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Brustkrebs - Screening: Studien

allgemeines

Vor Einführung von Screeningprogrammen wurden große Studien durchgeführt.

SCRY

Mammography Screening of Young Women

Die Brustkrebs-Sterblichkeit von Frauen 40-49 Jahre kann durch Mammographie-Screening gesenkt werden.

Studien - Übersicht

Studie Patienten Alter Follow-up Relatives Mortalitätsrisiko
New York, HIP 1963 60.000 40-64 18 0,77(0,61-0,97)
BCDDP        
Frischbier-Studie, Hamburg        
Swedish Two- County Trial 1977 130.000 40-74 11 0,69 (0,58-0,80)
Canada (CNBSS) 1980 50.000 40-49 11-16 1,06 (0,80-1,40)
40.000 50-59 7 0.97 (0,62-1,52)
Malmö 1976 40.000 45-69 9 0,96 (0,68-1,35)
Stockholm 1981 60.000 40-64 7,4 0,71 (0,4-1,2)
Gothenburg 1982 50.000 39-59 12-14 0,79 (0,58-1,08)
Edinburgh 1978 45.000 45-64 7 0,83 (0,58-1,18)
UK Age Trial 1991 160.000 39-48 10 0,83 (0,66-1,04)
DMS        

Senkung der Brustkrebs-Mortalität (23)

Studie Alter bei
Studienbeginn
Regim Intervall /
Monate
Runden Follow-up/Jahre RR CI 95%
HIP (1963-69) 50-59 2v, CBE 12 4 6
10
18
0,46
0,69
0,77
(0.25-0.84)
(0.46-1.02)
 (0.55-1.08)
Malmö (1976-86) 55-69 1 or 2v 18-24 5 8.8
12
0.79
0,82
(0.51-1.24)
 (0.57-1.19)
Two-county (1977-85) 50-74 1v 33 4 6
8
11
0.61
0,60
0,63
(0.44-0.84)
(0.40-0.90)
(0.45-0.88)
Edinburgh (1979-88) 50-64 1 or 2v 24 4 10 0.80
0,85
(0.54-1.17)
(0.62-1.15)
Stockholm (1981-85) 50-64 1v 28 2 7.4
11
0.57
0,62
(0.30-1.10)
(0.38-1.00)

Mortalität bei Frauen von 40-49 Jahren (23)

Studie Regim Intervall /
Monate
Runden Follow-up/Jahre Eingeladen Kontrollen RR CI 95%
HIP (1963-69) 2v, CBE 12 4 18 14432 14701 0.77 (0.53-1.11)
Malmö (1976-86) 1 or 2v 18-24 5 12 3658 3679 0.51 (0.22-1.17)
Kopparberg (1977-85) 1v 24 4 13 9582 5031 0.73 (0.37-1.41)
Östergötland (1977-85) 1v 24 4 13 10262 10573 1.02 (0.52-1.99)
Edinburgh (1979-88) 1 or 2v 24 4 10 5913 5810 0.78 (0.46-1.31)
Stockholm (1981-85) 1v 28 2 7.4
11
14 375 7103 1.09
1,08
(0.40-3.00)
(0.54-2.17)
Gothenburg (1982-88) 2v 18 4 7 10600 12800 0.73 (0.27-1.92)

BCDDP Breast Cancer Detection Demonstration Project
DMS Deutsche Mammographie-Studie
Quellen

1.) Hellquist BN, et al.:
Effectiveness of population-based service screening with mammography for women ages 40 to 49 years: evaluation of the Swedish Mammography Screening in Young Women (SCRY) cohort.
Cancer 117(2011):714-22

2.) Andersson I, Janzon L:
Reduced breast cancer mor-tality in women under age 50: updated results from the Malmo Mammographie Screening Program.
J Natl Cancer Inst Monogr 22(1997):63-7

3.) Bennett RL, Blanks RG, Patnick J, et al.:
Results from the UK NHS breast Screening programme 2000-05.
J Med Screen 14(2007):200-4

4.) Bjurstam N, Bjorneld L, Warwick J, et al.:
The Gothenburg breast Screening trial.
Cancer 97(2003): 2387-96

5.) Blanks RG, Moss SM, McGahan CE, et al.:
Effect of NHS breast Screening programme on mortality from breast cancer in England and Wales, 1990.-8: comparison of observed with predicted mortality.
BMJ 321(2000):665-9

6.) Blanks RG, Moss SM, Patnick J:
Results from the UK NHS breast Screening programme 1994-1999.
J Med Screen 195(2000):195-8

7.) Coldman A, Phillips N, Warren L, et al.:
Breast Cancer mortality after Screening mammography in British Columbia women.
Int J Cancer 120(2007): 1076-80

8.) Tabar L, Fagerberg CJ, Gad A, et al.:
Reduction in mortality from breast cancer after mass Screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare.
Lancet (1985):829-32

9.) Miller AB, To T, Baines CJ, Wall C:
The Canadian National Breast Screening Study-1: breast cancer mortality after 11 to 16 years of follow-up. A randomized screening trial of mammography in women age 40 to 49 years.
Ann Intern Med 2002; 137:305-312

10.) Miller AB, Baines CJ, To T, Wall C:
The Canadian National Breast Screening Study: 2. Breast cancer detection and death rates among women aged 50 to 59 years.
CMAJ 1992;147:1477-1488

11.) Shapiro 5:
Periodic screening for breast cancer: the HIP randomized controlled trial.
Health Insurance Plan.
J Natl Cancer Inst Monogr 1997:27-30

12.) Andersson I, Aspegren K, Janzon L et al.:
Mammographic screening and mortality from breast cancer: the Malmo mammographic screening trial.
BMJ 1988; 297:943-948

13.) Duffy SW, Tabar L, Vitak B, et al.:
The Swedish Two-County Trial of mammographic screening: cluster randomisation and end point evaluation.
Ann Oncol 2003; 14:1196-1198

14.) Frisell J, Eklund G, Hellstrom L, et al.:
Randomized study of mammography screening - preliminary report on mortality in the Stockholm trial.
Breast Cancer Res Treat 1991; 18:49-56

15.) Roberts MM, Alexander FE, Anderson TJ, et al.:
Edinburgh trial of screening for breast cancer: mortality at seven years.
Lancet 1990; 335:241246

16.) Moss SM, Cuckle H, Evans A, et al.:
Trial Management G: effect of mammographic screening from age 40 years on breast cancer mortality at 10 years' follow-up: a randomised controlled trial.
Lancet 2006; 368:2053-2060

17.) Nelson HD, Tyne K, Naik A, et al.:
Force USPST. Screening for breast cancer: an update for the U.S. Preventive Services Task Force.
Ann Intern Med 2009;151:727-737

18.) Brown ML:
Economic considerations in breast cancer screening of older women.
J Gerontol 1992; 47: 51-58

19.)Dixon JM, John TG:
Morbidity after breast biopsy for benign disease in a screened population.
Lancet 1992; 339: 128

20.) Feig SA:
Mammographic screening of women aged 40-49 years. Benefit, risk, and cost considerations.
Cancer [Suppl] 1995; 76: 2097-2106

21.) Gram IT, Lund E, Slenker SE:
Quality of life following a false positive mammogram.
Br J Cancer 1990; 62: 1018-1022

22.) Gram I, Slenker S:
Cancer anxiety an attitudes toward mammography among screening attenders, nonattenders, an women never invited.
Am J Public Health 1992; 82: 249-251

23.) Lidbrink E:
Mammographic screening for breast cancer.
Karolinska Institute Stockholm 1995, Schweden

24.) de Koning H:
The effects and cost of breast cancer screening.
Thesis 1993, Erasmus University Rotterdam

25.) Tabar L, Fagerberg G, Chen H-H, et al.:
Efficacy of breast cancer screening by age. New results from the Swedish two-county trial.
Cancer 1995; 75: 2507-2517

26.) van Der Maas PJ, de Koning HJ, van Ineveld M, et al.:
The cost-effectivness of breast cancer screening.
Int J Cancer 1989; 43: 1055-1060

Teil von

Mamma - Karzinom: Studien Mamma - Karzinom: StudienMamma - Karzinom Gynäkologische Onkologie

Impressum                          Zuletzt geändert am 13.05.2021 18:43