The potential of breast cancer screening in Europe
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| Title: | The potential of breast cancer screening in Europe |
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| Authors: | Zielonke, Nadine, Kregting, Lindy M., Heijnsdijk, Eveline A. M., Veerus, Piret, Heinävaara, Sirpa, McKee, Martin, de Kok, Inge M. C. M., de Koning, Harry J., van Ravesteyn, Nicolien T. |
| Contributors: | EU-TOPIA collaborators, Bulliard, J.L. |
| Source: | Int J Cancer International journal of cancer, vol. 148, no. 2, pp. 406-418 International Journal of Cancer |
| Publisher Information: | Wiley, 2020. |
| Publication Year: | 2020 |
| Subject Terms: | EMC OR-01, Breast Neoplasms, Middle Aged, 3. Good health, Europe, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Humans, Female, Aged, Breast Neoplasms/diagnosis, Breast Neoplasms/mortality, Early Detection of Cancer/methods, Early Detection of Cancer/statistics & numerical data, Europe/epidemiology, breast cancer mortality, breast cancer mortality reduction, breast cancer screening, screening coverage, screening guidelines, Cancer Therapy and Prevention, Early Detection of Cancer |
| Description: | Currently, all European countries offer some form of breast cancer screening. Nevertheless, disparities exist in the status of implementation, attendance and the extent of opportunistic screening. As a result, breast cancer screening has not yet reached its full potential. We examined how many breast cancer deaths could be prevented if all European countries would biennially screen all women aged 50 to 69 for breast cancer. We calculated the number of breast cancer deaths already prevented due to screening as well as the number of breast cancer deaths which could be additionally prevented if the total examination coverage (organised plus opportunistic) would reach 100%. The calculations are based on total examination coverage in women aged 50 to 69, the annual number of breast cancer deaths for women aged 50 to 74 and the maximal possible mortality reduction from breast cancer, assuming similar effectiveness of organised and opportunistic screening. The total examination coverage ranged from 49% (East), 62% (West), 64% (North) to 69% (South). Yearly 21 680 breast cancer deaths have already been prevented due to mammography screening. If all countries would reach 100% examination coverage, 12 434 additional breast cancer deaths could be prevented annually, with the biggest potential in Eastern Europe. With maximum coverage, 23% of their breast cancer deaths could be additionally prevented, while in Western Europe it could be 21%, in Southern Europe 15% and in Northern Europe 9%. Our study illustrates that by further optimising screening coverage, the number of breast cancer deaths in Europe can be lowered substantially. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1097-0215 0020-7136 |
| DOI: | 10.1002/ijc.33204 |
| Access URL: | https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijc.33204 https://pubmed.ncbi.nlm.nih.gov/32683673 https://pure.eur.nl/en/publications/e4e4d9d1-4d09-47f9-91a6-a3d43e7c27c2 https://doi.org/10.1002/ijc.33204 https://www.narcis.nl/publication/RecordID/oai:repub.eur.nl:129306/Language/nl https://onlinelibrary.wiley.com/doi/10.1002/ijc.33204 https://pubmed.ncbi.nlm.nih.gov/32683673/ https://www.ncbi.nlm.nih.gov/pubmed/32683673 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754503 https://onlinelibrary.wiley.com/doi/pdf/10.1002/ijc.33204 http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_62CB131D93928 https://serval.unil.ch/notice/serval:BIB_62CB131D9392 https://serval.unil.ch/resource/serval:BIB_62CB131D9392.P001/REF.pdf |
| Rights: | CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....dee49a15b925b9619b53640bace2101c |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Currently, all European countries offer some form of breast cancer screening. Nevertheless, disparities exist in the status of implementation, attendance and the extent of opportunistic screening. As a result, breast cancer screening has not yet reached its full potential. We examined how many breast cancer deaths could be prevented if all European countries would biennially screen all women aged 50 to 69 for breast cancer. We calculated the number of breast cancer deaths already prevented due to screening as well as the number of breast cancer deaths which could be additionally prevented if the total examination coverage (organised plus opportunistic) would reach 100%. The calculations are based on total examination coverage in women aged 50 to 69, the annual number of breast cancer deaths for women aged 50 to 74 and the maximal possible mortality reduction from breast cancer, assuming similar effectiveness of organised and opportunistic screening. The total examination coverage ranged from 49% (East), 62% (West), 64% (North) to 69% (South). Yearly 21 680 breast cancer deaths have already been prevented due to mammography screening. If all countries would reach 100% examination coverage, 12 434 additional breast cancer deaths could be prevented annually, with the biggest potential in Eastern Europe. With maximum coverage, 23% of their breast cancer deaths could be additionally prevented, while in Western Europe it could be 21%, in Southern Europe 15% and in Northern Europe 9%. Our study illustrates that by further optimising screening coverage, the number of breast cancer deaths in Europe can be lowered substantially. |
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| ISSN: | 10970215 00207136 |
| DOI: | 10.1002/ijc.33204 |