Efficacy of Screening Mammography

Kerlikowske, Karla; Grady, Deborah; Rubin, Susan M.; Sandrock, Christian; Ernster, Virginia L.

doi:10.1001/jama.1995.03520260071035

Cited by 802 publications

(135 citation statements)

References 38 publications

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“…A meta-analysis of available literature from 1966 to 1993 suggested that annual mammography in women 50 to 74 years of age was shown to reduce breast-cancer related mortality by approximately 26% within 7 to 9 years of screening initiation. 19 The mortality benefits of screening mammography in women 40 to 74 years of age have also been supported by the US Preventive Services Task Force based on a recent analysis of the available literature. 20,21 This task force concluded that the overall balance of potential benefits of screening mammography versus potential harms improves with increasing age.…”

Section: Cancer Detection and Screeningmentioning

confidence: 98%

Diagnosis and Treatment of Breast Cancer in the Elderly

Holmes

Muss

2003

CA: A Cancer Journal for Clinicians

106

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As the population of the United States ages, women over the age of 65 have become a prominent cohort in the breast cancer population, with approximately 50% of all new breast cancers occurring in women aged 65 years and older. Early studies in breast cancer often excluded women based on age or comorbidity, leaving physicians and patients with a growing number of diagnostic and treatment options, each of which often carry short-term morbidity risks for potential long-term gain. We review the current data available for diagnosis and treatment of elderly women with breast cancer in both the adjuvant and metastatic disease setting. In addition, the role of screening and new concepts in prevention are discussed with emphasis on the older patient. (CA Cancer

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Section: Cancer Detection and Screeningmentioning

confidence: 98%

Diagnosis and Treatment of Breast Cancer in the Elderly

Holmes

Muss

2003

CA: A Cancer Journal for Clinicians

106

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“…1 Reductions in mortality from breast cancer observed in England and Wales and in Finland are partly attributable to nationwide breast cancer screening programmes. 2,3 Considerable international experience has amply demonstrated that to obtain an efficient breast cancer screening programme, the entire screening process must be organised, that is, include proper training and accreditation of radiologists for mammography screening, technical quality assurance of mammography complying with well-known standards (e.g., de Wolf and Perry 4 ), an invitation-reinvitation system, mammography screening offered to women Ն50 years old, double reading of mammograms and monitoring of screening data with the possibility of matching these data with a population-based cancer registry to evaluate the programme sensitivity.…”

mentioning

confidence: 99%

A breast cancer screening programme operating in a liberal health care system: The Luxembourg Mammography Programme, 1992–1997

Autier

Shannoun

Scharpantgen

et al. 2001

Intl Journal of Cancer

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The national breast cancer screening programme in Luxembourg, the Mammography Programme (MP), was launched in 1992. Its primary goal was to set up an organised breast cancer screening with biennial invitation-reinvitation of women 50 -64 years, 2-view mammography, technical quality assurance, double-reading procedures and close monitoring of performance. In 1994, the decision was taken by health authorities to only reimburse screening mammograms done within the MP. We evaluated the performance of 3 screening rounds that took place in 1992-1997. In 1992, 4,815 women had opportunistic screening and 4,790 attended the MP. In 1997, 861 women had opportunistic screening and 8,603 attended the MP. In 1997, the participation rate in the MP reached 50%. The referral rate in the MP was 10% for initial screening and 5% for subsequent screening. Echographic examinations accounted for 71% of referrals. Per 1,000 screened women, biopsy and cancer rates were 18.0 and 8.0 for initial screening and 10.3 and 5.8 for subsequent screening. Twenty-one percent of the breast cancers diagnosed in screened women were interval cancers. The age-adjusted proportion of tumours >20 mm was 56.1% before 1992, 45.1% for women not (yet) screened by the MP, 27.0% for interval cancers, 26.6% for initial screening and 12.0% for subsequent screenings. Tumour size distribution was similar to that observed in the Dutch Breast Cancer Screening Programme, 1990 -1993, except that in the latter programme, no difference was observed between initial and subsequent screening. The Luxembourg experience shows that in a liberal health care system, a policy of organising the screening process by reimbursing only those mammograms done within the context of the organised screening programme can drastically reduce opportunistic screening. Further efforts in the Mammography Programme will aim at increasing participation and look at ways to decrease referrals to echography.

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“…También se ha demostrado que la mejor forma de hacer detección temprana del cáncer de mama es a través de un programa organizado para tamizar aspectos mamográ cos en la población (4,5). Por el contrario, existe evidencia muy controversial sobre la e cacia de la detección temprana con programas basados en la autoexploración mamaria y el examen clínico de los senos (6)(7)(8).…”

Section: Materiales Y Métodosunclassified

Formación de médicos y enfermeras para la detección temprana del cáncer de mama en México

González-Robledo

González-Robledo²,

Caballero³

et al. 2011

Rev. salud pública

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RESUMENObjetivo Analizar la formación académica que reciben los estudiantes de medicina y enfermería sobre el cáncer de mama (CaMa) durante el trascurso de su carrera universitaria. Materiales y Métodos Estudio exploratorio realizado en 2009. Basado en entrevistas semi-estructuradas a actores clave y revisión documental. Población de estudio: 199 Facultades/Escuelas de medicina y 108 Escuelas/Institutos de enfermería. Unidad de análisis: plan de estudios. Resultados En 16,8 % de los planes de estudio de medicina y 6,3 % de enfermería se encontró información especí ca de contenidos sobre CaMa. La capacitación que reciben los médicos es predominantemente desarrollada por las áreas biomédica y clínica y en menor proporción en el área socio-médica. En enfermería los temas que más se desarrollan son en áreas comunitarias, abordando contenidos de promoción de la salud y prevención de la enfermedad (estilos de vida saludable e identi cación de mujeres con alto riesgo de padecer CaMa). Discusión Se encontró escasa evidencia sobre entrenamiento especí co para la detección y atención del cáncer de mama en los planes de estudio. Por los resultados encontrados es necesario fortalecer los currículos para formar a los futuros profesionales con capacidades para trabajar en la solución de los problemas y necesidades especí cos de salud de la población particularmente en acciones de prevención primaria y secundaria.

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Efficacy of Screening Mammography

Cited by 802 publications

References 38 publications

Diagnosis and Treatment of Breast Cancer in the Elderly

Diagnosis and Treatment of Breast Cancer in the Elderly

A breast cancer screening programme operating in a liberal health care system: The Luxembourg Mammography Programme, 1992–1997

Formación de médicos y enfermeras para la detección temprana del cáncer de mama en México

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