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[Mammography screening in Rogaland--the first round].

B F Iversen1, L Eriksen

  • 1Radiologisk avdeling, Sentralsjukehuset i Rogaland 4001 Stavanger. barivers@online.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 24, 2001
PubMed
Summary

Mammography screening in Rogaland, Norway, achieved high attendance and cancer detection rates. Early results suggest a 30% breast cancer mortality reduction is attainable, meeting quality targets.

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Area of Science:

  • Oncology
  • Public Health
  • Radiology

Background:

  • Mammography screening is a validated method for early breast cancer detection.
  • Norway initiated a mammography screening trial in 1994 across four counties.
  • The trial aimed to inform the decision for a national breast screening program.

Purpose of the Study:

  • To evaluate the quality and effectiveness of mammography screening in Rogaland county.
  • To identify practical and administrative approaches for screening.
  • To assess the potential for a 30% reduction in breast cancer mortality.

Main Methods:

  • A trial was conducted in Rogaland, Norway, from November 1995 to December 1997.
  • 31,069 women aged 50-69 years were invited to participate in the first screening round.

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  • Data collected included attendance rates, referral reasons, cancer detection rates, tumor characteristics, and axillary metastasis.

    • Main Results:

    • Attendance rate was 88.6%, with 6.7% referred for further examination.
    • The cancer detection rate was 8.4 per 1,000 women (6.1 invasive, 2.3 in situ).
    • 70% of detected tumors were ≤15 mm, and 82.1% showed no axillary metastases.

    Conclusions:

    • Diagnostic results from Rogaland's first mammography screening round met quality targets.
    • Detection rates surpassed those in the other three trial counties.
    • A 30% reduction in breast cancer mortality is considered attainable based on these findings.