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Beneficial effect of consecutive screening mammography examinations on mortality from breast cancer : a prospective study

Duffy, Stephen W. (författare)
Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, United Kingdom,Queen Mary Univ London, Wolfson Inst Prevent Med, Barts & London Sch Med & Dent, Ctr Canc Prevent, Charterhouse Sq, London EC1M 6BQ, England.
Tabár, László (författare)
Department of Mammography, Falun Central Hospital, Falun, Sweden; School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei City, Taiwan,Falun Cent Hosp, Dept Mammog, Falun, Sweden.
Yen, Amy Ming-Fang (författare)
Department of Diagnostic Radiology, University of Turku, Turku, Finland,Taipei Med Univ, Coll Oral Med, Sch Oral Hyg, Taipei, Taiwan.
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Dean, Peter B. (författare)
Department of Cancer Control Sciences, American Cancer Society, GA, Atlanta, United States,Univ Turku, Dept Diagnost Radiol, Turku, Finland.
Smith, Robert A. (författare)
Department of Cancer Control Sciences, American Cancer Society, Atlanta, Ga,Amer Canc Soc, Dept Canc Control Sci, Atlanta, GA 30329 USA.
Jonsson, Håkan (författare)
Umeå universitet,Onkologi,Umeå Univ, Reg Canc Ctr, Umeå, Sweden.
Törnberg, Sven (författare)
Karolinska Institutet
Chiu, Sherry Yueh-Hsia (författare)
Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan,Chang Gung Univ, Coll Management, Dept Hlth Care Management, Taoyuan, Taiwan.;Kaohsiung Chang Gung Mem Hosp, Dept Internal Med, Kaohsiung, Taiwan.;Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan.
Chen, Sam Li-Sheng (författare)
Department of Diagnostic Radiology, University of Turku, Turku, Finland,Taipei Med Univ, Coll Oral Med, Sch Oral Hyg, Taipei, Taiwan.
Jen, Grace Hsiao-Hsuan (författare)
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan,Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan.
Ku, May Mei-Sheng (författare)
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan,Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan.
Hsu, Chen-Yang (författare)
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan,Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan.
Ahlgren, Johan (författare)
Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Uppsala Univ Hosp, Reg Canc Ctr, Uppsala, Sweden.
Maroni, Roberta (författare)
Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, United Kingdom,Queen Mary Univ London, Wolfson Inst Prevent Med, Barts & London Sch Med & Dent, Ctr Canc Prevent, Charterhouse Sq, London EC1M 6BQ, England.
Holmberg, Lars (författare)
Uppsala universitet,Endokrinkirurgi,Uppsala kliniska forskningscentrum (UCR),Kings Coll London, Sch Canc & Pharmaceut Sci, Translat Oncol & Urol Res TOUR, London, England.;Uppsala Univ, Dept Surg Sci, Uppsala, Sweden.
Chen, Tony Hsiu-Hsi (författare)
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei City, Taiwan,Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan.
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Centre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Charterhouse Square, London, United Kingdom Queen Mary Univ London, Wolfson Inst Prevent Med, Barts & London Sch Med & Dent, Ctr Canc Prevent, Charterhouse Sq, London EC1M 6BQ, England (creator_code:org_t)
Radiological Society of North America (RSNA), 2021
2021
Engelska.
Ingår i: Radiology. - : Radiological Society of North America (RSNA). - 0033-8419 .- 1527-1315. ; 299:3, s. 541-547
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Previously, the risk of death from breast cancer was analyzed for women participating versus those not participating in the last screening examination before breast cancer diagnosis. Consecutive attendance patterns may further refine estimates.Purpose: To estimate the effect of participation in successive mammographic screening examinations on breast cancer mortality.Materials and Methods: Participation data for Swedish women eligible for screening mammography in nine counties from 1992 to 2016 were linked with data from registries and regional cancer centers for breast cancer diagnosis, cause, and date of death (Uppsala University ethics committee registration number: 2017/147). Incidence-based breast cancer mortality was calculated by whether the women had participated in the most recent screening examination prior to diagnosis only (intermittent participants), the penultimate screening examination only (lapsed participants), both examinations (serial participants), or neither examination (serial nonparticipants). Rates were analyzed with Poisson regression. We also analyzed incidence of breast cancers proving fatal within 10 years.Results: Data were available for a total average population of 549 091 women (average age, 58.9 years 6 6.7 [standard deviation]). The numbers of participants in the four groups were as follows: serial participants, 392 135; intermittent participants, 41 746; lapsed participants, 30 945; and serial nonparticipants, 84 265. Serial participants had a 49% lower risk of breast cancer mortality (relative risk [RR], 0.51; 95% CI: 0.48, 0.55; P ,.001) and a 50% lower risk of death from breast cancer within 10 years of diagnosis (RR, 0.50; 95% CI: 0.46, 0.55; P ,.001) than serial nonparticipants. Lapsed and intermittent participants had a smaller reduction. Serial participants had significantly lower risk of both outcomes than lapsed or intermittent participants. Analyses correcting for potential biases made little difference to the results.Conclusion: Women participating in the last two breast cancer screening examinations prior to breast cancer diagnosis had the largest reduction in breast cancer death. Missing either one of the last two examinations conferred a significantly higher risk.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)

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