Alejo-Martínez H, Salazar-Hurtado EJ, Poveda-Suárez CA, Puerto-Jiménez DN, Ramírez-Campos F, Roldán-Sánchez OI

Language: Spanish
References: 23
Page: 369-383
PDF size: 471.41 Kb.

ABSTRACT

Background: in Colombia breast cancer in the female population has the highest rates of incidence and mortality of all types of cancer, with an upward trend. The Ministry of Health and Social Protection, through the National Cancer Institute (Spanish acronym INC), has considered it necessary to strengthen mammogram-based early detection programs by implementing quality assurance programs in the nation’s mammogram services.
Objective: present the results of follow-up evaluations of the mammogram quality control program in a sample of six cities in Colombia.
Materials and methods: in six Colombian cities we conducted an evaluation of mammogram quality control in a sample of 28 radiology centers which offered the service and which participated voluntarily. The study was divided in two stages: in the first we conducted an initial visit, based on which we issued a series of recommendations to improve the quality of service. In the second stage we conducted follow-up visits to the same centers to evaluate the improvements implemented and the impact of the quality assurance program.
Results and discussion: we compared the results of our mammogram quality control measurements at the follow-up visits at 28 centers in Colombia with those from the initial visits. The results showed a significant improvement in mammogram image quality, in infrastructure conditions, in calibration of mammogram equipment, and in image viewing conditions. However, we still observed significant deficiencies in some of the parameters evaluated.
Conclusions: application of the quality control protocol at different mammogram centers allowed us to measure the program’s impact in Colombia. For that reason, we have confirmed the need to implement quality assurance programs that raise the effectiveness of different mammogram services in the country, and by extension of the mammogram screening program being established in Colombia.

REFERENCES

1. International Agency for Research on Cancer [Internet]. Lyon: GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012, 2012 [consultado 383 Alejo-Martínez H et al. Calidad de las mamografías 2014 julio 21]. Disponible en: http://globocan.iarc.fr/ Pages/fact_sheets_cancer.aspx

2. Piñeros M, Pardo C, Gamboa O, Hernández G. Atlas de mortalidad por cáncer en Colombia. 3 ed. Bogotá, DC: Instituto Nacional de Cancerología ESE/Instituto Geográfico Agustín Codazzi, 2010.

3. World Health Organization. Cancer control: Knowledge into action: WHO guide for effective programmes, Vol. 2. Geneva: World Health Organization, 2007.

4. International Agency for Research on Cancer. IARC Handbooks of Cancer Prevention. Lyon: IARC, 2005.

5. Warner E. Breast-cancer screening. N Engl J Med 2011;365(11):1025-32.

6. Chevarley F, White E. Recent trends in breast cancer mortality among white and black US women. Am J Public Health 1997;87(5):775-81.

7. Howe HL, Wingo PA, Thun MJ, Ries LA, Rosenberg HM, Feigal EG, et al. Annual report to the nation on the status of cancer (1973 through 1998), featuring cancers with recent increasing trends. J Natl Cancer Inst 2001;93(11):824-42.

8. Moss SM, Nyström L, Jonsson H, Paci E, Lynge E, Njor S, et al. The impact of mammographic screening on breast cancer mortality in Europe: a review of trend studies. J Med Screen 2012;19(1):26-32.

9. Njor S, Nyström L, Moss S, Paci E, Broeders M, Segnan N, et al. Breast cancer mortality in mammographic screening in Europe: a review of incidence-based mortality studies. J Med Screen 2012;19(1):33-41.

10. Diaz S, Piñeros M, Sanchez O. Detección temprana del cáncer de mama: aspectos críticos para un programa de tamizaje organizado en Colombia. Rev Colomb Cancerol 2005;9(3):93-105.

11. Mettler FA, Upton AC, Kelsey CA, Ashby RN, Rosenberg RD, Linver MN. Benefits versus risks from mammography: a critical reassessment. Cancer 1996;77(5):903-9.

12. Kerlikowske K, Grady D, Rubin SM, Sandrock C, Ernster VL. Efficacy of screening mammography: a meta-analysis. JAMA 1995;273(2):149-54.

13. Kalager M, Zelen M, Langmark F, Adami HO. Effect of screening mammography on breast-cancer mortality in Norway. N Engl J Med 2010;363(13):1203-10.

14. Gøtzsche, PC, Jørgensen, KJ. Screening for breast cancer with mammography. Cochrane Database of Systematic Reviews 2013;6:1-71.

15. República de Colombia, Ministerio de la Salud y Protección Social, Instituto Nacional de Cancerología ESE. Guía de Atención Integral (GAI) para la Detección Temprana, Tratamiento Integral, Seguimiento y Rehabilitación del Cáncer de Mama. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2012.

16. Destouet JM, Bassett LW, Yaffe MJ, Butler PF, Wilcox PA. The ACR’s Mammography Accreditation Program: ten years of experience since MQSA. JACR 2005;2(7):585-94.

17. International Atomic Energy Agency. Control de Calidad en Mamografía. Vienna: IAEA-TECDOC, 2006:1517.

18. República de Colombia, Ministerio de la Salud y Protección Social, Instituto Nacional de Cancerología. Plan Decenal para el control del Cáncer en Colombia, 2012-2021. Bogotá, DC; Instituto Nacional de Cancerología ESE, 2013.

19. Arciniegas M, Poveda C. Control de calidad para los servicios de mamografía analógica. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2011.

20. Alejo-Martínez H. Control de calidad para los servicios de mamografía digital. Bogotá, DC: Instituto Nacional de Cancerología ESE, 2013.

21. Alejo-Martínez H, Wiesner-Ceballos C, Arciniegas-Álvarez MA, Poveda-Suárez CA, Puerto-Jiménez DN, Ardila-Hernández IT, et al. La calidad de la mamografía en Colombia: análisis de un estudio piloto. Anales de Radiología, México 2013;12(3):164-74.

22. International Atomic Energy Agency. Quality Assurance Programme for Screen Film Mammography. Vienna: IAEA Human Health Series, 2009:2.

23. International Atomic Energy Agency. Quality Assurance Programme for Digital Mammography. Vienna: IAEA Human Health Series, 2011:17.