National Breast and Cervical Cancer Early Detection Program

By Ryerson, A. Blythe, M. P. H.

Book Id: WPLBN0000160724
Format Type: PDF eBook:
File Size: 0.9 MB
Reproduction Date: 2005

Title:	National Breast and Cervical Cancer Early Detection Program
Author:	Ryerson, A. Blythe, M. P. H.
Volume:
Language:	English
Subject:	Health., Medical research, Medical reports
Collections:	Medical Library Collection
Historic Publication Date:
Publisher:	Centers for Disease Control and Prevention


Citation APA MLA Chicago Blythe Ryerson, M. P. H, B. A. (n.d.). National Breast and Cervical Cancer Early Detection Program. Retrieved from http://gutenberg.cc/

Excerpt
The National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which was created in response to the Breast and Cervical Cancer Mortality Prevention Act passed by Congress in 1990, is both the first and thus far the only national cancer screening program in the United States. As a consequence, its successes and challenges are relevant not only to those who manage, implement, and are served by the program, but to policy makers, the health care system, the public health community, and the general public as well. CDC is pleased to offer this summary of the accomplishments of the NBCCEDP from 1991–2002. Through it the reader may gain insight into the complexity of this program designed to improve the quality of breast and cervical cancer screening and early detection services and assure access to them for women who, for a variety of reasons, would otherwise not receive these services.

Table of Contents
Table of Contents Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Executive Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Overview of the NBCCEDP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 History of the NBCCEDP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Components of the NBCCEDP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 NBCCEDP Research and Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Screening Results and Outcomes in the NBCCEDP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Breast Cancer Screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Breast Cancer Screening Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Breast Cancer Screening Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Breast Cancer Screening Diagnostic Follow-Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Breast Cancer Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Positive Predictive Value of Abnormal Mammograms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Stage of Invasive Breast Cancer at Time of Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Cervical Cancer Screening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Cervical Cancer Screening Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Cervical Cancer Screening Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Cervical Precancer and Cancer Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Positive Predictive Value of Abnormal Pap Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Stage of Invasive Cervical Cancer at Time of Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Future Directions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Data Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Appendix I—The Minimum Data Elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Appendix II—NBCCEDP Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Appendix III—Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Breast Cancer Screening Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Cervical Cancer Screening Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .