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Title:Deset let Državnega presejalnega programa za raka dojk Dora
Authors:ID Jarm, Katja (Author)
ID Hertl, Kristijana (Author)
ID Krajc, Mateja (Author)
ID Šval, Cveto (Author)
ID Kutnar, Veronika (Author)
ID Kurir-Borovčić, Mateja (Author)
ID Primic-Žakelj, Maja (Author)
ID Zadnik, Vesna (Author)
ID Kadivec, Maksimiljan (Author)
Files:.pdf PDF - Presentation file, download (322,91 KB)
MD5: 130A227B6BFC465931DB76C2B4F61E37
 
Language:Slovenian
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:Priporočila za vzpostavitev presejalnih programov za raka dojk je leta 2003 izdala Evropska komisija in države članice Evropske unije pozvala, da jih vzpostavijo do leta 2008. V Sloveniji od leta 2008 deluje Državni program za raka dojk DORA, ki je konec leta 2017 vključeval vse slovenske ženske iz ciljne skupine. Ženske v starosti od 50 do 69 let so vsaki dve leti pisno vabljene na presejalni pregled z mamografijo, ki omogoča odkritje še netipnih sprememb v dojki. Ob sumljivih spremembah na mamografiji so povabljene na nadaljnjo obravnavo, če je odkrit rak dojke, pa tudi na zdravljenje. Od leta 2018 v okviru programa deluje 21 mamografov v 16 stacionarnih in 3 mobilnih presejalnih enotah, kjer se opravljajo presejalne mamografije, in 2 presejalno- diagnostična centra za nadaljnjo obravnavo žensk in zdravljenje raka, odkritega v presejanju. Program DORA deluje v skladu z visokimi standardi Evropskih smernic za zagotavljanje kakovosti presejanja za raka dojk in zagotavlja enako obravnavo za vse udeleženke v katerikoli presejalni enoti v Sloveniji. Cilj presejalnega programa je ob vsaj 70-odstotni udeležbi žensk doseči znižanje umrljivosti za rakom dojk v ciljni populaciji za 25–30 %. Letno merjeni kazalniki kakovosti programa kažejo, da je program učinkovit in vodi k omenjenemu cilju. Značilnosti slovenskega organiziranega programa so: centraliziran populacijski program, vabljenje žensk z vnaprej določenim terminom slikanja, dvojno odčitavanje, konsenz konferenca, nadaljnja obravnava je del presejalnega postopka, multidisciplinarni sestanki, presejalni register z enotno aplikacijo za vnašanje vseh presejalnih korakov, od vabila do mamografij in nadaljnje obravnave, nadzor kakovosti dela radioloških inženirjev in radiologov, stalen strokovni nadzor nad izvajalci programa in letno merjenje kazalnikov kakovosti programa.
Keywords:presejalni programi, rak dojk, presejalni register
Publication status:Published
Publication version:Version of Record
Year of publishing:2020
Number of pages:str. 12-22
Numbering:Letn. 24, št. 2
PID:20.500.12556/DiRROS-13776 New window
UDC:614.2
ISSN on article:1408-1741
COBISS.SI-ID:43354115 New window
Publication date in DiRROS:18.03.2021
Views:2198
Downloads:569
Metadata:XML DC-XML DC-RDF
:
JARM, Katja, HERTL, Kristijana, KRAJC, Mateja, ŠVAL, Cveto, KUTNAR, Veronika, KURIR-BOROVČIĆ, Mateja, PRIMIC-ŽAKELJ, Maja, ZADNIK, Vesna and KADIVEC, Maksimiljan, 2020, Deset let Državnega presejalnega programa za raka dojk Dora. Onkologija [online]. 2020. Vol. 24, no. 2, p. 12–22. [Accessed 29 April 2025]. Retrieved from: https://dirros.openscience.si/IzpisGradiva.php?lang=eng&id=13776
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Record is a part of a journal

Title:Onkologija
Shortened title:Onkologija
Publisher:Onkološki inštitut
ISSN:1408-1741
COBISS.SI-ID:65324032 New window

Secondary language

Language:English
Title:Ten years of the National breast cancer screening programme Dora
Abstract:In 2003, European Commission issued recommendations for breast cancer screening programme implementation and called upon member states to establish it untill 2008. Slovenian national breast cancer screening programme DORA started inviting women in 2008 and finished national implementation in 2017. Women aged 50 to 69 are invited to attend screening mammography every 2 years. Mammography can show clinically occult impalpable breast lesions. In case of positive mammography test, women are invited for further assessment of lesions, and treated in case of a breast cancer diagnosis. Since 2018, screening mammographies are performed on 21 mammographic machines at 16 stationary and in 3 mobile screening centres. Additionally, further assessment and screen-detected cancer treatment take place at two screening and diagnostic centres at the Institute of Oncology Ljubljana and at the Maribor University Medical Centre. DORA programme follows European guidelines for quality control in screening from the very beginning and provides equal care for all invited women in all DORA screening units throughout Slovenia. The aim of the screening programme is to decrease breast cancer mortality rates in the target population by 25-30%, with precondition of 70% uptake. Slovenian programme effectiveness is proven by acceptable performance indicators' results. Characteristics of Slovenian organized breast cancer screening are: centralized population-based programme, invitations with prefixed appointment for eligible women, double reading, consensus conference, further assessment is managed by screening programme, multidisciplinary meetings, screening registry with a special computer software for registration of all screening and assessment activities, quality assurance for radiologists and radiographers, regular quality control for programme providers, yearly monitoring of screening performance indicators.


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This document is a part of these collections:
  1. Onkologija : strokovni časopis za zdravnike

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