## Disinformation and Delayed Data Mark Response to Breast cancer Screening Issues in Andalusia
A series of revelations and subsequent actions by the Andalusian government have highlighted significant issues with its breast cancer early detection program, marked by initial downplaying of the scope of the problem and inconsistencies in information provided to patients. The controversy centers around delays in diagnosis and treatment, and a lack of clear dialog with women undergoing screening.
The program, as outlined in a document (link to Junta de Andalucía document) published by the Junta de Andalucía,emphasizes a “continuous information process” between patients (and their families) and healthcare professionals. It explicitly states women should be informed of their study results, diagnosis, and treatment options. Though, reports and the program’s own website (link to SAS website) indicate a system where initial results are frequently enough communicated by mail, and hospital referrals, including appointments, are also delivered via postal mail.The protocol also stipulates that all patients diagnosed with breast cancer should be evaluated by a tumor commission within 30 days of suspected diagnosis to determine treatment plans.
The situation came to light following reports of delays and failures in the program, initially dismissed by Andalusian Health Minister Rocío Hernández as affecting “two or three specific cases.” This number was later revised upwards to 2,000 by the Board, and currently stands at 2,317 women with inconclusive test results awaiting a second test as of October 21st. The Junta reports that 76% of these women have now been scheduled for and undergone a follow-up mammogram, with the remaining appointments scheduled before November 30th.Though, the Association of Women with Breast Cancer (AMAMA) believes the official figures considerably underestimate the true scale of the problem, estimating the number of affected women could be as high as 20,000. AMAMA is launching a campaign to identify and support those impacted by the program’s shortcomings.
In response to the growing concerns, the Andalusian Government approved a €12 million “shock plan” aimed at improving clinical information and reducing response times. This plan includes the hiring of 119 additional healthcare professionals and extending diagnostic testing hours to include weekends and holidays.The SAS has also amended the protocol to require immediate notification to patients with inconclusive diagnoses, rather than waiting until the scheduling of a second test.
