巴西的两个国家乳房X光检查质量认证项目:2017年至2021年的框架和主要成果

IF 2 Q3 HEALTH POLICY & SERVICES Journal of Cancer Policy Pub Date : 2023-08-24 DOI:10.1016/j.jcpo.2023.100437
Sonia Maria da Silva , João Emilio Peixoto , Flávia Engel Aduan , Linei Augusta Urban , Leonardo Vieira Travassos , Ellyete Oliveira Canella , Salete Fonseca Rego , Alex Camara Campos , Anna Maria Araújo , Marcela Brisighelli Schaefer , Ana Lucia Kefalas , José Luis Francisco , Norma Medicis Maranhão , Radiá Pereira dos Santos , Selma di Pace Bauab , José Michel Kalaf , Luciano Fernades Chala , Henrique Lima Couto , Rosangela Requi Jakubiak , Gabriel Wingler Tinoco
{"title":"巴西的两个国家乳房X光检查质量认证项目:2017年至2021年的框架和主要成果","authors":"Sonia Maria da Silva ,&nbsp;João Emilio Peixoto ,&nbsp;Flávia Engel Aduan ,&nbsp;Linei Augusta Urban ,&nbsp;Leonardo Vieira Travassos ,&nbsp;Ellyete Oliveira Canella ,&nbsp;Salete Fonseca Rego ,&nbsp;Alex Camara Campos ,&nbsp;Anna Maria Araújo ,&nbsp;Marcela Brisighelli Schaefer ,&nbsp;Ana Lucia Kefalas ,&nbsp;José Luis Francisco ,&nbsp;Norma Medicis Maranhão ,&nbsp;Radiá Pereira dos Santos ,&nbsp;Selma di Pace Bauab ,&nbsp;José Michel Kalaf ,&nbsp;Luciano Fernades Chala ,&nbsp;Henrique Lima Couto ,&nbsp;Rosangela Requi Jakubiak ,&nbsp;Gabriel Wingler Tinoco","doi":"10.1016/j.jcpo.2023.100437","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>This study aims to provide an academic medical overview of the framework and key outcomes of two mammography quality certification programs in Brazil.</p></div><div><h3>Methods</h3><p>These programs assess radiation dose and phantom image quality in mammography units through a postal system. Each unit that passes this initial assessment is required to submit a sample of copies of five complete examinations. The quality of the patient images and reports is then reviewed by radiologists and medical physicist experts. Additionally, the number of mammography units and mammography coverage in the target population, were assessed.</p></div><div><h3>Results</h3><p>During the study period, 1007 units applied to the certification programs, and 934 (92.8%) successfully passed the assessment of radiation dose and phantom image quality. Out of these, 556 (59.5%) also passed the review of clinical image quality and reports, earning certification. The main issues related to mammogram and report quality were associated with the performance of radiographers (in terms of positioning) and radiologists (in terms of interpretation). On average, there are more than two mammography units/10,000 women in the target group. The screening mammography coverage in this group is 26.3% for women relying exclusively on the public healthcare and 58.1% for women with private healthcare plans.</p></div><div><h3>Conclusion</h3><p>This study demonstrates the suitability of the framework adopted by national mammography quality certification programs in a middle-income country. These programs are carried out by relatively small workforce and at reasonable costs, utilizing postal resources to cover the large number of existing mammographic units and the vast distances within the country.</p></div><div><h3>P<strong>olicy statement</strong></h3><p>All mammography services in Brazil must adhere to the quality requirements for examinations and reference values for radiation dose to women established by the Ministry of Health. This ensures standardized conditions for early detection of breast cancer and minimizes the risk associated with x-rays.</p></div>","PeriodicalId":38212,"journal":{"name":"Journal of Cancer Policy","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Two national mammography quality certification programs in Brazil: Framework and main outcomes between 2017 and 2021\",\"authors\":\"Sonia Maria da Silva ,&nbsp;João Emilio Peixoto ,&nbsp;Flávia Engel Aduan ,&nbsp;Linei Augusta Urban ,&nbsp;Leonardo Vieira Travassos ,&nbsp;Ellyete Oliveira Canella ,&nbsp;Salete Fonseca Rego ,&nbsp;Alex Camara Campos ,&nbsp;Anna Maria Araújo ,&nbsp;Marcela Brisighelli Schaefer ,&nbsp;Ana Lucia Kefalas ,&nbsp;José Luis Francisco ,&nbsp;Norma Medicis Maranhão ,&nbsp;Radiá Pereira dos Santos ,&nbsp;Selma di Pace Bauab ,&nbsp;José Michel Kalaf ,&nbsp;Luciano Fernades Chala ,&nbsp;Henrique Lima Couto ,&nbsp;Rosangela Requi Jakubiak ,&nbsp;Gabriel Wingler Tinoco\",\"doi\":\"10.1016/j.jcpo.2023.100437\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>This study aims to provide an academic medical overview of the framework and key outcomes of two mammography quality certification programs in Brazil.</p></div><div><h3>Methods</h3><p>These programs assess radiation dose and phantom image quality in mammography units through a postal system. Each unit that passes this initial assessment is required to submit a sample of copies of five complete examinations. The quality of the patient images and reports is then reviewed by radiologists and medical physicist experts. Additionally, the number of mammography units and mammography coverage in the target population, were assessed.</p></div><div><h3>Results</h3><p>During the study period, 1007 units applied to the certification programs, and 934 (92.8%) successfully passed the assessment of radiation dose and phantom image quality. Out of these, 556 (59.5%) also passed the review of clinical image quality and reports, earning certification. The main issues related to mammogram and report quality were associated with the performance of radiographers (in terms of positioning) and radiologists (in terms of interpretation). On average, there are more than two mammography units/10,000 women in the target group. The screening mammography coverage in this group is 26.3% for women relying exclusively on the public healthcare and 58.1% for women with private healthcare plans.</p></div><div><h3>Conclusion</h3><p>This study demonstrates the suitability of the framework adopted by national mammography quality certification programs in a middle-income country. These programs are carried out by relatively small workforce and at reasonable costs, utilizing postal resources to cover the large number of existing mammographic units and the vast distances within the country.</p></div><div><h3>P<strong>olicy statement</strong></h3><p>All mammography services in Brazil must adhere to the quality requirements for examinations and reference values for radiation dose to women established by the Ministry of Health. This ensures standardized conditions for early detection of breast cancer and minimizes the risk associated with x-rays.</p></div>\",\"PeriodicalId\":38212,\"journal\":{\"name\":\"Journal of Cancer Policy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2023-08-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cancer Policy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213538323000541\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Policy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213538323000541","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

背景本研究旨在为巴西两个乳房X光检查质量认证项目的框架和关键成果提供学术医学综述。方法这些项目通过邮政系统评估乳房X光摄影单元的辐射剂量和体模图像质量。每个通过初步评估的单位都需要提交五份完整考试的样本。然后由放射科医生和医学物理学家专家对患者图像和报告的质量进行审查。此外,还评估了目标人群中乳房X光检查单位的数量和乳房X光扫描覆盖率。结果在研究期间,1007个单位申请了认证项目,934个单位(92.8%)成功通过了辐射剂量和体模图像质量评估。其中,556人(59.5%)也通过了临床图像质量和报告审查,获得了认证。与乳房X光检查和报告质量相关的主要问题与放射技师(在定位方面)和放射科医生(在解释方面)的表现有关。平均而言,目标群体中每10000名女性有两个以上的乳房X光检查单元。这一群体中完全依赖公共医疗保健的女性的筛查乳房X光检查覆盖率为26.3%,有私人医疗保健计划的女性为58.1%。结论本研究证明了该框架适用于中等收入国家的国家乳房X光检查质量认证项目。这些项目由相对较少的劳动力以合理的成本实施,利用邮政资源覆盖国内大量现有的乳房X光检查单位和遥远的距离。政策声明巴西的所有乳房X光检查服务必须遵守卫生部制定的检查质量要求和妇女辐射剂量参考值。这确保了癌症早期检测的标准化条件,并将与x射线相关的风险降至最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Two national mammography quality certification programs in Brazil: Framework and main outcomes between 2017 and 2021

Background

This study aims to provide an academic medical overview of the framework and key outcomes of two mammography quality certification programs in Brazil.

Methods

These programs assess radiation dose and phantom image quality in mammography units through a postal system. Each unit that passes this initial assessment is required to submit a sample of copies of five complete examinations. The quality of the patient images and reports is then reviewed by radiologists and medical physicist experts. Additionally, the number of mammography units and mammography coverage in the target population, were assessed.

Results

During the study period, 1007 units applied to the certification programs, and 934 (92.8%) successfully passed the assessment of radiation dose and phantom image quality. Out of these, 556 (59.5%) also passed the review of clinical image quality and reports, earning certification. The main issues related to mammogram and report quality were associated with the performance of radiographers (in terms of positioning) and radiologists (in terms of interpretation). On average, there are more than two mammography units/10,000 women in the target group. The screening mammography coverage in this group is 26.3% for women relying exclusively on the public healthcare and 58.1% for women with private healthcare plans.

Conclusion

This study demonstrates the suitability of the framework adopted by national mammography quality certification programs in a middle-income country. These programs are carried out by relatively small workforce and at reasonable costs, utilizing postal resources to cover the large number of existing mammographic units and the vast distances within the country.

Policy statement

All mammography services in Brazil must adhere to the quality requirements for examinations and reference values for radiation dose to women established by the Ministry of Health. This ensures standardized conditions for early detection of breast cancer and minimizes the risk associated with x-rays.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
期刊最新文献
Income disparities have a significant impact on thyroid cancer recurrence and survival An assessment of cancer centre level designation and guideline adherent care in those with rectal cancer: A population based retrospective cohort study Spending on anticancer drugs among Medicare beneficiaries: Analyzing predictors of drug expenditures Barriers to identifying and addressing health-related social needs in cancer care: Patient and patient navigator perspectives Analysis of factors associated with use of real-world data in single technology appraisals of cancer drugs by the National Institute for Health and Care Excellence
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1