European Breast Cancer Service Screening Outcomes: A First Balance Sheet of the Benefits and Harms
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European Breast Cancer Service Screening Outcomes : A First Balance Sheet of the Benefits and Harms. / Paci, Eugenio; Broeders, Mireille; Hofvind, Solveig; Puliti, Donella; Duffy, Stephen William; Lynge, Elsebeth; EUROSCREEN Working Group.
In: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, Vol. 23, No. 7, 07.2014, p. 1159-63.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - European Breast Cancer Service Screening Outcomes
T2 - A First Balance Sheet of the Benefits and Harms
AU - Paci, Eugenio
AU - Broeders, Mireille
AU - Hofvind, Solveig
AU - Puliti, Donella
AU - Duffy, Stephen William
AU - Lynge, Elsebeth
AU - EUROSCREEN Working Group
N1 - ©2014 American Association for Cancer Research.
PY - 2014/7
Y1 - 2014/7
N2 - A recent comprehensive review has been carried out to quantify the benefits and harms of the European population-based mammographic screening programs. Five literature reviews were conducted on the basis of the observational published studies evaluating breast cancer mortality reduction, breast cancer overdiagnosis, and false-positive results. On the basis of the studies reviewed, the authors present a first estimate of the benefit and harm balance sheet. For every 1,000 women screened biennially from ages 50 to 51 years until ages 68 to 69 years and followed up until age 79 years, an estimated seven to nine breast cancer deaths are avoided, four cases are overdiagnosed, 170 women have at least one recall followed by noninvasive assessment with a negative result, and 30 women have at least one recall followed by invasive procedures yielding a negative result. The chance of a breast cancer death being avoided by population-based mammography screening of appropriate quality is more than that of overdiagnosis by screening. These outcomes should be communicated to women offered service screening in Europe.
AB - A recent comprehensive review has been carried out to quantify the benefits and harms of the European population-based mammographic screening programs. Five literature reviews were conducted on the basis of the observational published studies evaluating breast cancer mortality reduction, breast cancer overdiagnosis, and false-positive results. On the basis of the studies reviewed, the authors present a first estimate of the benefit and harm balance sheet. For every 1,000 women screened biennially from ages 50 to 51 years until ages 68 to 69 years and followed up until age 79 years, an estimated seven to nine breast cancer deaths are avoided, four cases are overdiagnosed, 170 women have at least one recall followed by noninvasive assessment with a negative result, and 30 women have at least one recall followed by invasive procedures yielding a negative result. The chance of a breast cancer death being avoided by population-based mammography screening of appropriate quality is more than that of overdiagnosis by screening. These outcomes should be communicated to women offered service screening in Europe.
U2 - 10.1158/1055-9965.EPI-13-0320
DO - 10.1158/1055-9965.EPI-13-0320
M3 - Journal article
C2 - 24991022
VL - 23
SP - 1159
EP - 1163
JO - Cancer Epidemiology, Biomarkers & Prevention
JF - Cancer Epidemiology, Biomarkers & Prevention
SN - 1055-9965
IS - 7
ER -
ID: 135654128