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Evaluation of the Regular Practice of Breast Cancer Screening in a Health Area

Published online by Cambridge University Press:  10 March 2009

Xavier Bonfill Cosp
Affiliation:
Consorci Hospitalari del Pare Tauli
Mercé Marzo Castillejo
Affiliation:
Institut Català de la Salut
Melcior Sentís Crivillé
Affiliation:
Consorci Hospitalari del Pare Tauli
Ramon Rossell Mir
Affiliation:
Institut Català de la Salut
Xavier Gallardo Cistaré
Affiliation:
Consorci Hospitalari del Pare Taulí
Ramon Florensa Masip
Affiliation:
Consorci Hospitalari del Pare Taulí
Elena Rivero Ferrer
Affiliation:
Consorci Hospitalari del Pare Taulí
Coloma Moreno Quiroga
Affiliation:
Consorci Hospitalari del Pare Taulí

Abstract

Breast cancer screening has proved to be efficacious only in clinical trials or structured programs. However, little is known of its effectiveness as a regular practice. This study is an assessment of breast cancer screening in regular practice in a Spanish area of 350,000 inhabitants through analysis of existing sources of information. It is evident that this screening is insufficient, inefficient, very variable, nonspecific, and probably ineffective, although there is insufficient information to prove it. The immediate implementation of a well structured and accredited screening program is essential to overcome the current limitations.

Type
Research Notes
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

1.Ajuntament de l'Hospitalet de Llobregat. Realització de proves preventives del càncer ginecològic. L'Hospitalet de Llobregat, Barcelona: Ajuntament de l'Hospitalet de Llobregat, 1992.Google Scholar
2.Alves, J. V., Cruz, D. B., Rodrigues, V. L., et al. Breast cancer screening in the central region of Portugal. European Journal of Cancer Prevention, 1994, 3, 4953.Google Scholar
3.Ascunze, N., del Moral, A., Murillo, A., et al. Early detection programme for breast cancer in Navarra, Spain. European Journal of Cancer Prevention, 1994, 3, 4148.CrossRefGoogle Scholar
4.Bird, R. D., & McLelland, R.How to initiate and operate a low cost screening mammography centre. Radiology, 1986, 161, 4347.Google Scholar
5.Bonfill, X.Anàlisi d'alguns aspectes rellevants del control del càncer al Vallés Occidental Doctoral dissertation. Bellaterra, Barcelona: Universitat Autònoma de Barcelona, 1992.Google Scholar
6.Bonfill, X.Como debiera ser el hospital ideal. Medicina Clinica (Barcelona), 1993, 100(suppl. 1), 911.Google Scholar
7.Bonfill, X.Informatión clínica y gestión. Medicina Clinica (Barcelona), 1995, 104, 224–27.Google Scholar
8.Bonfill, X., Marzo, M. M., Medina, C., et al. Sobre la efectividad del cribaje del càncer de mama en nuestro entorno. Gaceta Sanitaria, 1992, 30, 128–42.CrossRefGoogle Scholar
9.Brenner, R. J.Screening mammography. Cancer, 1990. 66(suppl.), 1348–50.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
10.Brisson, J., Morrison, A. S., & Khalid, N.Mammographic parenchymal features and breast cancer in the Breast Cancer Detection Demonstration Project. Journal of the National Cancer Institute, 1988, 80, 1534–40.Google Scholar
11.Brook, R. H.Health services research: Is it good for you and me? Academic Medicine, 1989, 64, 124–30.Google Scholar
12.Burack, R. C., Gimotty, P. A., Stengle, W., et al. Patterns of use of mammography among inner-city Detroit women: Contrasts between a health department HMO, and private hospital. Medical Care, 1993, 31, 322–44.CrossRefGoogle ScholarPubMed
13.Codd, M. B., Laird, O. M., Dowling, M., et al. Breast cancer screening in Ireland. European Journal of Cancer Prevention, 1994, 3, 2128.CrossRefGoogle ScholarPubMed
14.Chu, K. C., Smart, C. R., & Tarone, R. E.Analysis of breast cancer mortality and stage distribution by age for the Health Insurance Plan clinical trial. Journal of the National Cancer Institute, 1988, 80, 1125–32.CrossRefGoogle ScholarPubMed
15.Coleman, M. P., Esteve, J., Damiecki, P., et al. Trends in cancer incidence and mortality: World Health Organization. Lyon: International Agency for Research on Cancer, 1993.Google Scholar
16.Comisión Europea. Encuesta ‘Los Europesy la prevención del cáncer’. Bruselas: Comisión Europea, 1987.Google Scholar
17.Departament de Sanitat i Seguretat Social, Generalitat de Catalunya. Document Marc per a I'elaboracio del Pla de Salut de Catalunya. Barcelona: Generalitat de Catalunya, Departament de Sanitat i Seguretat Social, 1991.Google Scholar
18.Department of Health and Social Security, United Kingdom. Breast cancer screening (Forrest report). London: HMSO, 1986.Google Scholar
19.Dixon, A. S.The evolution of clinical policies. Medical Care, 1990, 28, 201–20.Google Scholar
20.Fletcher, S. W., Black, W., Harris, R., et al. Report of the international workshop on screening for breast cancer. Journal of the National Cancer Institute, 1993, 85, 1644–56.CrossRefGoogle ScholarPubMed
21.Fletcher, S. W., et al. Increasing mammography utilization: A controlled study. Journal of the National Cancer Institute, 1993, 85, 112–20.CrossRefGoogle ScholarPubMed
22.Flig, S. A.Decreased breast cancer mortality through mammographic screening: Results of clinical trials. Radiology, 1988, 167, 659–64.Google Scholar
23.Forrest, A. P. M.Screening for breast cancer: The U. K. scene. British Journal of Radiology, 1989, 62, 695704.Google Scholar
24.Garas, I., Pateras, H., Triandafilou, D., et al. Breast cancer screening in southern Greece. European Journal of Cancer Prevention, 1994, 3, 3539.Google Scholar
25.Giorgi, D., Ambrogetti, D., Bianchi, S., et al. Design and preliminary results of the Florence Breast Cancer Screening Programme (Progetto Firenze Donna). European Journal of Cancer Prevention, 1994, 3, 2934.Google Scholar
26.Harris, R. P., Fletcher, S. W., Gonzalez, J. J., et al. Mammography and age: Are we targeting the wrong women? A community survey of women and physicians. Cancer, 1992, 67, 2100–14.Google Scholar
27.Hopkins, A.Measuring the quality of medical care. London: Royal College of Physicians of London, 1990.Google Scholar
28.Institut Català de la Salut. Encuesta de salud del Area Sanitaria ‘Costa de Ponent’. Area Sanitaria 5, Costa de Ponent. L'Hospitalet de Llobregat, Barcelona: Institut Català de la Salut, 1991.Google Scholar
29.Kelsey, J. L., Gammon, M. D., & John, E. M.Reproductive factors and breast cancer. Epidemiologic Reviews, 1993, 15, 3647.Google Scholar
30.Kelsey, J. L., & Horn-Ross, P. L.Breast cancer: Magnitude of the problem and descriptive epidemiology. Epidemiologic Reviews, 1993, 15, 715.Google Scholar
31.Koroltchouk, V., Stanley, K., & Stjernsward, J.The control of breast cancer: A World Health Organization perspective. Cancer, 1990, 65, 2803–10.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
32.Love, R. R., & Davis, J. E.Screening mammography in clinical practice: A complex activity. Archives of Internal Medicine, 1992, 151, 1921.CrossRefGoogle Scholar
33.Parkin, D. M., & Day, N. E. Evaluating and planning screening programmes. In Wagner, G. & Muir, C. S. (eds.), Theroleof the registry in cancer control. Lyon: International Agency for Research on Cancer, 1985, 45–36.Google Scholar
34. Programa de prevención del cáncer de mama en Navarra. Boletín Informativo ‘Europa Contra el Cáncer’, No 5. Comisió de la Comunidad Europea, 1991.Google Scholar
35.Renaud, R., Gairard, B., Schaffer, P., et al. Europe against Cancer Breast Screening Programme in France: The ADEMAS programme in Bas-Rhin. European Journal of Cancer Prevention, 1994, 3, 1329.Google Scholar
36.Shapiro, S.The status of breast cancer screening: A quarter of a century of research. World Journal of Surgery, 1989, 13, 918.Google Scholar
37.Shapiro, S., Venet, W., Strax, P., & Venet, L.Periodic screening for breast cancer: The Health Insurance Plan Project and its sequelae, 1963–1986. Baltimore: The Johns Hopkin University Press, 1988.Google Scholar
38.Stjernsward, J., Eddy, D., & Sobin, L.National cancer control programs and setting priorities. Cancer Detection and Prevention, 1986, 9, 113–24.Google Scholar
39.Tabar, L., Fagerberg, G., Duffy, S. W., et al. Update of the Swedish two-county program of mammographic screening for breast cancer. In Basset, L. W. (ed.), Breast imaging: Current status and future directions. Radiologic clinics of North America, vol. 30. Philadelphia: W. B. Saunders Company, 1992, 187210.Google Scholar
40.U.K. Trial of Early Detection of Breast Cancer Group. First results on mortality reduction in the U.K. trial of early detection of breast cancer. Lancet, 1988, 2, 411–16.Google Scholar
41.Van-Oyen, H., & Verellen, W.Breast cancer screening in the Flemish region, Belgium. European Journal of Cancer Prevention, 1994, 3, 712.Google Scholar
42.World Health Organization, Regional Office for Europe. Second WHO workshop on national control policy development: Report on WHO Meeting. Vienna, 06 6–8, 1990.Google Scholar