OBJECTIVE To compare breast cancer incidence and mortality up to 25 years in women aged 40-59 who did or did not undergo mammography screening. DESIGN Follow-up of randomised screening trial by centre coordinators, the study's central office, and linkage to cancer registries and vital statistics databases. SETTING 15 screening centres in six Canadian provinces,1980-85 (Nova Scotia, Quebec, ...

Breast magnetic resonance imaging (MRI) has been proposed as an additional screening test for young women at high risk of breast cancer in whom mammography alone has poor sensitivity. We conducted a systematic review to assess the effectiveness of adding MRI to mammography with or without breast ultrasound and clinical breast examination (CBE) in screening this population. We found consistent e...

Objective—This study assessed accuracy of women’s opinions about reduction in mortality from breast cancer attributable to mammography screening. Design—Cross sectional survey. Setting—General population of Geneva, Switzerland. Participants—895 randomly selected women aged 40 to 80 years, free of breast cancer. Results—Women estimated the proportion of deaths from breast cancer that regular mam...

BACKGROUND Physician recommendation is one of the strongest predictors of mammography use. This study was designed to review research articles assessing the effectiveness of interventions to enhance physician breast cancer screening behavior. METHODS A MEDLINE search was conducted to identify intervention studies published from January 1980 to April 1993. The search was supplemented by review...

BACKGROUND Perhaps the most persuasive messages promoting screening mammography come from women who argue that the test "saved my life." Because other possibilities exist, we sought to determine how often lives were actually saved by mammography screening. METHODS We created a simple method to estimate the probability that a woman with screen-detected breast cancer has had her life saved beca...

BACKGROUND Many guidelines recommend screening mammography every 1-2 years for women older than 40 years; more than 70% of women now participate in routine screening. No studies have examined the societal impact of screening practices over the past decade in the United States on costs and quality-adjusted life-years (QALYs). We performed a retrospective cost-effectiveness analysis comparing act...

PURPOSE/OBJECTIVES To test the effectiveness of a community-based intervention to increase mammography screening for Korean American women. DESIGN Quasi-experimental, pre-/post-test, three-group design. SETTING Urban Korean American communities in Southern California. SAMPLE 141 Korean American women, aged 40-75, who had not had a mammogram in the previous 12 months. METHOD Two Korean c...

The Breast Health Global Initiative (BHGI) applied an evidence-based consensus review process to develop guidelines for breast cancer early detection, diagnosis, and treatment in low- and middle-income countries (LMCs) including those in Latin America. Breast cancer outcomes correlate with the degree to which 1) cancers are detected early, 2) cancers can be diagnosed correctly, and 3) proper mu...

PURPOSE Debate on adjunct screening in women with dense breasts has followed legislation requiring that women be informed about their mammographic density and related adjunct imaging. Ultrasound or tomosynthesis can detect breast cancer (BC) in mammography-negative dense breasts, but these modalities have not been directly compared in prospective trials. We conducted a trial of adjunct screenin...

The authors report on the feasibility of delivering a church-based breast cancer screening intervention tailored on the cultural strengths of rural-dwelling Hawaiians. Native Hawaiian women are burdened by disproportionately high mortality from breast cancer, which is attributed to low participation in routine mammography. Mammography is proven to be an effective means for detecting disease at ...