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Diverging trends in breast cancer mortality within Switzerland
J-L Bulliard1, C La Vecchia, F Levi
1Unité d'Epidémiologie du Cancer, Institut Universitaire de Médecine Sociale et Préventive, Lausanne, Switzerland. Jean-Luc.Bulliard@chuv.ch
Background:
Substantial regional heterogeneity in the provision of cancer prevention and management services results from the decentralised Swiss healthcare system.
Materials And Methods:
Breast cancer mortality trends between 1980 and 2002 were compared in two French- and in two German-speaking female populations of Switzerland, aged 55-74 years, characterised by different access to, and use of, mammography screening.
Results:
Since the early 1990s, a 30% fall was observed in the French-speaking regions of Vaud and Geneva, where mammography screening is widespread, with no decline in the German-speaking areas of Basel and Zurich.
Conclusion:
Modification in breast cancer diagnosis and management in selected regions of Switzerland is urgently needed.
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