Abstract
Introduction
The goal of the 2008 updated guideline: early detection of breast cancer in Germany is to support physicians as well as healthy and affected women in the decision-making process involved in the diagnostic chain for the early detection of breast cancer by providing them with evidence- and consensus-based recommendations. The updated guideline replaces the guideline issued in 2003.
Materials and methods
The guideline forms the basis for developing an effective and efficient national early breast cancer detection program that meets the standards set by the Council of Europe and WHO for cancer control programs. The guideline presents the current, evidence- and consensus-based state of scientific knowledge in a multidisciplinary approach for the entire diagnostic chain, consisting of history taking and risk consultation, information on health behavior, clinical breast examination, diagnostic imaging, image-guided percutaneous tissue-acquisition techniques, open surgical excisional biopsy and pathomorphological tissue evaluation. The guideline recommends a set of quality indicators to assure resource availability, performance quality and outcomes enhancing total quality management for early breast cancer diagnosis.
Conclusion
Currently, early detection of breast cancer offers the most promising possibility to optimize the diagnosis and treatment of breast cancer and, as a result, reduce breast cancer mortality and improve health related quality of life in women.
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Acknowledgments
The project: Update of the Guideline: Early Detection of Breast Cancer in Germany—Model Project for the Updating of Stage-3-Guidelines in Germany, Funding Code: 107374 was funded by the German Cancer Aid and the German Society of Senology and was developed independent of any funding from government or industry. Individuals contributing to the Guideline signed declarations on possible conflicts of interests. We thank A. Rost and I. Striesow for secretarial and organizational support.
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Dedication: In memory of Klaus-Dieter Schulz, in highest respect for his contributions to improve breast health care, founder of the guideline task force Concerted Action Early Detection of Breast Cancer in Germany (“Konzertierte Aktion Brustkrebs-Früherkennung in Deutschland”) in 1999, who passed away on 29 September 2007.
The original German version of this paper has been published in Geburtsh Frauenheilk 2008; 68:251–261.
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Albert, US., Altland, H., Duda, V. et al. 2008 update of the guideline: early detection of breast cancer in Germany. J Cancer Res Clin Oncol 135, 339–354 (2009). https://doi.org/10.1007/s00432-008-0450-y
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DOI: https://doi.org/10.1007/s00432-008-0450-y