Effectiveness of organised versus opportunistic mammography screening.

Details

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_A42374549AD6
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Effectiveness of organised versus opportunistic mammography screening.
Journal
Annals of Oncology
Author(s)
Bulliard J.L., Ducros C., Jemelin C., Arzel B., Fioretta G., Levi F.
ISSN
1569-8041 (Electronic)
ISSN-L
0923-7534
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
20
Number
7
Pages
1199-1202
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: Detailed comparison of effectiveness between organised and opportunistic mammography screening operating in the same country has seldom been carried out.
PATIENTS AND METHODS: Prognostic indicators, as defined in the European Guidelines, were used to evaluate screening effectiveness in Switzerland. Matching of screening programmes' records with population-based cancer registries enabled to compare indicators of effectiveness by screening and detection modality (organised versus opportunistic screening, unscreened, interval cancers). Comparisons of prognostic profile were also drawn with two Swiss regions uncovered by service screening of low and high prevalence of opportunistic screening, respectively.
RESULTS: Opportunistic and organised screening yielded overall little difference in prognostic profile. Both screening types led to substantial stage shifting. Breast cancer prognostic indicators were systematically more favourable in Swiss regions covered by a programme. In regions without a screening programme, the higher the prevalence of opportunistic screening, the better was the prognostic profile.
CONCLUSIONS: Organised screening appeared as effective as opportunistic screening. Mammography screening has strongly influenced the stage distribution of breast cancer in Switzerland, and a favourable impact on mortality is anticipated. Extension of organised mammography screening to the whole of Switzerland can be expected to further improve breast cancer prognosis in a cost-effective way.
Keywords
Aged, Breast Neoplasms/pathology, Breast Neoplasms/radiography, Female, Humans, Mammography/statistics & numerical data, Mammography/utilization, Mass Screening/statistics & numerical data, Mass Screening/utilization, Middle Aged, Neoplasm Staging, Patient Acceptance of Health Care, Population Surveillance, Prevalence, Prognosis, Program Evaluation, Quality Indicators, Health Care, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
04/08/2009 10:24
Last modification date
25/09/2019 6:10
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