Table 3 Indicators used for the social (A) and epidemiological diagnosis (B). In many cases there are international, national or locally defined standards. For the indicators included in the social diagnosis specific objectives should be agreed between the General directorate of Welfare of Region of Lombardy (DGW-LR) and the local health authorities (LHA)
Indicators | Italian mandatory standards (LEA) | recommended standards a | standards set by the DGW-LR | Note |
|---|---|---|---|---|
% coverage screening | > 55% | Ac | ||
% advanced cancer screen detected (stage > = 2) at subsequent exams | < 25% | Ac | ||
%screen detected cancers without staging | < 10% | Ac | ||
% Participation rate | 75% | Ac | ||
% letters not delivered | < 5% | A | ||
% patients excluded post invitation | < 10% | A | ||
% patients with “waiting for recall <=28 days” | > 90% | Ac | ||
% people excluded before invitation on total population targetb | > 0% | Ac | ||
% people invited on total population target | > 90% | Ac | ||
% rate of interval cancers 0–11 months | < 10% | B | ||
% rate of interval cancers 12–23 months | < 40% | B | ||
% recall rate first exams | < 7% | A | ||
% recall rate (subsequent examinations | < 5% | A | ||
% screen-detected cancers compared to the total of cancers detected | > 30% | B | ||
average call time (in months) | 24 | 24 | A | |
rate of interval cancers × 1000 | < 3 | A | ||
sensitivity (proportional incidence) | > 70% | A | ||
sensitivity (screen detected / observed) | > 65% | A | ||
% overall coverage (screening and extra screening) | > 80% | B | ||
% PPV | > 7% | B | ||
% prevalence | to define locally | B | ||
Incidence | to define locally | B | ||
rate of interval cancers ×1000 | < 1,5 | B | ||
sensitivity (proportional incidence) | > 70% | B | ||
sensitivity (screen detected / observed) | > 99% | B | ||
% coverage 45–49 | > 50% | B |