EBCN Meeting Budapest, 24 September 2004 Update on individual data monitoring projects QT and SEED Antonio Ponti CPO Piemonte Torino, Italy SEED and QT Audit Systems Their aim is two-fold: 1) to favour the implementation of European Guidelines (with training and certification implications), and SEED and QT Audit Systems 2) to provide a service to screening programmes and Breast Units to meet their management and evaluation needs. Advantages of monitoring Individual vs Aggregate screening data (1) - Use of common definitions and rules in the process of collecting the minimum dataset: an educational process Advantages of monitoring Individual vs Aggregate screening data (2) - Standard analysis of common dataset, including standard reports on European outcome measures Advantages of monitoring Individual vs Aggregate screening data (3) - Much more flexible analytical approach Projects and Partners (6 Countries) To access SEED (on line)demo has about 100,000 screening episodes SEED Results Seven European programmes % Technical repeat rate 1.8 IM after assessment 1.6 Invasive Ca E.G. standard < 1.0 > 30.0 % 124,555 FIRST TESTS 159,511 SUBS. TESTS % < 3.0 < 1.0 Further assessment rate < 7.0 < 3.0 < 0.5 < 0.2 To download QT Assessment Episodes Operated lesions Total 5,513 1, No No Valencia Torino Strasbourg Ravenna Marseille Luxembourg London Leuven Firenze Bremen Center Wiesbaden 50-Budapest 67,8 80,3 99,5 52,9 90,3 87,9 89,1 88,3 89,4 77,0 34,2 99,8 99,1 61,3 YESNO Result % QT outcome measures 92,4 80,2 88,4 88,1 46,3 13,3 64,8 62,5 66,0 68,1 51, Positive preoperative cyto/histolog. diagnosis Cancers with post-operative diagnosis YES?NO Results % CENTER 92,4 80,2 88,4 88,1 46,3 13,3 64,8 62,5 66,0 68,1 51, Positive preoperative cyto/histolog. diagnosis Cancers with post-operative diagnosis YESNO Results % CENTER FNA & Core biopsy (operated only) FNA?NoneBothCB CENTER Fine Needle Aspiration Absolute Sensitivity Full Specificity Pre-operative diagnosis Absolute Sensitivity Full Specificity Time btw screening and assessment