Mammography screening in three Finnish residential areas: comprehensive population-based study of breast cancer incidence and incidence-based mortality 1976–2009 View Full Text


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Article Info

DATE

2015-02-17

AUTHORS

I Parvinen, S Heinävaara, A Anttila, H Helenius, P Klemi, L Pylkkänen

ABSTRACT

Background:The aim of this study was to evaluate the effectiveness of a large-scale screening programme for breast cancer (BC) in Turku, Finland. Incidence and incidence-based mortality (IBM) figures were compared with the areas applying different screening policies.Methods:Deaths and person-time of women aged 40–84 were assessed for the period 1976–1986 (prescreening era) and the periods 1987–1997 and 1998–2009 (screening periods) using incidence and IBM by age at diagnosis and at death. There was a total of 40.7 million women-years, 83 497 invasive BCs obtained from the Finnish Cancer Registry; 17 508 BC deaths were linked with the data from Statistics Finland.Results:In Turku, a significant (> 20%) reduction in IBM occurred during 1987–2009 among women aged 60–74 years at diagnosis compared with Helsinki (IBMRR: 0.75, 95% CI: 0.57–1.00), and in women aged 75–84 years at death compared with the rest of Finland (IBMRR: 0.72, 95% CI: 0.53–0.96).Conclusions:The wide mammography screening programme in Turku was effective in decreasing BC mortality in the elderly age groups. These results support the implementation of BC screening from age 50 up to 74 years. More... »

PAGES

918-924

References to SciGraph publications

  • 2004-03-23. Breast cancer mortality trends in two areas of the province of Florence, Italy, where screening programmes started in the 1970s and 1990s in BRITISH JOURNAL OF CANCER
  • 2008-01-29. Breast cancer mortality with varying invitational policies in organised mammography in BRITISH JOURNAL OF CANCER
  • 2012-09-20. Breast cancer screening: are we seeing the benefit? in BMC MEDICINE
  • 2005-08-25. Overdiagnosis and overtreatment of breast cancer: Overdiagnosis in randomised controlled trials of breast cancer screening in BREAST CANCER RESEARCH
  • 2011-11-10. Why mammography screening has not lived up to expectations from the randomised trials in CANCER CAUSES & CONTROL
  • 2013-12-30. Overdiagnosis of breast cancer in the Norwegian Breast Cancer Screening Program estimated by the Norwegian Women and Cancer cohort study in BMC CANCER
  • 2007-05-22. Population screening and intensity of screening are associated with reduced breast cancer mortality: evidence of efficacy of mammography screening in Australia in BREAST CANCER RESEARCH AND TREATMENT
  • 2012-12-12. Mammographic screening debate on study design: a need to move the field forward in BMC MEDICINE
  • 2008-01-28. Impacts of the Finnish service screening programme on breast cancer rates in BMC PUBLIC HEALTH
  • 2014-08-14. Overdiagnosis due to breast cancer screening: updated estimates of the Helsinki service study in Finland in BRITISH JOURNAL OF CANCER
  • 2011-09-20. Effects of annual vs triennial mammography interval on breast cancer incidence and mortality in ages 40–49 in Finland in BRITISH JOURNAL OF CANCER
  • 2005-11-10. Overdiagnosis and overtreatment of breast cancer: Estimates of overdiagnosis from two trials of mammographic screening for breast cancer in BREAST CANCER RESEARCH
  • 2007-12-04. A case–control study of the impact of the East Anglian breast screening programme on breast cancer mortality in BRITISH JOURNAL OF CANCER
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    URI

    http://scigraph.springernature.com/pub.10.1038/bjc.2014.642

    DOI

    http://dx.doi.org/10.1038/bjc.2014.642

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1021025622

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25688742


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