Effectiveness of service screening: a case–control study to assess breast cancer mortality reduction View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2008-07-29

AUTHORS

D Puliti, G Miccinesi, N Collina, V De Lisi, M Federico, S Ferretti, A C Finarelli, F Foca, L Mangone, C Naldoni, M Petrella, A Ponti, N Segnan, A Sigona, M Zarcone, M Zorzi, M Zappa, E Paci

ABSTRACT

The aim of this study was the evaluation of the impact of service screening programmes on breast cancer mortality in five regions of Italy. We conducted a matched case-control study with four controls for each case. Cases were defined as breast cancer deaths occurred not later than 31 December 2002. Controls were sampled from the local municipality list and matched by date of birth. Screening histories were assessed by the local, computerised, screening database and subjects were classified as either invited or not-yet-invited and as either screened or unscreened. There were a total of 1750 breast cancer deaths within the 50 to 74-year-old breast cancer cases and a total of 7000 controls. The logistic conditional estimate of the cumulative odds ratios comparing invited with not-yet-invited women was 0.75 (95% CI: 0.62-0.92). Restricting the analyses to invited women, the odds ratio of screened to never-respondent women corrected for self-selection bias was 0.55 (95% CI: 0.36-0.85). The introduction of breast cancer screening programmes in Italy is associated with a reduction in breast cancer mortality attributable to the additional impact of service screening over and above the background access to mammography. More... »

PAGES

423-427

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.bjc.6604532

DOI

http://dx.doi.org/10.1038/sj.bjc.6604532

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046163596

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18665188


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19 schema:description The aim of this study was the evaluation of the impact of service screening programmes on breast cancer mortality in five regions of Italy. We conducted a matched case-control study with four controls for each case. Cases were defined as breast cancer deaths occurred not later than 31 December 2002. Controls were sampled from the local municipality list and matched by date of birth. Screening histories were assessed by the local, computerised, screening database and subjects were classified as either invited or not-yet-invited and as either screened or unscreened. There were a total of 1750 breast cancer deaths within the 50 to 74-year-old breast cancer cases and a total of 7000 controls. The logistic conditional estimate of the cumulative odds ratios comparing invited with not-yet-invited women was 0.75 (95% CI: 0.62-0.92). Restricting the analyses to invited women, the odds ratio of screened to never-respondent women corrected for self-selection bias was 0.55 (95% CI: 0.36-0.85). The introduction of breast cancer screening programmes in Italy is associated with a reduction in breast cancer mortality attributable to the additional impact of service screening over and above the background access to mammography.
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26 schema:keywords Background Access
27 Italy
28 access
29 additional impact
30 aim
31 analysis
32 bias
33 birth
34 breast cancer cases
35 breast cancer deaths
36 breast cancer mortality
37 breast cancer mortality reduction
38 breast cancer screening program
39 cancer cases
40 cancer death
41 cancer mortality
42 cancer mortality reduction
43 cancer screening programs
44 case-control study
45 cases
46 conditional estimates
47 control
48 cumulative odds ratios
49 database
50 date
51 date of birth
52 death
53 effectiveness
54 estimates
55 evaluation
56 history
57 impact
58 impact of services
59 introduction
60 list
61 local municipality list
62 logistic conditional estimate
63 mammography
64 mortality
65 mortality reduction
66 municipality list
67 odds ratio
68 program
69 ratio
70 reduction
71 region
72 regions of Italy
73 respondent women
74 screening
75 screening history
76 screening program
77 self-selection bias
78 service screening
79 services
80 study
81 subjects
82 total
83 women
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