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Service screening with mammography of women aged 70-74 years in Sweden: effects on breast cancer mortality
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
Karolinska Hosp, Ctr Oncol, S-10401 Stockholm, Sweden.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0002-5095-3454
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
2003 (English)In: Cancer Detection and Prevention, ISSN 0361-090X, E-ISSN 1873-443X, Vol. 27, no 3, 360-369 p.Article in journal (Refereed) Published
Abstract [en]

Since the benefit of mammography screening for women 70 years and older is unclear, the aim of the present study was to evaluate the effect on breast cancer mortality of the population-based service-screening program in Sweden inviting women 70-74 years. Among the counties with service-screening programs in Sweden which started 1986-1990 those with upper age limit 74 years were compared to counties with 69 years as upper age limit with respect to refined breast cancer mortality. Allowance was made for potential biases namely inclusion of cases diagnosed before invitation and lead time. Two methods for estimation of breast cancer mortality were used; underlying cause of death (UCD) and excess mortality. With a mean follow-up of 10.1 years a reduction of the breast cancer excess mortality was estimated at 24%. Using the underlying cause of death the corresponding result was 6%. A non-significant reduction in breast cancer mortality was found in the counties with service-screening program including the age group 70-74 years in Sweden. The estimated reduction was larger when using excess mortality compared to the use of individual underlying cause of death.

Place, publisher, year, edition, pages
2003. Vol. 27, no 3, 360-369 p.
Keyword [en]
breast cancer, mortality, mammography screening, evaluation
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-96261DOI: 10.1016/S0361-090X(03)00131-4PubMedID: 14585323OAI: oai:DiVA.org:umu-96261DiVA: diva2:763376
Projects
digitalisering@umu
Available from: 2014-11-14 Created: 2014-11-14 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Evaluation of service screening with mammography in Sweden with special regard to its impact on breast cancer mortality
Open this publication in new window or tab >>Evaluation of service screening with mammography in Sweden with special regard to its impact on breast cancer mortality
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2002. 90 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 792
Keyword
Massundersökningar (medicin), Bröstcancer, Sweden-- epidemiology
National Category
Cancer and Oncology
Identifiers
urn:nbn:se:umu:diva-94113 (URN)91-7305-250-7 (ISBN)
Public defence
2002-05-17, Tandläkarhögskolan, sal D, 9 tr., Umeå universitet, Umeå, 09:00
Opponent
Projects
digitalisering@umu
Note

Diss. (sammanfattning) Umeå : Umeå universitet, 2002, härtill 6 uppsatser

Available from: 2014-11-14 Created: 2014-10-03 Last updated: 2015-04-09Bibliographically approved

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Jonsson, HåkanNyström, LennarthLenner, Per

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