Breast cancer incidence after the start of mammography screening in Denmark View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2003-02

AUTHORS

A H Olsen, A Jensen, S H Njor, E Villadsen, W Schwartz, I Vejborg, E Lynge

ABSTRACT

Mammography screening may lead to overdiagnosis of asymptomatic breast cancers, that would otherwise not have given rise to clinical symptoms. This aspect was studied in three regional screening programmes in Denmark, which started in Copenhagen municipality, Fyn county, and Frederiksberg municipality in 1991, 1993, and 1994, respectively. In these regions, we compared time trends in incidence of invasive breast cancer with the rest of Denmark. Since the number of clinical mammograms was relatively low, it was reasonable to assume that the breast cancer incidence outside the three screening regions represented the incidence of a population with low-intensity opportunistic screening. In Copenhagen and Fyn, a prevalence peak in incidence was seen during the first invitation round. During the subsequent invitation rounds, the incidence dropped to a level in line with the incidence expected without screening. The pattern was different in the small municipality of Frederiksberg, where the sensitivity was low during the first invitation round. Inclusion of screen-detected ductal carcinoma in situ cases did not change these results. The experiences from Copenhagen and Fyn show that organised mammography screening can operate without overdiagnosis of breast cancer. More... »

PAGES

6600712

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.bjc.6600712

DOI

http://dx.doi.org/10.1038/sj.bjc.6600712

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1023008889

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12569377


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161 https://www.grid.ac/institutes/grid.5254.6 schema:alternateName University of Copenhagen
162 schema:name Institute of Public Health, University of Copenhagen, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark
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164 https://www.grid.ac/institutes/grid.7143.1 schema:alternateName Odense University Hospital
165 schema:name Mammography Screening Clinic, University Hospital Odense, Kløvervænget 10, DK-5000 Odense, Denmark
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