Prøveprosjekt med mammografiscreeening i fire fylker; organisering og gjennomføring
DOI:
https://doi.org/10.5324/nje.v7i2.399Abstract
SAMMENDRAG
Randomiserte kontrollerte studier har vist at systematisk mammografiscreening i aldersgruppen 50 til 69 år
reduserer dødeligheten av brystkreft med omlag 30%. I 1994 ble det av Sosial- og helsedepartementet
besluttet å iverksette et prøveprosjekt med mammografi i fire fylker. Prosjektet omfatter kvinner i alderen
50-69 år og skal pågå i fire år med to screeningrunder. Utvalgte fylker er Akershus, Hordaland, Oslo og
Rogaland. Det er valgt en fylkeskommunal modell i samarbeid med Kreftregisteret, Statens helseundersøkelser
(SHUS) og Statens strålevern. Kreftregisteret har den nasjonale prosjektledelse, mens SHUS har
ansvar for invitasjoner, svarbrev samt innkjøp og drift av busser. Prosjektet skal evalueres både fra
kostnadsiden og informasjonsvirksomheten. Det utføres to-bilde mammografi med dobbelt tyding. Det
første driftsåret var 1996. Oppmøte før purring ligger på omlag 77%. Det er påvist 337 krefttilfeller.
Svulstene er overveiende meget små og uten spredning til lymfeknuter i armhulen. Det har vært få driftsproblemer,
og tiltaket er svært godt mottatt blant de inviterte kvinner.
Thoresen SØ.
Mammography screening in four Norwegian counties: a pilot project.
Nor J Epidemiol
ENGLISH SUMMARY
Organised breast cancer screening by mammography can reduce mortality from breast cancer substantially.
In Norway a pilot project in four counties was startet in 1996, including 160 000 women in the age group
50 to 69 years. Two-view mammography and double reading are performed. So far the attendance rate is
77%, before reminders are sent to the women. The attendance rate in the mobile units are high. A total of
337 breast cancers have been identified, which is seven out of 1000 screened. The positive predictive value
is 13%. The majority of the invasive tumors are small and without nodal involvement. The pilot project is
scheduled for four years and will also be evaluated form the cost/benefit side.
1997; 7 (2): 179-182.Downloads
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