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J Cancer Res Clin Oncol (2009) 135:339354 DOI 10.1007/s00432-008-0450-y
ORIGINAL PAPER
2008 update of the guideline: early detection of breast cancer in Germany
Ute-Susann Albert Helmut Altland Volker Duda Jutta Engel Max Geraedts Syvia Heywang-Kbrunner Dieter Hlzel Eva Kalbheim Michael Koller Klaus Knig Rolf Kreienberg Thorsten Khn
Annette Lebeau Irmgard Nass-Griegoleit Werner Schlake Rita Schmutzler Ingrid Schreer
Hilde Schulte Rdiger Schulz-Wendtland Uwe Wagner Ina Kopp
Received: 23 May 2008 / Accepted: 24 June 2008 / Published online: 26 July 2008 Springer-Verlag 2009
Abstract
Introduction The goal of the 2008 updated guideline: early detection of breast cancer in Germany is to support physicians as well as healthy and aVected women in the decision-making process involved in the diagnostic chain for the early detection of breast cancer by providing them with evidence- and consensus-based recommendations. The updated guideline replaces the guideline issued in 2003.
Materials and methods The guideline forms the basis for developing an eVective and eYcient national early breast cancer detection program that meets the standards set by the Council of Europe and WHO for cancer control programs. The guideline presents the current, evidence- and consensus-based state of scientiWc knowledge in a multidisciplinary approach for the entire diagnostic chain, consisting of history taking and risk consultation, information on health behavior, clinical breast examination, diagnostic imaging, image-guided percutaneous tissue-acquisition techniques, open surgical excisional biopsy and pathomorphological tissue evaluation. The guideline recommends a set of quality indicators to assure resource availability, performance quality and outcomes enhancing total quality management for early breast cancer diagnosis.
The original German version of this paper has been published in Geburtsh Frauenheilk 2008; 68:251261.
Dedication: In memory of Klaus-Dieter Schulz, in highest respect for his contributions to improve breast health care, founder of the guideline task force Concerted Action Early Detection of Breast Cancer in Germany (Konzertierte Aktion Brustkrebs-Frherkennung in Deutschland) in 1999, who passed away on 29 September 2007.
U.-S. Albert (&) V. Duda U. WagnerFaculty of Medicine, Philipps-University, Marburg, Germany e-mail: [email protected]
H. AltlandGerman Professional Association of Radiologists, St. Augustin, Germany
J. EngelMunich Tumor Register, Grosshadern Medical Center, Munich, Germany
M. GeraedtsPublic Health, Heinrich-Hein-University, Dsseldorf, Germany
S. Heywang-KbrunnerMammography Reference Center, Munich, Germany
D. HlzelInstitute for Medical Data Processing,Biometries and Epidemiology, Grosshadern Medical Center, Munich, Germany
E. KalbheimGerman Cancer Aid, Bonn,...