As many breast cancer cases are detected outside mammographic screening, a multidisciplinary quality management (QuaMaDi) project involving gynaecologists, double reading by radiologists. and centralised assessment, documentation, evaluation and feedback was implemented into routine breast cancer diagnosis in part of Schleswig-Holstein (Germany) with a population of 365 000 women. A cohort of 59 514 patients eligible for diagnostic mammography was examined from May 2001 to December 2005 and quality indicators, breast cancer incidence and tumour stage distribution were analysed. A total of 102 744 diagnostic processes were initiated, for 23.8% of which (24 470) a third expert reading at the reference centre was performed. Further assessment was recommended for 6.3% (6442) of all patients. In total, 1056 breast cancer cases were diagnosed (10.3 per 1000 examinations). Patients of the QuaMaDi project had a higher proportion of 'in situ' and T1 tumours (62.6% vs Schleswig-Holstein: 48.6%), showing that the implementation of high standards in routine diagnostic mammography can improve the quality of breast cancer diagnosis and care.

Sturzprophylaxe bei älteren Menschen in ihrer persönlichen Wohnumgebung DAHTA VI 5.2.11 Anpassung der Wohnraumumgebung .

From a social law perspective, it should be demanded that rehab applicants have to get better information about their "Wunsch- und Wahlrecht" and that they must be empowered to decide on their choice based on objective and valid information. The active role in the rehabilitation process that should generally be demanded from rehabilitants, should also be encouraged and fostered in choosing a rehabilitation centre.

If the questionnaire is used on a population-based level and the participation rate is 35 %, approximately 542 000 persons in the age group 30 - 49 years (816 000 in the age group 30 - 54 years) will be classified as having a familial or hereditary risk for colorectal cancer.

Schl ü sselw ö rterAbstract & 1 gef ö rdert von der Deutschen Rentenversicherung Bund Heruntergeladen von: University of Pittsburgh. Urheberrechtlich geschützt.