Performance of diagnostic centers in the classification of opportunistic screening mammograms from the Brazilian Public Health System (SUS)
Data
2013
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Resumo
Objective: To evaluate the performance of diagnostic centers in the classification of mammography reports from an
opportunistic screening undertaken by the Brazilian public health system (SUS) in the municipality of Goiânia, GO, Brazil
in 2010. Materials and Methods: The present ecological study analyzed data reported to the Sistema de Informação
do Controle do Câncer de Mama (SISMAMA) (Breast Cancer Management Information System) by diagnostic centers
involved in the mammographic screening developed by the SUS. Based on the frequency of mammograms per BI-RADS ®
category and on the limits established for the present study, the authors have calculated the rate of conformity for each
diagnostic center. Diagnostic centers with equal rates of conformity were considered as having equal performance. Results:
Fifteen diagnostic centers performed mammographic studies for SUS and reported 31,198 screening mammograms.
The performance of the diagnostic centers concerning BI-RADS classification has demonstrated that none of them was
in conformity for all categories, one center presented conformity in five categories, two centers, in four categories, three
centers, in three categories, two centers, in two categories, four centers, in one category, and three centers with no
conformity. Conclusion: The results of the present study demonstrate unevenness in the diagnostic centers performance
in the classification of mammograms reported to SISMAMA from the opportunistic screening undertaken by SUS.
Descrição
Palavras-chave
Breast cancer, Health services, Screening programs, Mammography, Information systems, Câncer de mama, Programas de rastreamento, Mamografia, Sistemas de informação, Serviços de saúde
Citação
RODRIGUES, Danielle Cristina Netto et al. Performance of diagnostic centers in the classification of opportunistic screening mammograms from the Brazilian Public Health System (SUS). Radiologia Brasileira, São Paulo, v. 46, n. 3, p. 149-155, 2013.