Estimated Effects of the National Breast and Cervical Cancer Early Detection Program on Breast Cancer Mortality

Hoerger, Thomas J.; Ekwueme, Donatus U.; Miller, Jacqueline W.; Uzunangelov, Vladislav; Hall, Ingrid J.; Segel, Joel E.; Royalty, Janet; Gardner, James G.; Smith, Judith Lee; Li, Chunyu

doi:10.1016/j.amepre.2010.12.017

Cited by 65 publications

(66 citation statements)

References 23 publications

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“…In Hong Kong, the incidence has declined (Hoerger et al,2011). Brazil as a country that had successful role in public health, is faced with some problems due to women prognosis about breast cancer screening (Cecilio et al, 2015).In general, the differences in breast cancer incidence in different regions is due to difference in risk factors, level of education, average life expectancy in different countries, screening programs (Ghoncheh et al, 2015), and breast cancer registration (Razi et al, 2015a).…”

Section: Discussionmentioning

confidence: 99%

Incidence and Mortality and Epidemiology of Breast Cancer in the World

Ghoncheh¹,

Pournamdar²,

Salehiniya³

2016

Asian Pacific Journal of Cancer Prevention

962

635

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Section: Discussionmentioning

confidence: 99%

Incidence and Mortality and Epidemiology of Breast Cancer in the World

Ghoncheh¹,

Pournamdar²,

Salehiniya³

2016

Asian Pacific Journal of Cancer Prevention

962

635

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“…Early detection of breast cancer plays the leading role in reducing mortality rates and improving the patients' prognosis among women (Elmore et al, 2005;Hoerger et al, 2011). In US, BC mortality rates are now decreasing because of the widely generalized use of mammography screening and the improvement in treatment (IARC., 2002).…”

Section: Discussionmentioning

confidence: 99%

Increased Trend of Breast Cancer Mortality in Iran

Taghavi¹,

Fazeli²,

Vahedi³

et al. 2012

Asian Pacific Journal of Cancer Prevention

127

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Background: Breast cancer is the most commonly diagnosed cancer in women worldwide In Iran, it ranks first among cancers diagnosed in women and is the fifth most common cause of death. The aim of this study was to present the mortality trends from breast cancer for Iranian women during a period of almost a decade, in order to provide update information regarding the likely future. Methods: We analyzed National death Statistic reported by the Iranian Ministry of Health and Medical Education from 1995 to 2004 to generate annual mortality rates/100,000, overall, by age group (<15, 15-49 and ≥50 years of age) and age standardized rate (ASR). Results: The age standardized mortality rate of breast cancer increased dramatically during these years from 1.40 to 3.52 per 100,000 and its mortality was increasing 151.4% for Iranian women, although it seemed that the rate leveled off from 2002 to 2004. Moreover the increasing rate was higher for those aged between 15-49 compared to age >50 years old. Conclusion: There is an increasing trend for breast cancer mortality in Iran. Thus, health education programs to rectify the lack of women awareness about breast cancer signs and effective screening are urgently needed.

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“…The letter was addressed from the patient's primary care office and indicated the patient was overdue for mammography, CRC or both. The letter also indicated why screening was important and included information on how uninsured patients could obtain free cancer screening [i.e., through a local program supported by the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) 23 and the Colorectal Cancer Control 24 Interventions and screening were tracked in the database.…”

Section: Multimodal Interventionmentioning

confidence: 99%

Randomized, Controlled Trial of a Multimodal Intervention to Improve Cancer Screening Rates in a Safety-Net Primary Care Practice

et al. 2013

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BACKGROUND: Cancer screening rates are suboptimal for low-income patients. OBJECTIVE: To assess an intervention to increase cancer screening among patients in a safety-net primary care practice. DESIGN: Patients at an inner-city family practice who were overdue for cancer screening were randomized to intervention or usual care. Screening rates at 1 year were compared using the chi-square test, and multivariable analysis was performed to adjust for patient factors. SUBJECTS: All average-risk patients at an inner-city family practice overdue for mammography or colorectal cancer (CRC) screening. Patients' ages were 40 to 74 years (mean 53.9, SD 8.7) including 40.8 % African Americans, 4.2 % Latinos, 23.2 % with Medicaid and 10.9 % without any form of insurance. INTERVENTION: The 6-month intervention to promote cancer screening included letters, automated phone calls, prompts and a mailed Fecal Immunochemical Testing (FIT) Kit. MAIN MEASURES: Rates of cancer screening at 1 year. KEY RESULTS: Three hundred sixty-six patients overdue for screening were randomly assigned to intervention (n=185) or usual care (n=181). Primary analysis revealed significantly higher rates of cancer screening in intervention subjects: 29.7 % vs. 16.7 % for mammography (p =0.034) and 37.7 % vs. 16.7 % for CRC screening (p=0.0002). In the intervention group, 20 % of mammography screenings and 9.3 % of CRC screenings occurred at the early assessment, while the remainder occurred after repeated interventions. Within the CRC intervention group 44 % of screened patients used the mailed FIT kit. On multivariable analysis the CRC screening rates remained significantly higher in the intervention group, while the breast cancer screening rates were not statistically different. CONCLUSIONS: A multimodal intervention significantly increased CRC screening rates among patients in a safety-net primary care practice. These results suggest that relatively inexpensive letters and automated calls can be combined for a larger effect. Results also suggest that mailed screening kits may be a promising way to increase average-risk CRC screening.KEY WORDS: breast neoplasms; colorectal neoplasms; cancer screening; healthcare disparities.

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Estimated Effects of the National Breast and Cervical Cancer Early Detection Program on Breast Cancer Mortality

Abstract: These estimates suggest that NBCCEDP breast cancer screening has reduced mortality among medically uninsured and underinsured low-income women.

Cited by 65 publications

References 23 publications

Incidence and Mortality and Epidemiology of Breast Cancer in the World

Incidence and Mortality and Epidemiology of Breast Cancer in the World

Increased Trend of Breast Cancer Mortality in Iran

Randomized, Controlled Trial of a Multimodal Intervention to Improve Cancer Screening Rates in a Safety-Net Primary Care Practice

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