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Quality Assurance Reference Centres act to support the team and have a considerable role in the regional collation, processing and monitoring of screening activity data including interval cancers.
We also suggest that three figures might be stipulated in monitoring of screening programmes: a minimum standard, corresponding to our minimum detection rate, a desirable standard to aim at, corresponding to our expected rate, and a maximum, above which further investigation would take place.
Whenever possible, cancer registries should be involved in the planning and monitoring of screening programmes.
Population-based information must be established for continuous monitoring of screening process indicators.
The Department of Health in South Africa funded this study through a tender "NDOH: 21/2010-2011 Implementandon and monitoring of Screening and Brief Intervention for alcohol use disorders among Tuberculosis patients" that was awarded the HSRC.
The linkage of these large and sensitive datasets involves some effort for researchers but the presence of large Census-based longitudinal studies in both Scotland and England and Wales should facilitate the process, opening up the potential for regular and detailed monitoring of screening for breast, cervical and colorectal cancer as well as for other non-cancer screening programs.
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Studies should continue to monitor the benefit of screening programmes, taking care to address potential forms of bias.
This study demonstrates that linkage of data from screening programs to Census data can provide a powerful and efficient means of monitoring inequalities in uptake of screening.
Indeed the lack of a maternal age effect is consistent with the continued monitoring of this screened population.
Methods to distinguish screening and non-screening colonoscopies would enable monitoring of CRC screening uptake, tracking of health resource utilization, and estimation of cost-effectiveness; they may also be used for quality assessment as a key quality indicator is the adenoma detection rate in screening colonoscopies [ 22, 24, 25].
Understanding current obstetric CMV testing practices is important for identifying baseline testing practices, and, in the future, for monitoring implementation of screening and prevention programs as recommendations evolve.
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