APPENDIX K
INTERNATIONAL STANDARDS FOR BREAST SCREENING
The following is a compilation of international standards/targets which have been established for many screening elements which quality breast screening services should be achieving/striving to achieve.
| Criteria | Acceptable Standard | Achievable Standard |
|---|---|---|
| Uptake/Participation Rate of Eligible, Target Women10,20,32 | 70 % of invited women | 75 % |
| Referred/Abnormality Rate9,10,20,32 | 10-14 % | 5 % first round 3 % routine re-screen |
| Proportion of Women Undergoing Repeat Films (i.e., repeated exams)32 | < 3 % of total examinations | < 2 % of total |
| Cancer Detection Rates in Eligible Women9,10,20,32 | > 5/1000 first screen > 3.5/1000 re-screen |
6/1000 first screen |
| Percentage of Cancers < 1.5 cm in Diameter Detected in Eligible, Screened Women9 | ≥ 50 % | |
| Percentage of Node Negative Cancers Detected in Eligible, Screened Women9 | ≥ 70 % | |
| Proportion of Screened Women that Undergo Biopsy9,10,20 | < 1.5 % | |
| Malignant to Benign Biopsy Ratio32 | 1:1 | 1.5:1 |
| Positive Predictive Value of Biopsy32 | 50 % | 60 % |
| Benign Biopsy Rate32 | < 5/1000 first screen < 3.5/1000 re-screen |
< 4/1000 first screen |
| Interval Cancers in Screened Women32 | ≤ 3/1000 women screened |
