenders Subsequent Population
Number of women who deconsented 25,979 8,699 48,813
Number of women invited 24,564 8,699 48,616
Number of women who opted not to consent * 182 - 686
Number of women screened 17,964 1,563 43,744
Eligible women acceptance rate (including women who opted not to consent) 73.1% 18.0% 90.0%
Known target population acceptance rate 68.2% 18.0% 88.4%

* Opted not to consent in previous round of screening, but remain within target age group of 50-64 years.

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Screening Activity By Type Of Screen And Age Group
The majority of women attending for first screening are in the 50-54 age group.The acceptance rate is highest in this age group and again we see a fall in acceptance with increasing age at first invitation. This age-related acceptance pattern is replicated in previous non-attenders.However in all age groups attending for subsequent screening the acceptance is almost uniformly high.

Table 3(i) First Invited Population

Performance Parameter 50-54 55-59 60-64
Number of women invited 18,001 4,329 3,328
Number of eligible women invited 17,358 3,907 3,010
Number of women who opted not to consent 56 64 51
Number of women screened 13,489 2,453 1,836
Eligible women acceptance rate (including women who opted not to consent) 77.7% 62.8% 61.0%
Known target population acceptance rate 74.0% 55.8% 54.3%

Table 3(ii) Previous Non-Attenders

Performance Parameter 50-54 55-59 60-64
Number of previous non-attenders invited 1,638 3,651 3,356
Number of women screened 520 621 399
Known target population acceptance rate 31.7% 17.0% 11.9%

Table 3(iii) Subsequent Invite

Performance Parameter 50-54 55-59 60-64
Number of eligible women invited 9,140 21,619 17,605
Number of women who opted not to consent in previous round * 73 216 228
Number of ineligible women ** 151 397 331
Number of women screened 8,317 19,526 15,737
Eligible women acceptance rate (including women who opted not to consent) 91.0% 90.3% 89.4%
Known target population acceptance rate 88.8% 87.8% 86.6%

* Opted not to consent in previous round, but remain in the target population
** Identified as ineligible in previous round of screening or in this round, but remain in the target population

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Screening Quality: First Screen
This table presents data on women attending screening for the first time. All the quality parameters have been met or exceeded. Programme standards, against which performance is measured, are based on European Guidelines for Quality Assurance in Mammography Screening (4th Edition).

Performance Parameter 2005 Standard
Number of women screened for first time 19,527 -
Number of women recalled for assessment 1,081 -
Recall rate 5.5% <7%
Number of benign open biopsies 46 -
Benign open biopsy rate per 1,000 women screened 2.36 <3.6
Number of women diagnosed with cancer 147 -
Cancer detection rate per 1,000 women screened 7.53 -
Number of women with in situ cancer (DCIS) 27 -
Pure DCIS detection rate per 1,000 women screened 1.38 -
Number of women diagnosed with DCIS as % of all women diagnosed with cancer 18.4% 10-20%
Number of women diagnosed with invasive cancer 120 -
Invasive cancer detection rate per 1,000 women screened 6.15 -
Invasive cancer detection rate per 1,000 women aged 50-51 screened 5.90 >2.9
Invasive cancer detection rate per 1,000 women aged 52-64 screened 8.67 >5.2
Number of women with invasive cancers <15 mm 60 -
Number of women with invasive cancers <15 mm as % of all women with invasive cancers 50.0% ≥40%
Standardised Detection Ratio 1.02 0.75

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Screening Quality: Subsequent Screen
This table presents data on women attending screening for a subsequent time.The percentage of ductal carcinoma in situ detected is higher than in previous years. All other quality parameters have been met or exceeded. Over half of all women found to have invasive cancer had a very small cancer (under 15mm). Programme standards, against which performance is measured, are based on European Guidelines for Quality Assurance in Mammography Screening (4th Edition).

Performance Parameter 2005 Standard
Number of women screened for for a subsequent time 43,744 -
Number of women recalled for assessment 822 -
Recall rate 1.9% <5%
Number of benign open biopsies 21 -
Benign open biopsy rate per 1,000 women screened 0.48 <2
Number of women diagnosed with cancer 190 -
Cancer detection rate per 1,000 women screened 4.3 ≥3.5
Number of women with in situ cancer (DCIS) 46 -
Pure DCIS detection rate per 1,000 women screened 1.05 -
Number of women diagnosed with DCIS as % of all women diagnosed with cancer 24.2% 10-20%
Number of women diagnosed with invasive cancer 144 -
Invasive cancer detection rate per 1,000 women screened 3.29 >2.4
Number of women with invasive cancers <15mm 73 -
Number of women with invasive cancers <15 mm as % of all women with invasive cancers 50.7% ≥40%
Standardised detection ratio 0.82 0.75

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Screening Outcome: First Screen by Age Group

Performance Parameter 50-54 55-59 60-64
Number of women screened 14,009 3,074 2,235
Percentage of women recalled for assessment 5.7% 5.3% 4.7%
Benign open biopsy rate per 1,000 women screened 2.28 1.95 2.68
Overall cancer detection rate per 1,000 women screened 6.6 8.5 11.2

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Screening Outcome: Subsequent Screen by Age Group

Performance Parameter 50-54 55-59 60-64
Number of women screened 8,317 19,526 15,737
Percentage of women recalled for assessment 1.8% 1.8% 2.0%
Benign open biopsy rate per 1,000 women screened 0.36 0.61 0.38
Overall cancer detection rate per 1,000 women screened 3.8 3.3 5.8

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Cancers With Non-Operative Diagnosis
The proportions of women with a non-operative diagnosis of cancer remain high for both initial and subsequent screening.

Performance Parameter Initial Screening Subsequent Screening Standard
Percentage of women with non-operative diagnosis of cancer 92.5% 93.1% 70%

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Outcome of First Screens by Region
Some variation is seen in cancer detection rate by region; this may be a chance finding.Where numbers screened are small, rates are unreliable.

Region of Residence Number of women screened Acceptance rate: Eligible Acceptance rate: Known Target Population Number of cancers detected Cancers detected per 1,000 women
Dublin and North East Region 7,651 56.3% 53.6% 60 7.8
Dublin and Mid Leinster Region 5,656 51.3% 48.0% 29 5.1
Southern Region 6,218 74.8% 71.7% 58 9.3

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Outcome of Subsequent Screens by Region

Region of Residence Number of women screened Acceptance rate: Eligible Acceptance rate: Known Target Population Number of cancers detected Cancers detected per 1,000 women
Dublin and North East Region 17,673 88.9% 87.5% 96 5.4
Dublin and Mid Leinster Region 21,533 89.3% 87.5% 81 3.8
Southern Region 4,538 93.1% 91.6% 13 2.9

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Women's Charter Parameters
The BreastCheck Women’s Charter is published on the inside front cover of this report.Most Women’s Charter parameter targets are met or exceeded. The proportion of women screened for a subsequent time within 27 months of a previous screen is at the highest level since subsequent screening began. Almost two-thirds of women invited for the first time are invited within 24 months of becoming known to the programme and eligible for screening; this is below target.

Performance Parameter 2005 Standard
% women who received 7 days notice of appointment 98.2% 90%
% women who were sent results of mammogram within 3 weeks 97.1% ≥90%
% women offered an appointment for Assessment Clinic within 2 weeks of notification of abnormal mammographic result 95.6% ≥90%
% women given results from Assessment Clinic within 1 week 90.1% ≥90%
% women offered hospital admission for treatment within 3 weeks of diagnosis of breast cancer 94.4% ≥90%
% women re-invited for screening within 27 months of invitation at previous round 88.3% ≥90%
% women eligible for screening invited for screening within 2 years of becoming known to the Programme 61.6% ≥90%

Download full Annual Report 2006-2007:
English (.pdf file 1,568 kb, 36 pages - A4 format) BC-areport0607eng.pdf
Irish (.pdf file 1,447 kb, 36 pages - A4 format) BC-areport0607irish.pdf

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