Abstract
Screening mammography has been shown to be an effective tool in the early diagnosis of breast cancer in average-risk women. Because the results of mortality reduction take time to become evident, the effectiveness of screening requires monitoring of quality indicators to determine the functioning of a population-based screening program. It is important to understand the goals of a population-based screening program to balance the risks and benefits of screening mammography and to determine the effectiveness of the program. In Canada, breast cancer screening has been shown to be highly effective at reducing breast cancer mortality by 40%. Using the Canadian screening program as an example of population-based screening, quality indicators of screening mammography and recent performance will be reviewed to assess overall effectiveness of the program. Screening mammography as a population-based program is an effective tool in the early diagnosis of breast cancer in average-risk women, showing a 40% reduction in breast cancer mortality.
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