ArticleBritish journal of cancer2017
Effect of population breast screening on breast cancer mortality up to 2005 in England and Wales: an individual-level cohort study.
Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Multidimensional impact of breast cancer screening: Results of the multicenter prospective optisoins01 study.PloS one · 2018Trial
- 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
- Economic evaluation of artificial intelligence for cancer detection in the UK breast screening programme.British journal of cancer · 2026Article
- Patient and Public Perceptions of Artificial Intelligence in Breast Imaging and Clinical Decision-Making: An Exploratory Cross-Sectional Survey Study.Diagnostics (Basel, Switzerland) · 2026Article
- Understanding barriers to breast screening: an online survey of non-attenders as part of a service evaluation in the breast screening programme in England.BMC public health · 2025Article
- Self-Selection Bias in Randomized and Observational Studies on Screening Mammography: A Quantitative Assessment.Clinical epidemiology · 2025Article
- Targeted Screening for Cancer: Learnings and Applicability to Melanoma: A Scoping Review.Journal of personalized medicine · 2024Article
- 25 year trends in cancer incidence and mortality among adults aged 35-69 years in the UK, 1993-2018: retrospective secondary analysis.BMJ (Clinical research ed.) · 2024Article
- Article
- Community and Policy Factors Influencing the Decision to Undergo Screening Mammography amongst Indian Women in the United Arab Emirates.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- A case-control study to evaluate the impact of the breast screening programme on breast cancer incidence in England.Cancer medicine · 2023Article
- Mammography adherence in relation to function-related indicators in older women.Preventive medicine · 2022Article
- Function-related Indicators and Outcomes of Screening Mammography in Older Women: Evidence from the Breast Cancer Surveillance Consortium Cohort.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- The potential of breast cancer screening in Europe.International journal of cancer · 2021Article
- Mammography screening reduces rates of advanced and fatal breast cancers: Results in 549,091 women.Cancer · 2020Article
- Negative controls to detect uncontrolled confounding in observational studies of mammographic screening comparing participants and non-participants.International journal of epidemiology · 2020Article
- Community health workers and early detection of breast cancer in low-income and middle-income countries: a systematic scoping review of the literature.BMJ global health · 2020Article
- Review
- A Validation of Methods for the Evaluation of Observational Studies of Screening Mammography: An Exploratory Analysis Based on Simulating Screening Cohorts.Clinical epidemiology · 2020Article
- Comment on '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
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPopulation breast screening has been implemented in the UK for over 25 years, but the size of benefit attributable to such programmes remains controversial. We have conducted the first individual-based cohort evaluation of population breast screening in the UK, to estimate the impact of the NHS breast screening programme (NHSBSP) on breast cancer mortality.
methodsWe followed 988 090 women aged 49-64 years in 1991 resident in England and Wales, who because of the staggered implementation of the NHSBSP, included both invited subjects and an uninvited control group. Individual-level breast screening histories were linked to individual-level mortality and breast cancer incidence data from national registers. Risk of death from breast cancer was investigated by incidence-based mortality analyses in relation to intention to screen and first round attendance. Overdiagnosis of breast cancer following a single screening round was also investigated.
resultsInvitation to NHSBSP screening was associated with a reduction in breast cancer mortality in 1991-2005 of 21% (RR=0.79, 95% CI: 0.73-0.84, P<0·001) after adjustment for age, socioeconomic status and lead-time. Breast cancer deaths among first invitation attenders were 46% lower than among non-attenders (RR=0.54, 95% CI: 0.51-0·57, P<0.001) and 32% lower following adjustment for age, socioeconomic status and self-selection bias (RR=0.68, 95% CI: 0.63-0·73, P<0.001). There was little evidence of overdiagnosis associated with invitation to first screen.
conclusionsThe results indicate a substantial, statistically significant reduction in breast cancer mortality between 1991 and 2005 associated with NHSBSP activity. This is important in public health terms.
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