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A prezentáció címe

Margitsziget 2004. szeptember 24. Breast Cancer Screening Programme in Hungary Results and experience- Zsuzsanna Jakab Secretary of State Ministry of Health, Social and Family Affairs EBCN meeting Budapest, 24 th Sept ember 2004. A prezentáció címe. A szövegrész címe.

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A prezentáció címe

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  1. Margitsziget 2004. szeptember 24. • Breast Cancer Screening Programme in Hungary • Results and experience- • Zsuzsanna Jakab • Secretary of State • Ministry of Health, Social and Family Affairs • EBCN meeting Budapest, 24th September2004. A prezentáció címe

  2. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Hungary joined the EU in May 2004: opportunity to close the gaps and modernize our country • Large gap in life expectancy at birth (6-8 years) and health status indicators

  3. Background Information 1. A szövegrész címe Main Causes of Death in Hungary: - Cardiovascular Diseases: 54 % - Cancer : 27% -Lung ( Male) -Breast ( Female) -External Causes of Death: 8% -Digestive System Diseases: 7% -Respiratory System Diseases: 4%

  4. Background Information 2. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Deceased females by cancer related death, per 100000 population ( 2002, KSH)

  5. Malignant neoplasm female breast, 0-64 per 100000 (HFA, 2002) A szövegrész címe

  6. Hungarian public health programme (2002-2012) A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • To extend life expectancy by 3 years • 19 programmes (to reduce cvd and cancer) primary secondary prevention prevention health promotion • In cancer: 3 population-based screening programmes underway: breast, cervix, colo-rectal

  7. Breast Cancer Early DetectionEvidence Based Health Policy A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Aim: to detect cancer • < 15mm • Non-palpable • In patients without symptoms • Organised • Providers– country – wide coverage • Financed from public resources

  8. Examination of persons without symptoms Aim of screening Breast conservation More effective treatment Early detection

  9. The Development of Breast Cancer Screening in Hungary I. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Manual examination by GPs and gynecologists • 1970: Opportunistic mammography ( material and personal difficulties) • 1990: „Close the gap” program of World Bank • 1996: Modell - programmes in the country, centre of excellence in 10 places • 1998: Interdisciplinary agreements in professional and organizational guidelines, sociological analysis

  10. The Development of Breast Cancer Screening in Hungary II. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • 2001: Introduction of the nation-wide organized screening • 2002-2003: „National Public Health Program” - Based on Parliamentarian Decision - Wide social consensus - Ten-year-long public health strategy

  11. Breast Cancer Screening in Hungary A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Screening registry - National Public Health and Medical Officers' Service • Personal invitation + information: „ call and recall” system • Organised on territorial bases • Targeted population: women between 45-65 years of age • Frequency: every two years • Follow-up and monitoring

  12. National Public Health Service and the primary care network (GPs) National Cancer Registry Data base of pathological units List of the targeted population Information Local Screening Registry Central Screening Registry Invitation by timing Record keeping Evaluation Monitoring Evaluation Negative Positive Centre for Mammography Information Palpation Mammography Double blind evaluation Negatíve Positive Diagnostical units Radiologists (UH) Cytologists (aspiration) Surgeon (biopsy) Pathologists (histology) Oncologists (Primer therapic decision) Clinical units

  13. Professional Education and Public Communication A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Professional: • Qualification • Vocational training • For radiologists, mammographists, pathologists, cytologists, surgeons, oncologists • Communication: • Awareness (information, education, instruction) • Make breast screening a part of the ‘health culture’ • Invitation letter • Information (before and after) • Minimising psychological adverse effect: • Anxiousness, uncertainty during waiting period • Media ,NGOs, Prominent personality

  14. Breast Cancer ScreeningResults A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. • Structure developed: • Country-wide in one year • Public Private Partnership • Centers for mammography • Started: December 2001.

  15. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. Targeted population (45-65 years): Invited:1 297 861 persons Participants ratio: 60% Recalled ratio: 7% Operated: Benign lesion: 1050 causes Malignantlesion: 1980 causes Diameter: Causes: - 1-9 mm 547 - 10-14 mm 548 - 15-20 mm 530 - above 20 mm 355

  16. A szövegrész címe Asd yshbv kyxcvkxhvkj yxjvhc jcv yjchvjhlgkbj sédj védjvédlg bédojbéxjclb lxh blxhfblxh lbh lfsdhvlxchl xh dflivshd lvih clh lhflsihdlv lchvlxhf bdjgébo jsédvjéykkcvhx bbishdvibyh chvfih éihévhhc béf bi jdvjhd. Thank You for Your Attention!

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