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Volume 8 Supplement 1

Symposium Mammographicum 2006

The NHSBSP age extension: completed first-round statistics from Southern Derbyshire – why it works for us!

Southern Derby Breast Screening Service began inviting women up to the age of 70 years at the beginning of January 2003, and completed the first full round of screening for women aged 65–70 years on schedule in December 2005.

Data are presented for these women, in comparison with the 50–64 age group, and we describe briefly the simple but effective ways of working with administrative and radiographic teams to cope with the additional workload. For example, extending the skill mix, calling women numerically rather than alphabetically, introducing new mobile sites at central locations to encourage attendance, ensuring sufficient assessment slots and pre-allocating assessment appointments for smooth running clinics. The screening service has maintained all targets during this period.

The statistics show that women aged 65–70 years in Southern Derbyshire attend as well as, or better than, women aged 50–64 years. There is a similar overall recall rate, but with a high specificity for cancer. An excess of invasive cancers were detected for what is in effect a prevalent round. We are also finding that women aged >70 years are self-referring in increasing numbers, from 264 in 1999 to 503 in 2005.

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Keywords

  • Cancer Research
  • High Specificity
  • Invasive Cancer
  • Central Location
  • Recall Rate