ArticleBritish journal of cancer2008
A case-control study of the impact of the East Anglian breast screening programme on breast cancer mortality.
Article in British journal of cancer, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Long-term effectiveness and overdiagnosis in the NHS breast screening programme: a cohort study with up to 33 years of follow-up.British journal of cancer · 2026Article
- Self-Selection Bias in Randomized and Observational Studies on Screening Mammography: A Quantitative Assessment.Clinical epidemiology · 2025Article
- 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
- Impact of organised mammography screening on breast cancer mortality in a case-control and cohort study.British journal of cancer · 2016Article
- Profile of Breast Diseases in Post Pubertal Women Assessed By Clinical Breast Examination - A Community Based Study in Rural Pondicherry.Journal of clinical and diagnostic research : JCDR · 2016Article
- Mammography screening in three Finnish residential areas: comprehensive population-based study of breast cancer incidence and incidence-based mortality 1976-2009.British journal of cancer · 2015Article
- Breast cancer mortality in relation to receipt of screening mammography: a case-control study in Saskatchewan, Canada.Cancer causes & control : CCC · 2015Article
- Breast cancer in European Union: an update of screening programmes as of March 2014 (review).International journal of oncology · 2014Article
- Article
- The benefits and harms of breast cancer screening: an independent review.British journal of cancer · 2013Review
- Breast cancer screening: are we seeing the benefit?BMC medicine · 2012Article
- Mammography: EUSOBI recommendations for women's information.Insights into imaging · 2012Article
- Residual confounding after adjustment for age: a minor issue in breast cancer screening effectiveness.European journal of epidemiology · 2011Article
- Population-based mammography screening below age 50: balancing radiation-induced vs prevented breast cancer deaths.British journal of cancer · 2011Article
- Increasingly strong reduction in breast cancer mortality due to screening.British journal of cancer · 2011Article
- Interpreting overdiagnosis estimates in population-based mammography screening.Epidemiologic reviews · 2011Review
- The role of effective communication to enhance participation in screening mammography: a New Zealand case.International journal of environmental research and public health · 2009Article
- Effectiveness of service screening: a case-control study to assess breast cancer mortality reduction.British journal of cancer · 2008Article
- Advantages and Disadvantages of Mammography Screening.Breast care (Basel, Switzerland)Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although breast cancer screening has been shown to work in randomised trials, there is a need to evaluate service screening programmes to ensure that they are delivering the benefit indicated by the trials. We carried out a case-control study to investigate the effect of mammography service screening, in the NHS breast screening programme, on breast cancer mortality in the East Anglian region of the UK. Cases were deaths from breast cancer in women diagnosed between the ages of 50 and 70 years, following the instigation of the East Anglia Breast Screening Programme in 1989. The controls were women (two per case) who had not died of breast cancer, from the same area, matched by date of birth to the cases. Each control was known to be alive at the time of death of her matched case. All women were known to the breast screening programme and were invited, at least once, to be screened. There were 284 cases and 568 controls. The odds ratio (OR) for risk of death from breast cancer in women who attended at least one routine screen compared to those who did not attend was 0.35 (CI: 0.24, 0.50). Adjusting for self-selection bias gave an estimate of the breast cancer mortality reduction associated with invitation to screening of 35% (OR=0.65, 95% CI: 0.48, 0.88). The effect of actually being screened was a 48% breast cancer mortality reduction (OR=0.52, 95% CI: 0.32, 0.84). The results suggest that the National Breast Screening Programme in East Anglia is achieving a reduction in breast cancer deaths, which is at least consistent with the results from the randomised controlled trials of mammographic screening.
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