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Practice Guideline
. 2009 Mar;135(3):339-54.
doi: 10.1007/s00432-008-0450-y. Epub 2008 Jul 26.

2008 update of the guideline: early detection of breast cancer in Germany

Affiliations
Practice Guideline

2008 update of the guideline: early detection of breast cancer in Germany

Ute-Susann Albert et al. J Cancer Res Clin Oncol. 2009 Mar.

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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Figures

Fig. 1
Fig. 1
Algorithm of the diagnostic chain: guideline early detection of breast cancer (EDBC) 2008

References

    1. Albert US (ed) (2008) Stufe-3-Leitlinie Brustkrebs-Früherkennung in Deutschland 1.Aktualisierung 2008, 1st edn. Zuckschwerdt, Muenchen
    1. Albert US, Schulz KD, The members of the guideline steering committee and the chair persons of the task force groups (2004) Short version of the guideline: early detection of breast cancer in Germany. J Cancer Res Clin Oncol 130:527–536. doi:10.1007/s00432-004-0558-7 - PMC - PubMed
    1. Albert US, Schulz KD, Alt D, Beck V, Doherty J, Holsteg K et al (2003) Eine Leitlinie für Leitlinien: die methodische Entwicklung und Anwendung der Leitlinie Fraueninformation. Zentralbl Gynakol 125:484–493 (AWMF Reg. Nr.: 077-002; http://www.awmf-leitlinien.de) - PubMed
    1. Albert US, Schulz KD, Kopp I (2007) Leitlinien-Methodenreport: Aktualisierung der Stufe-3-Leitlinie Brustkrebs-Früherkennung in Deutschland 2007, konsultierte Fassung Version 1.1 edn. http://www.awmf-leitlinien.de, Marburg
    1. Amendoeira I, Apostolikas N, Bellocq J, Bianchi S, Boecker W, Borisch B, Elston C, Eusebi V, Faverly D, Heikkila P, Holland R, Kerner H, Kulka J, Jacquermier J, Lacerda M, Martinez-Penuela J, De Miquel C, Nordgren H, Peterse JL, Rank F, Regitnig P, Reiner A, Sapino A, Sigal-Zafari B, Tanous A, Thorstenson S, Zozoya E, Wells C (2006a) Quality assurance guidelines for pathology: Cytological and histological non-operative procedures. In: Wells CA (ed) European guidelines for quality assurance in breast cancer screening and diagnosis, 4 edn. Office for Official Publications of the European Communities, Luxembourg, pp 221–256

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