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10 results on '"B, Salicru"'

1. [Sensitivity and specificity of the breast screening program in the Isere region based on positive results between 1991 and 1999]

Author

A, Garnier, F, Poncet, A, Billette De Villemeur, C, Exbrayat, M F, Bon, A, Chevalier, B, Salicru, and J M, Tournegros

Subjects
Quality Assurance, Health Care, Calcinosis, Breast Neoplasms, Middle Aged, Reference Standards, Sensitivity and Specificity, Cross-Sectional Studies, Practice Guidelines as Topic, Humans, Mass Screening, False Positive Reactions, Female, France, Aged, Mammography
Abstract

The screening program guidelines specify that the call back rate of women for additional imaging (positive mammogram) should not exceed 7% at initial screening, and 5% at subsequent screening. Materials and methods. Results in the Isere region (12%) have prompted a review of the correlation between the call back rate and indicators of quality (detection rate, sensitivity, specificity, positive predictive value) for the radiologists providing interpretations during that time period.Three groups of radiologists were identified: the group with call back rate of 10% achieved the best results (sensitivity: 92%, detection rate: 0.53%, specificity: 90%). The group with lowest call back rate (7.7%) showed insufficient sensitivity (58%). The last group with call back rate of 18.3%, showed no improvement in sensitivity (82%) and detection rate (0.53%), but showed reduced specificity (82%).The protocol update in 2001 does not resolve this problematic situation and national results continue to demonstrate a high percentage of positive screening mammograms. A significant increase in the number of positive screening examinations compared to recommended guidelines is not advantageous and leads to an overall decrease in the quality of the screening.

Published
2009

2. [Simultaneous screening of cancers of the breast, cervix, colon and rectum. The Isère experience]

Author

C, Exbrayat, A, Garnier, M, Bolla, P, Winckel, B, Salicru, J, Marron, H, Faure, F, Menegoz, and A, Billette de Villemeur

Subjects
Vaginal Smears, Rectal Neoplasms, Incidence, Uterine Cervical Neoplasms, Breast Neoplasms, Middle Aged, Occult Blood, Colonic Neoplasms, Humans, Mass Screening, Female, France, Aged, Mammography, Papanicolaou Test
Abstract

The mass screening program for cancer in the Isere department offers women between 50 and 69 years a medical consultation and three tests: mammography for breast cancer screening, Pap smear for cervical cancer screening, and hemoccult for colorectal cancer. During the first round, 29,570 women took part in the program, 21% had a mammography, 20% Pap smears and 25% a hemoccult. In breast cancer screening, the rate for further examination was 11.9%, the breast cancer detection rate was 5.4 per 1,000 women screened and the detection rate of invasive tumoror = 10 mm: 2.0 per 1,000. In cervical cancer screening, the rate of abnormal examinations was 1.2%. The cervical cancer detection rate was 1.5 per 1,000. The rate of positive hemoccult was 2.7% and the rate of colorectal cancers and polyps 10 mm or larger was 2.7 per 1000. Results of screening are satisfying, but compliance rate is too low. Acceptance rate must be examined in following rounds.

Published
1996

6. [Sensitivity and specificity of the breast screening program in the Isere region based on positive results between 1991 and 1999].

Author

Garnier A, Poncet F, Billette De Villemeur A, Exbrayat C, Bon MF, Chevalier A, Salicru B, and Tournegros JM

Subjects
Aged, Breast Neoplasms epidemiology, Calcinosis diagnostic imaging, Calcinosis epidemiology, Cross-Sectional Studies, False Positive Reactions, Female, France, Humans, Mammography standards, Middle Aged, Practice Guidelines as Topic, Quality Assurance, Health Care standards, Reference Standards, Sensitivity and Specificity, Breast Neoplasms diagnosis, Mammography statistics & numerical data, Mass Screening statistics & numerical data
Abstract

Purpose: The screening program guidelines specify that the call back rate of women for additional imaging (positive mammogram) should not exceed 7% at initial screening, and 5% at subsequent screening. Materials and methods. Results in the Isere region (12%) have prompted a review of the correlation between the call back rate and indicators of quality (detection rate, sensitivity, specificity, positive predictive value) for the radiologists providing interpretations during that time period., Results: Three groups of radiologists were identified: the group with call back rate of 10% achieved the best results (sensitivity: 92%, detection rate: 0.53%, specificity: 90%). The group with lowest call back rate (7.7%) showed insufficient sensitivity (58%). The last group with call back rate of 18.3%, showed no improvement in sensitivity (82%) and detection rate (0.53%), but showed reduced specificity (82%)., Conclusion: The protocol update in 2001 does not resolve this problematic situation and national results continue to demonstrate a high percentage of positive screening mammograms. A significant increase in the number of positive screening examinations compared to recommended guidelines is not advantageous and leads to an overall decrease in the quality of the screening.

Published
2009
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7. [Simultaneous screening of cancers of the breast, cervix, colon and rectum. The Isère experience].

Author

Exbrayat C, Garnier A, Bolla M, Winckel P, Salicru B, Marron J, Faure H, Menegoz F, and Billette de Villemeur A

Subjects
Aged, Breast Neoplasms prevention & control, Colonic Neoplasms prevention & control, Female, France epidemiology, Humans, Incidence, Mammography, Mass Screening, Middle Aged, Occult Blood, Papanicolaou Test, Rectal Neoplasms prevention & control, Uterine Cervical Neoplasms prevention & control, Vaginal Smears, Breast Neoplasms epidemiology, Colonic Neoplasms epidemiology, Rectal Neoplasms epidemiology, Uterine Cervical Neoplasms epidemiology
Abstract

The mass screening program for cancer in the Isere department offers women between 50 and 69 years a medical consultation and three tests: mammography for breast cancer screening, Pap smear for cervical cancer screening, and hemoccult for colorectal cancer. During the first round, 29,570 women took part in the program, 21% had a mammography, 20% Pap smears and 25% a hemoccult. In breast cancer screening, the rate for further examination was 11.9%, the breast cancer detection rate was 5.4 per 1,000 women screened and the detection rate of invasive tumor < or = 10 mm: 2.0 per 1,000. In cervical cancer screening, the rate of abnormal examinations was 1.2%. The cervical cancer detection rate was 1.5 per 1,000. The rate of positive hemoccult was 2.7% and the rate of colorectal cancers and polyps 10 mm or larger was 2.7 per 1000. Results of screening are satisfying, but compliance rate is too low. Acceptance rate must be examined in following rounds.

Published
1996

9. [Breast disease epidemiology. Screening for breast cancer].

Author

Lamarque JL, Pujol H, Dubois JB, Salicru B, Pujol J, Laurent JC, Regal R, Rodière MJ, Cherif-Cheik J, and Rifaï A

Subjects
Breast Neoplasms epidemiology, Breast Neoplasms mortality, Female, France, Humans, Mass Screening economics, Mass Screening organization & administration, Breast Neoplasms prevention & control, Mass Screening methods
Published
1990

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