Breast cancer screening: another point of view

Haba, Juan de la; Chamorro, Rafael Morales; Vidal, María José Méndez; Blanch, Raquel Serrano; Beltrán, L. Tudela; Benito, Marina Álvarez; Cabezas, S. García; Carrasco, Amparo; Aguilar, E. Aranda

doi:10.1097/00008469-200502000-00001

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…The results of this study showed that patients with screeningdetected tumours had less advanced breast carcinoma: AJCC stage 0/1, in-situ tumour and SBR grade 1. These results are in agreement with earlier findings (Taba'r et al, 1985;Burrell et al, 1996;Porter et al, 1999;Ernst et al, 2004;O'Regan, 2004;De la Haba Rodríguez et al, 2005;Dawson et al, 2009). Screening-detected tumours are more likely to be of low grade or in situ because mammography allows the detection of breast cancer in its preclinically detectable phase.…”

Section: Discussionsupporting

confidence: 93%

Population-based study of breast cancer screening in Côte d'Or (France)

Ouédraogo

Dabakuyo²,

Gentil³

et al. 2011

European Journal of Cancer Prevention

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Factors affecting the adequacy of breast cancer screening rounds and the clinical implications of screening have been investigated in women aged 50-74 years. Questionnaires were sent to all eligible patients and to the family doctor of those patients who had died or were lost to follow-up at the time of the study. Unlike the tumour characteristics the patients' personal and family characteristics were also collected before the diagnosis. The clinical features of screening-detected tumours and those discovered on clinical signs or on metastasis were compared. On the basis of the time between two mammographies, we created the following four groups according to the recommended screening round: adequate, long, short and patients with no earlier mammography. Univariate and multivariate generalized logit models were obtained to determine factors affecting the adequacy of breast cancer screening rounds. Five hundred and thirty-three patients were included. Two hundred and seventy-seven (52%) had inadequate breast cancer screening rounds (long, short or no earlier mammography). The American Joint Committee on Cancer stage was less advanced (0/1) in screening-detected tumours and among tumours of patients with an adequate screening round (P=0.014). Multivariate analyses showed that patients with an earlier organized screening mammography (P<0.0001) and those with gynaecological follow-up (P=0.03) were more likely to have an adequate rather than an inadequate breast cancer screening round. Screening leads to the detection of early-stage tumours when it is performed according to the recommendations. Organizing mammography rounds as recommended is essential to optimize the benefits of breast cancer screening.

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Section: Discussionsupporting

confidence: 93%

Population-based study of breast cancer screening in Côte d'Or (France)

Ouédraogo

Dabakuyo²,

Gentil³

et al. 2011

European Journal of Cancer Prevention

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Mammography use and factors associated with its use after the introduction of breast cancer screening programmes in Spain

Luengo-Matos

Polo-Santos

Saz‐Parkinson

2006

European Journal of Cancer Prevention

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The aim of this study was to measure the use of mammography and the factors associated with testing among Spanish women, after the introduction of screening programmes in Spain. We conducted a cross-sectional population survey of a representative sample of women aged 40-70 (2409 women). Data collection took place in October 2000, using a questionnaire addressing the dependent variable (mammography use) and the independent variables (socio-demographic and socio-health factors, and women's knowledge and attitudes). Mammography use was defined as having received at least one screening test in the previous 2 years. Data analysis consisted of univariate and multivariate analyses. 48.1% (95% confidence interval (CI) 46.0-50.2) of women had received screening mammography. The main factors associated with testing were: mammography invitation from the screening programme (odds ratio (OR) 4.81; 95% CI 3.85-6.01); gynaecologist visit (OR 4.32; 95% CI 3.45-5.41); and intention to have a mammogram (OR 2.94; 95% CI 2.00-4.32). Other test-related factors were: not rejecting test for discomfort or fear of cancer; mammography perceived as necessary; age 56-65; upper/upper-middle socio-economic status. In conclusion, after the introduction of screening programmes, almost half of Spanish women aged 40-70 had received mammography. Invitation to screening, gynaecologist visit and women's attitudes are the main reasons for undergoing testing. Women over 65 years of age and/or those in a lower socio-economic level warrant special attention.

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Breast cancer screening: another point of view

Cited by 2 publications

References 21 publications

Population-based study of breast cancer screening in Côte d'Or (France)

Population-based study of breast cancer screening in Côte d'Or (France)

Mammography use and factors associated with its use after the introduction of breast cancer screening programmes in Spain

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