Advanced breast cancer incidence following population-based mammographic screening

Autier, P and Boniol, M and Middleton, R and Doré, J F and Héry, C and Zheng, T and Gavin, A (2011) Advanced breast cancer incidence following population-based mammographic screening. Annals of Oncology, 22 (8). pp. 1726-1735. ISSN 1569-8041

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    Abstract

    Breast cancer mortality is declining in many Western countries. If mammography screening contributed to decreases in mortality, then decreases in advanced breast cancer incidence should also be noticeable. We assessed incidence trends of advanced breast cancer in areas where mammography screening is practiced for at least 7 years with 60% minimum participation and where population-based registration of advanced breast cancer existed. Through a systematic Medline search, we identified relevant published data for Australia, Italy, Norway, Switzerland, The Netherlands, UK and the USA. Data from cancer registries in Northern Ireland, Scotland, the USA (Surveillance, Epidemiology and End Results (SEER), and Connecticut), and Tasmania (Australia) were available for the study. Criterion for advanced cancer was the tumour size, and if not available, spread to regional/distant sites. Age-adjusted annual percent changes (APCs) were stable or increasing in ten areas (APCs of −0.5% to 1.7%). In four areas (Firenze, the Netherlands, SEER and Connecticut) there were transient downward trends followed by increases back to pre-screening rates. In areas with widespread sustained mammographic screening, trends in advanced breast cancer incidence do not support a substantial role for screening in the decrease in mortality.

    Creators(s): Autier, P ORCID logoORCID: https://orcid.org/0000-0003-1533-5412, Boniol, M ORCID logoORCID: https://orcid.org/0000-0001-6585-4443, Middleton, R, Doré, J F, Héry, C, Zheng, T and Gavin, A;
    Item type:Article
    ID code:45036
    Keywords:mammography, neoplasm staging, screening , cancer registry , early detection of cancer, breast neoplasms, middle aged females, Other systems of medicine, Oncology
    Subjects:Medicine > Other systems of medicine
    Department:Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
    Depositing user: Pure Administrator
    Date deposited:01 Oct 2013 13:23
    Last modified:26 Feb 2021 04:20
    Related URLs:
    URI:https://strathprints.strath.ac.uk/id/eprint/45036
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