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[Initial results with breast screening in the Enschede area. I. Effectiveness]
A G Boekema1, G Dornseiffen, H J Mulder
1Integraal Kankercentrum Stedendriehoek Twente, Enschede.
Nederlands Tijdschrift Voor Geneeskunde
|September 5, 1992
Summary
Breast cancer screening in Enschede showed high attendance and detection rates, indicating future efficacy. Further research is needed to confirm long-term health benefits and quality of life impacts.
Area of Science:
- Oncology
- Public Health
- Radiology
Context:
- Evaluating the effectiveness of breast cancer screening programs.
- Assessing long-term health benefits and efficacy indicators.
- Comparing regional screening data with national benchmarks.
Purpose:
- To evaluate the effects of breast cancer screening in Enschede after one year.
- To assess seven key parameters indicating long-term health benefits.
- To compare these results with national cost-effectiveness data.
Summary:
- Enschede's screening program exceeded national rates in attendance (79%), predictive value (57%), and detection (0.74%).
- A significant shift towards earlier-stage tumors (p < 0.001) and increased surgical options (p < 0.01) were observed.
- Screening demonstrated efficacy, with earlier detection and less invasive surgeries, though long-term benefits require further study.
Impact:
- Indicates potential for improved breast cancer outcomes through early detection.
- Highlights the importance of high predictive value and detection rates for screening efficacy.
- Suggests screening contributes to reduced tumor size and less extensive surgical interventions.