Italian guidelines for age range and test interval in breast cancer screening programmes: GRADE-ADOLOPMENT of the European guidelines
A guideline panel formulated a set of recommendations for breast cancer screening and diagnosis to implement clinical activities in Italy in alignment with the European Breast Cancer Guidelines on Screening and Diagnosis (European Commission Initiative on Breast Cancer – ECIBC).
The panel issued national recommendations through the adoption, adaptation, and/or development of recommendations from the European Guidelines (ADOLOPMENT methodology). This process utilizes the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) framework. To tailor the EU guidelines to the national context, an additional PubMed search was conducted using search terms specific to Italy. Nine articles were included as contextual evidence in the EtD.
A total of 13 recommendations were finalized, either adapted or adopted to suit the national context. Organized breast cancer screening is strongly recommended for women aged 50-69 every 2 years, and it is conditionally recommended every 3 years for women aged 70 to 74, as well as every 1 or 2 years for women aged 45 to 49. Annual mammography received a strong recommendation against for women aged 50 and older.
Developing shared national guidelines for the management of mammography screening will improve the standardization of processes across all settings, thereby promoting health equity.
DEANDREA Silvia;
MANTELLINI Paola;
GIORGI ROSSI Paolo;
VECCHIO Ricardo;
CAPOBUSSI Marco;
ROSSELLI DEL TURCO Marco;
PIETRIBIASI Francesca;
BUCCHI Lauro;
SENORE Carlo;
SARDANELLI Francesco;
BATTISTI Francesca;
GIORDANO Livia;
PACI Eugenio;
PARMELLI Elena;
SAGUATTI Simone;
ZAPPA Marco;
2025-01-07
SPRINGER-VERLAG ITALIA SRL
JRC137557
0033-8362 (online),
https://link.springer.com/article/10.1007/s11547-024-01900-0,
https://publications.jrc.ec.europa.eu/repository/handle/JRC137557,
10.1007/s11547-024-01900-0 (online),
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