ArticleBMJ (Clinical research ed.)2000
Effect of NHS breast screening programme on mortality from breast cancer in England and Wales, 1990-8: comparison of observed with predicted mortality.
Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.
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Who cites it
72 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for relieving the pain and discomfort of screening mammography.The Cochrane database of systematic reviews · 2008Pooled it
- Development and quality appraisal of a new English breast screening linked data set as part of the age, test threshold, and frequency of mammography screening (ATHENA-M) study.The British journal of radiology · 2024Article
- The impact of cardiovascular disease on all-cause and cancer mortality: results from a 16-year follow-up of a German breast cancer case-control study.Breast cancer research : BCR · 2023Article
- BI-RADS-Based Classification of Mammographic Soft Tissue Opacities Using a Deep Convolutional Neural Network.Diagnostics (Basel, Switzerland) · 2022Article
- Article
- 3D printed PLA/copper bowtie antenna for biomedical imaging applications.Physical and engineering sciences in medicine · 2020Article
- Breast Cancer Screening Program in Lithuania: Trends in Breast Cancer Mortality Before and During the Introduction of the Mammography Screening Program.Acta medica Lituanic · 2020Article
- Change of paradigm in treating elderly with breast cancer: are we undertreating elderly patients?Irish journal of medical science · 2019Review
- Prospective validation of the NCI Breast Cancer Risk Assessment Tool (Gail Model) on 40,000 Australian women.Breast cancer research : BCR · 2018Article
- Health economic evaluation of a serum-based blood test for brain tumour diagnosis: exploration of two clinical scenarios.BMJ open · 2018Article
- Preliminary Results of a New Auxiliary Mechatronic Near-Field Radar System to 3D Mammography for Early Detection of Breast Cancer.Sensors (Basel, Switzerland) · 2018Article
- Mammography service screening and breast cancer mortality in New Zealand: a National Cohort Study 1999-2011.British journal of cancer · 2017Article
- Effect of population breast screening on breast cancer mortality up to 2005 in England and Wales: an individual-level cohort study.British journal of cancer · 2017Article
- Breast Cancer Knowledge and Breast Self-Examination Practices Among Female University Students in Kampala, Uganda: A Descriptive Study.Oman medical journal · 2016Article
- Persistence of self-injurious behaviour in autism spectrum disorder over 3 years: a prospective cohort study of risk markers.Journal of neurodevelopmental disorders · 2016Article
- Predictive Factors for Positive Margin and the Surgical Learning Curve in Non-Palpable Breast Cancer After Wire-Guided Localization - Prospective Study of 214 Consecutive Patients.Pathology oncology research : POR · 2016Article
- Challenges to the early diagnosis and treatment of breast cancer in developing countries.World journal of clinical oncology · 2014Review
- Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal.World journal of clinical oncology · 2014Review
- Estimating breast cancer mortality reduction and overdiagnosis due to screening for different strategies in the United Kingdom.British journal of cancer · 2014Article
- The prevalence and factors for cancer screening behavior among people with severe mental illness in Hong Kong.PloS one · 2014Article
12 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of the NHS breast screening programme on mortality from breast cancer in women aged 55-69 years over the period 1990-8.
designAge cohort model with data for 1971-89 used to predict mortality for 1990-8 with assumption of no major effect from screening or improvements in treatment until after 1989. Effect of screening and other factors on mortality estimated by comparing three year moving averages of observed mortality with those predicted (by five year age groups from 50-54 to 75-79), the effect of screening being restricted to certain age groups.
settingEngland and Wales. SUBJECTS: Women aged 40 to 79 years.
resultsCompared with predicted mortality in the absence of screening or other effects the total reduction in mortality from breast cancer in 1998 in women aged 55-69 was estimated as 21.3%. Direct effect of screening was estimated as 6.4% (range of estimates from 5.4-11.8%). Effect of all other factors (improved treatment with tamoxifen and chemotherapy, and earlier presentation outside the screening programme) was estimated as 14.9% (range 12.2-14.9%).
conclusionsBy 1998 both screening and other factors, including improvements in treatment, had resulted in substantial reductions in mortality from breast cancer. Many deaths in the 1990s will be of women diagnosed in the 1980s and early 1990s, before invitation to screening. Further major effects from screening and treatment are expected, which together with cohort effects should result in further substantial reductions in mortality from breast cancer, particularly for women aged 55-69, over the next 10 years.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.