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The impact of the P...
The impact of the Polish mass breast cancer screening program on prognosis in the Pomeranian Province
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- Woniacki, Piotr (author)
- Med Univ Gdansk, Dept Surg Oncol, 7 Debinki St, PL-80952 Gdansk, Poland.,Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Poland
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- Skokowskil, Jarostaw (author)
- Med Univ Gdansk, Dept Surg Oncol, 7 Debinki St, PL-80952 Gdansk, Poland.,Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Poland
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- Bartoszek, Krzysztof, 1984- (author)
- Uppsala universitet,Analys och sannolikhetsteori,Department of Mathematics, Uppsala University, Uppsala, Sweden
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- Kosowskal, Anna (author)
- Med Univ Gdansk, Dept Surg Oncol, 7 Debinki St, PL-80952 Gdansk, Poland.,Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Poland
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- Kalinowski, Leszek (author)
- Med Univ Gdansk, Dept Med Lab Diagnost, Bank Frozen Tissues & Genet Specimens, Gdansk, Poland.,Department of Medical Laboratory Diagnostics and Bank of Frozen Tissues and Genetic Specimens, Medical University of Gdansk, Gdansk, Poland
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- JaSkiewicz, Janusz (author)
- Med Univ Gdansk, Dept Surg Oncol, 7 Debinki St, PL-80952 Gdansk, Poland.,Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Poland
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Med Univ Gdansk, Dept Surg Oncol, 7 Debinki St, PL-80952 Gdansk, Poland Department of Oncological Surgery, Medical University of Gdansk, Gdansk, Poland (creator_code:org_t)
- TERMEDIA PUBLISHING HOUSE LTD, 2017
- 2017
- English.
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In: Archives of Medical Science. - : TERMEDIA PUBLISHING HOUSE LTD. - 1734-1922 .- 1896-9151. ; 13:2, s. 441-447
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https://urn.kb.se/re...
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https://doi.org/10.5...
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Abstract
Subject headings
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- Introduction: Mammographic screening results in diagnosis of less advanced breast cancer (BC). A meta-analysis of randomized clinical trials confirmed that BC screening reduces mortality. In 2007, the National Breast Cancer Screening Program (NBCSP) was established in Poland with the crucial aim of reducing mortality from BC. The purpose of this study was to assess the impact of participation in the NBCSP on prognosis. Material and methods: A single institution, non-randomized retrospective study was undertaken. The study population comprised 643 patients with BC treated in the Department of Surgical Oncology (DSO) at the Medical University of Gdansk over a 4-year period, from 01.01.2007 until 31.12.2010. Patients were divided into two groups: group A-patients who participated in the NBCSP (n = 238, 37.0%); and group B-patients who did not participate in the NBCSP (n = 405, 63.0%). Results: Statistical analysis revealed that group A displayed a less advanced MCC stage (more patients in AJCC stage I, p = 0.002), lower tumor diameter (more patients with pT1, p = 0.006, and pT < 15 mm, p = 0.008) and a lower incidence of metastases to axillary lymph nodes (more patients with pNO, p = 0.01). From 2009 to 2010 the NBCSP revealed a statistically significant benefit significantly more patients in stage 0 + I (60.7% vs. 48.8%, p = 0.018) and with tumors pT < 15 mm (48.8% vs. 35.1%, p = 0.011) were observed in group A. Conclusions: The study results revealed the beneficial impact of the NBCSP. Superior prognostic factors and favorable staging were observed in women who participated in the NBCSP.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- breast cancer
- screening
- mass screening
- prognostic factors
- MCC staging
- prognosis
Publication and Content Type
- ref (subject category)
- art (subject category)
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