Experience in the implementation of screening program for early detection of breast cancer in the Khanty-Mansi Autonomous Region - Yugra

Abstract

The main aim of this study is to evaluate the current results of the Breast Cancer Screening Program performed in the Khanty-Mansiysky Autonomous Region—Ugra. The screening covers women over 40 years old. The screening interval is 2 years, with two-view mammography and single reading as the standard. During 2007-2012 within the Program, 249106 women were screened. The screening coverage rate is approximately 67,5%. 9,7% of screened women were referred for further assessment. The average cancer detection rate was 2,7 per 1000 screened women. The test sensitivity for the first round was estimated as 80%. We anticipate a 20% reduction in deaths from breast cancer by 2015, on the basis of this and of reductions in the proportion of tumours of size >20 mm. The quality evaluation of the Screening Program shows that the main criteria are within the international standard’s level.