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Excess Mortality From Breast Cancer In Relation To Mammography Screening In Northern Sweden

P. Lenner, H. Jónsson
Published 1997 · Medicine

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Objectives— Previous randomised studies of mammography screening have shown a significant effect on breast cancer mortality, particularly in women aged 50–Q69 at randomisation. Breast cancer mortality has traditionally been studied by judgments on causes of death, either from cause of death registers or from medical records. In this study an alternative method was used, estimating the excess mortality associated with breast cancer. Setting— In 1990 two counties of northern Sweden started population based mammography screening of women aged 40–74. The unscreened population in the two other counties of the same region were selected as controls. Results— Excess mortality associated with breast cancer was lower in the screened population, and was discernible three to four years after the start of screening. The relative risk estimate, based on the cumulative excess number of deaths from breast cancer during 1990–95 in the screened versus the control population aged 40–74 (at diagnosis of breast cancer), was 0.72 (95% confidence interval (CI) 0.53 to 0.99). For women aged 50–69 it was 0.67 (95% CI 0.46 to 0.99). In the 50–69 age group the estimated excess number of deaths from breast cancer during 1995 was 17.0 per 100 000 women (95% CI 5.0 to 29.0) in the screened counties and 51.1 per 100 000 (95% CI 30.2 to 71.9) in the unscreened counties. Conclusions— Population based routine screening has substantial effects on breast cancer mortality in women aged 50–69. Estimation of excess mortality can be used in future studies to evaluate the effects of mammography screening on breast cancer mortality.
This paper references
A useful concept in cancer epidemiology
P. Lenner (1990)
10.1038/bjc.1994.342
The Edinburgh randomised trial of breast cancer screening: results after 10 years of follow-up.
F. Alexander (1994)
10.1007/BF02988862
Trends in cancer incidence, survival and mortality in northern sweden 1960-1986
P. Lenner (1991)
10.1016/0140-6736(93)91067-V
Breast cancer screening with mammography: overview of Swedish randomised trials
Lennarth Nyström (1993)
10.1093/jnci/66.6.1192
The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today.
R. Doll (1981)
Selection, follow-up, and analysis in the Health Insurance Plan Study: a randomized trial with breast cancer screening.
S. Shapiro (1985)
10.1126/SCIENCE.841309
Interpreting cancer survival rates.
J. E. Enstrom (1977)
10.3109/02841868909092281
Progress against cancer: are we winning the war?
R. Doll (1989)
10.1177/096914139400100310
Evaluation of the Effect on Breast Cancer Mortality of Population Based Mammography Screening Programmes
S. Törnberg (1994)
10.3109/02841868909092306
Cancer mortality trends in Sweden 1960-1986.
L. Rutqvist (1989)
10.1002/1097-0142(197706)39:6<2772::AID-CNCR2820390665>3.0.CO;2-K
Evidence on screening for breast cancer from a randomized trial
S. Shapiro (1977)
10.1056/NEJM198605083141905
Progress against cancer?
J. Bailar (1986)
10.1056/nejm198610093151513
More on open-chest cardiac massage after cardiac arrest.
A. Sanders (1986)
10.1016/0273-2300(86)90017-6
Decline of U.S. cancer mortality rates: expert estimates of past underreporting.
G. Gori (1986)
10.1016/S0140-6736(85)92204-4
REDUCTION IN MORTALITY FROM BREAST CANCER AFTER MASS SCREENING WITH MAMMOGRAPHY: Randomised Trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare
L. Tabár (1985)
10.1097/00006534-199005000-00064
Mammographic screening and mortality from breast cancer: The Malmo mammographic screening trial
K. Boo-Chai (1990)



This paper is referenced by
10.1080/028418600750013302
Service Screening with Mammography in Sweden: Evaluation of Effects of Screening on Breast Cancer Mortality in Age Group 40-49 Years
Håkan Jonsson, Sven Törnberg, Lennarth Nyström, Pe (2000)
10.1093/jnci/dju007
Prostate Cancer Mortality in Areas With High and Low Prostate Cancer Incidence
P. Stattin (2014)
Colorectal Cancer Screening: Technical Report Prepared for the National Commission on Prevention Priorities
M. Maciosek (2006)
10.1016/J.EJCA.2004.06.017
Process indicators from ten centres in the Finnish breast cancer screening programme from 1991 to 2000.
T. Sarkeala (2004)
10.1016/J.BREAST.2006.05.006
Survival from invasive breast cancer among interval cases in the mammography screening programmes of northern Sweden.
P. Bordas (2007)
10.1371/journal.pone.0022422
Trends in Breast Cancer Mortality in Sweden before and after Implementation of Mammography Screening
J. Haukka (2011)
10.5455/IJMSPH.2016.16092015102
Risk factors of breast cancer among the primary health-care attendees in Eastern Saudi Arabia -
B. K. Al-Dabal (2016)
Breast cancer screening with mammography of women 40-49 years in Sweden
Barbro Numan Hellquist (2014)
10.1080/028418600750013302
Service screening with mammography in Sweden--evaluation of effects of screening on breast cancer mortality in age group 40-49 years.
H. Jonsson (2000)
10.1016/J.BREAST.2004.04.002
Early breast cancer deaths in women aged 40-74 years diagnosed during the first 5 years of organised mammography service screening in north Sweden.
P. Bordas (2004)
10.1007/s12032-013-0471-5
Breast cancer screening: review of benefits and harms, and recommendations for developing and low-income countries
M. Al-Foheidi (2013)
10.1136/jms.8.3.152
Service screening with mammography of women aged 50–69 years in Sweden: effects on mortality from breast cancer
H. Jonsson (2001)
10.1097/00130404-200301000-00004
Mammographic Screening: A Key Factor in the Control of Breast Cancer
L. Tabár (2003)
10.1258/jms.2012.012078
The Impact of Mammographic Screening on Breast Cancer Mortality in Europe: A Review of Observational Studies
M. Broeders (2012)
10.1007/978-3-642-55647-0_12
How reliable is the evidence for screening mammography?
S. Feig (2003)
10.1023/A:1010352427174
Mammography Utilization Pattern Throughout the State of Arkansas: A Challenge for the Future
A. Jazieh (2004)
MAMMOGRAPHY SCREENING DOES NOT SIGNIFICANTLY REDUCE BREAST CANCER MORTALITY IN SWEDISH DAILY PRACTICE
G. Sjönell (1999)
10.1097/01.cej.0000243857.91642.2d
Evaluation of effectiveness of quality-assured mammography screening in Germany: sample size considerations and design options
N. Becker (2007)
10.1258/096914107781261918
Service screening with mammography in Northern Sweden: effects on breast cancer mortality – an update
H. Jonsson (2007)
10.1136/jms.9.3.115
Early outcome of mammography screening in Copenhagen 1991–99
I. Vejborg (2002)
10.3390/s18020342
Preliminary Results of a New Auxiliary Mechatronic Near-Field Radar System to 3D Mammography for Early Detection of Breast Cancer †
A. Dagheyan (2018)
10.1158/1055-9965.EPI-05-0349
Reduction in Breast Cancer Mortality from Organized Service Screening with Mammography: 1. Further Confirmation with Extended Data
S. W. Duffy (2006)
10.1016/S0960-9776(03)00031-6
Service screening with mammography. Long-term effects on breast cancer mortality in the county of Gävleborg, Sweden.
H. Jonsson (2003)
10.1016/S0361-090X(03)00131-4
Service screening with mammography of women aged 70-74 years in Sweden. Effects on breast cancer mortality.
H. Jonsson (2003)
10.1097/00007611-200210000-00007
Racial and Age-Related Disparities in Obtaining Screening Mammography: Results of a Statewide Database
A. Jazieh (2002)
10.1002/cncr.22671
Effect of mammographic service screening on stage at presentation of breast cancers in Sweden
S. W. Duffy (2007)
10.3384/DISS.DIVA-145398
Long-term prognostic and predictive factors in hormone receptor positive breast cancer
H. Fohlin (2018)
10.1016/S0140-6736(03)13143-1
Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening
L. Tabar (2003)
Breast Cancer Screening : Technical Report Prepared for the National Commission on Prevention Priorities
N. M. Edwards (2006)
10.1111/j.1600-0463.1998.tb05639.x
References
(1998)
10.4103/0256-4947.67078
The first national public breast cancer screening program in Saudi Arabia
O. Abulkhair (2010)
10.1007/978-3-642-55647-0
Tumor Prevention and Genetics
H. Senn (2003)
See more
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