The number of women who would need to be screened regularly by mammography to prevent one death from breast cancer

被引:26
作者
Beral, Valerie [1 ]
Alexander, Maggie [2 ]
Duffy, Stephen [3 ]
Ellis, Ian O. [4 ]
Given-Wilson, Rosalind [5 ]
Holmberg, Lars
Moss, Sue M. [3 ]
Ramirez, Amanda [6 ,7 ]
Reed, Malcolm W. R. [8 ]
Rubin, Caroline [9 ]
Whelehan, Patsy [10 ]
Wilson, Robin [11 ]
Young, Kenneth C. [12 ]
机构
[1] Univ Oxford, Canc Epidemiol Unit, Oxford OX3 7LF, England
[2] Breakthough Breast Canc, London, England
[3] Queen Mary Univ London, Wolfson Inst Prevent Med, Ctr Canc Prevent, London EC1M 6BQ, England
[4] Univ Nottingham Hosp, Dept Histopathol, Nottingham NG5 1PB, England
[5] St Georges Healthcare NHS Trust, London, England
[6] Kings Coll London, Promoting Early Presentat Grp, London WC2R 2LS, England
[7] Kings Coll London, Inst Psychiat, London WC2R 2LS, England
[8] Univ Sheffield, Sch Med, Sheffield S10 2RX, S Yorkshire, England
[9] Univ Hosp Southhampton NHS Fdn Trust, Southampton SO16 6YD, Hants, England
[10] Univ Dundee, Ninewells Hosp & Med Sch, Dundee DD1 9SY, Scotland
[11] Royal Marsden NHS Fdn Trust, London, England
[12] Royal Surrey Cty Hosp, Natl Coordinating Ctr Phys Mammog, Guildford GU2 7XX, Surrey, England
关键词
D O I
10.1258/jms.2011.011134
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The number of women who would need to be screened regularly by mammography to prevent one death from breast cancer depends strongly on several factors, including the age at which regular screening starts, the period over which it continues, and the duration of follow-up after screening. Furthermore, more women would need to be INVITED for screening than would need to be SCREENED to prevent one death, since not all women invited attend for screening or are screened regularly. Failure to consider these important factors accounts for many of the major discrepancies between different published estimates. The randomised evidence indicates that, in high income countries, around one breast cancer death would be prevented in the long term for every 400 women aged 50-70 years regularly screened over a ten-year period.
引用
收藏
页码:210 / 212
页数:3
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