Performance Indicators of Breast Cancer Screening program Based on National Screening Guideline in Rural area of Rudsar City in Gilan Province, Iran.

According to the World Health Organization, the high prevalence of breast cancer mortality in the least developed countries is because breast cancer is diagnosed at late stages. Accordingly, cost-effective breast cancer screening plans are the most effective methods to control this cancer and also increase women's survival.

 This retrospective cross-sectional study was conducted to evaluate the performance of the breast cancer screening program based on the guidelines of the Ministry of Health on 14,493 eligible women in rural areas of the Rudsar city in 2018-19. Providing target coverage, identification of the at-risk population, early diagnosis, referral index, and other statistical indices were calculated, analyzed and quantified using the relevant scales and SPSS 22 software.

 The target population coverage was estimated at 48%. The results showed that 0.4% of the cases (27 cases) were identified as high-risk group according to national guidelines with referral to a specialist of 100%. All cases identified at the first stage of screening were found with BIRADS (Breast Imaging Reporting and Data System)4 and 5 based on biopsy specimens.

 The low target population coverage, as well as the cases with advanced breast cancer, indicated the need for more attention and consideration in implementing programs and policies for preventable cancer by all organizations. In this regard, there is a need for relevant interventions and follow-up by health authorities.