The impact of mammography screening programmes on incidence of advanced breast cancer in Europe: a literature review View Full Text


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Article Info

DATE

2018-09-03

AUTHORS

M. J. M. Broeders, P. Allgood, S. W. Duffy, S. Hofvind, I. D. Nagtegaal, E. Paci, S. M. Moss, L. Bucchi

ABSTRACT

BACKGROUND: Observational studies have reported conflicting results on the impact of mammography service screening programmes on the advanced breast cancer rate (ABCR), a correlation that was firmly established in randomized controlled trials. We reviewed and summarized studies of the effect of service screening programmes in the European Union on ABCR and discussed their limitations. METHODS: The PubMed database was searched for English language studies published between 01-01-2000 and 01-06-2018. After inspection of titles and abstracts, 220 of the 8644 potentially eligible papers were considered relevant. Their abstracts were reviewed by groups of two authors using predefined criteria. Fifty studies were selected for full paper review, and 22 of these were eligible. A theoretical framework for their review was developed. Review was performed using a ten-point checklist of the methodological caveats in the analysis of studies of ABCR and a standardised assessment form designed to extract quantitative and qualitative information. RESULTS: Most of the evaluable studies support a reduction in ABCR following the introduction of screening. However, all studies were challenged by issues of design and analysis which could at least potentially cause bias, and showed considerable variation in the estimated effect. Problems were observed in duration of follow-up time, availability of reliable reference ABCR, definition of advanced stage, temporal variation in the proportion of unknown-stage cancers, and statistical approach. CONCLUSIONS: We conclude that much of the current controversy on the impact of service screening programmes on ABCR is due to observational data that were gathered and/or analysed with methodological approaches which could not capture stage effects in full. Future research on this important early indicator of screening effectiveness should focus on establishing consensus in the correct methodology. More... »

PAGES

860

References to SciGraph publications

  • 2001-04. Trends in Breast Cancer Mortality, Incidence, and Survival, and Mammographic screening in Tuscany, Italy in CANCER CAUSES & CONTROL
  • 2004-08-03. Decreased rates of advanced breast cancer due to mammography screening in The Netherlands in BRITISH JOURNAL OF CANCER
  • 2004-12-14. Screen-detected vs clinical breast cancer: the advantage in the relative risk of lymph node metastases decreases with increasing tumour size in BRITISH JOURNAL OF CANCER
  • 2008-02-08. Stage migration due to introduction of the sentinel node procedure: a population-based study in BREAST CANCER RESEARCH AND TREATMENT
  • 2012-12-23. Reduction in rate of node metastases with breast screening: consistency of association with tumor size in BREAST CANCER RESEARCH AND TREATMENT
  • 2016-02-02. Effect of organised mammography screening on stage-specific incidence in Norway: population study in BRITISH JOURNAL OF CANCER
  • 1999-08. Evaluation of breast cancer incidence: is the increase due entirely to mammographic screening? in CANCER CAUSES & CONTROL
  • 2012-07-26. Stage-specific breast cancer incidence rates among participants and non-participants of a population-based mammographic screening program in BREAST CANCER RESEARCH AND TREATMENT
  • 2002-06-25. Quantification of the effect of mammographic screening on fatal breast cancers: The Florence Programme 1990–96 in BRITISH JOURNAL OF CANCER
  • 2008-01-28. Impacts of the Finnish service screening programme on breast cancer rates in BMC PUBLIC HEALTH
  • 1989-06. Breast cancer screening programmes: the development of a monitoring and evaluation system in BRITISH JOURNAL OF CANCER
  • 2002-03. Breast and cervical cancer screening and disease incidence and stage in New Mexico in CANCER CAUSES & CONTROL
  • 2012-01-09. Trends in incidence and detection of advanced breast cancer at biennial screening mammography in The Netherlands: a population based study in BREAST CANCER RESEARCH
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12885-018-4666-1

    DOI

    http://dx.doi.org/10.1186/s12885-018-4666-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1106525478

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30176813


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