BreastScreen VictoriaOverview of BreastScreen ProgramClient recruitment and community education

Risk factors for breast cancer

Overview of BreastScreen Program

• Background on Population Health Screening

• BreastScreen Australia

• BreastScreen Victoria Program

Where can women screen

Eligibility

Results

Population screening…

Set criteria by World Health Organisation with a principle that ‘programs do more good than harm’ at a reasonable cost.

Geneva Switzerland

World Health Organisation Principles

• Aim to increase detection and reduce the impact of disease by testing a healthy population

• There must be a good chance that subsequent treatment can increase survival from the disease

• Australia uses modified WHO principles to guide screening programs

• Acceptable screening test repeated at intervals

Evidence for a population screening program for breast cancer

• studies and randomised controlled trials over 20 years in 4 countries

• first mammography programs 1987 - Iceland and Sweden

• now standard in many western countries - U.S.A, Canada, U.K., Israel, France, Germany and Switzerland.

BreastScreen Australia – a population screening program for breast cancer

• BreastScreen Australia established 1991

• Joint funding state/territory and Commonwealth

• State/territory implementation, local services manage

• National Accreditation Standards

BreastScreen Australia

GoalTo reduce breastcancer mortalityby 30% throughearly detection

AimTo screen 70% of women in the 50 to 69 age group

Why do we do this?

CANCER IN VICTORIA: Statistics and trends 2010Victorian Cancer Registry, Cancer Council Victoria 2011, pg 37

BreastScreen Victoria – The facts

• Free breast cancer screening program

• Asymptomatic women aged between 50-*69

• GP referral not required

• Female radiographers

* In May 2013 the Commonwealth Government announced an extension to the target age range to 50-74. This

will be rolled out over the coming months

Recommendations for Breast Screening

• Recruitment strategies target 50-69 year olds

• All women over 40 are eligible

• Every 2 years

• Complements Breast Awareness

BreastScreen program

Why women aged 50 to 69?

• Evidence shows breast screening reduces the most deaths in this age group

• mammograms most effective screening method for finding early breast cancer in this age group

• 52% of breast cancers found in Victoria women 50-69

• women in 40s and over 70 still at risk

mammograms

woman in her 40spost-menopausal woman

How do women join BreastScreen?

• electoral roll invitation

• spontaneous appointment

• rescreen invitation

BSV Results- 09/10 financial year

• 193,360 women screened

• 86% women were aged between 50-69 years

• 85% women returning for 2nd screen

• 944 invasive cancers and 238 DCIS diagnosed

• 542 invasive cancers were 15mm or less