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No equivalent assessment is performed within the symptomatic service.
Of the total 681 cancers diagnosed in 2007, 34 of these were 'interval cancers' to the symptomatic service.
Between January 2005 and December 2007, 11,796 ultrasounds and 17,530 mammograms were performed within the symptomatic service.
To determine whether the standard of mammography in a district general hospital's symptomatic service is equivalent to that in the NHSBSP.
In the symptomatic service, we noted that requests for imaging after normal examination appeared to be significantly increasing but not improving cancer detection.
We identified, and reviewed the imaging of, patients diagnosed with in situ or invasive carcinoma at our unit during 2007 who had undergone breast imaging via the symptomatic service within 3 years prior to diagnosis.
Similar(51)
This recommendation is in accordance with the new European guidelines for quality assurance in mammography screening and diagnosis (EUREF, 2006): 'Ethically these principles should be regarded as applying equally to symptomatic diagnostic services and screening'.
In other words, that both cohorts would have had the same survival outcome had they had been diagnosed through symptomatic services.
The population increase will also have an effect on the symptomatic services because of the increasing incidence of breast cancer with age.
Thus, their results are not applicable to current practice where there is uniform access to high quality symptomatic services for women with symptoms.
The successful implementation of breast screening (Forrest, 1986) over the period 1989 1991 exposed a contrast between well-planned arrangements for screen-detected disease and the variability of symptomatic services.
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