Table of contents

  1. Preface              
  2. Terms of reference
  3. Committee membership  
  4. Recommendations
  5. Background to the national evaluation of breast cancer screening
  6. Screening for breast cancer
    • 6.1 What is screening?
    • 6.2 Why screen for breast cancer?
    • 6.3 Prospects for primary prevention
    • 6.4 Important considerations in screening for breast cancer
    • 6.5 How to screen for breast cancer
      • 6.5.1 Breast self-examination
      • 6.5.2 Mammography 
      • 6.5.3 Physical examination
      • 6.5.4 Other screening methods
      • 6.5.5 Conclusion
    • 6.6 Potential impact on breast cancer mortality
    • 6.7 Is breast cancer screening value for money?
      • 6.7.1 Calculation of the cost per life year estimate
      • 6.7.2 Sensitivity analysis of the cost per life year results
      • 6.7.3 Interim quality of life results
    • 6.7.4 Interim treatment cost results
    • 6.8 Can high quality breast cancer screening be performed in Australia?
    • 6.9 Is breast cancer screening acceptable to Australian women?
  7. Components of a successful screening program
    • 7.1 Maximising benefit and minimising adverse effects  
    • 7.2 Acceptability to women and meeting women's needs
      • 7.2.1 Recruitment of women to attend for screening
      • 7.2.2 Screening and assessment
    • 7.3 Involvement of general practitioners
  8. A breast cancer screening program for Australia
    • 8.1 Functions
      • 8.1.1 Services to women
      • 8.1.2 Support and quality assurance
    • 8.2 Provision of support and quality assurance functions
      • 8.2.1 National responsibilities
      • 8.2.2 State-Territory responsibilities
    • 8.3 Provision of services to women
      • 8.3.1 Recruitment
      • 8.3.2 Screening and assessment
      • 8.3.3 Treatment services
    • 8.4 National screening policy
      • 8.4.1 Selection of women for screening
      • 8.4.2 Screening interval
      • 8.4.3 Number of mammographic views
      • 8.4.4 Film reporting
    • 8.5 Resource requirements
      • 8.5.1 Coverage by current pilot projects
      • 8.5.2 Projected requirement for screening units and assessment centres
      • 8.5.3 Staffing requirements
    • 8.6 Funding mechanisms for a national program
      • 8.6.1 Commonwealth-State-Territory aspects
      • 8.6.2 The payment scheme for funding screening and assessment  
    • 8.7 Implementation of a national screening mammography program
      • 8.7.1 Approach to implementation
      • 8.7.2 Timetable for introduction of a national program
      • 8.7.3 Workforce requirements and availability
      • 8.7.4 Establishment of central units and screening services
      • 8.7.5 Roles of the public and private sectors
  9. Cost of a national mammography screening program
    • 9.1 Screening and assessment costs
    • 9.2 Evaluation and coordination costs
  10. References
  • Appendices
    • 1 Projected resource and facility requirements for various screening policies
    • 2 Staff of the Screening Evaluation Coordination Unit, Australian Institute of Health
    • 3 Acknowledgements
    • 4 Breast cancer screening pilot projects