The other side of technology: risk of overdiagnosis of breast cancer with mammography screening

被引：3
|
作者：
Puliti, Donella [1 ]
Paci, Eugenio [1 ]
机构：
[1] ISPO Canc Prevent & Res Inst, Clin & Descript Epidemiol Unit, I-50135 Florence, Italy
来源：
FUTURE ONCOLOGY | 2009年 / 5卷 / 04期
关键词：
breast cancer; cumulative-incidence method; overdiagnosis; overtreatment; service screening; CARCINOMA IN-SITU; IMPROVED SURVIVAL; PROSTATE-CANCER; MORTALITY; PROGRAM; TRIALS; OVERTREATMENT; REDUCTION; TIME; OVERDETECTION;
D O I：
10.2217/FON.09.25
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Estimates of overdiagnosis of breast cancer with mammography screening differ between studies. The estimate of overdiagnosis obtained using the cumulative incidence approach with data from randomized clinical trials ranges from 10 to 14%. In observational studies, where statistical adjustment for lead-time was utilized, the estimate was lower than 5% in two Italian studies, while it was quite higher in a Swedish study. Most of the differences are explained by different methodology, study design and measures. In this review we discuss the concept and the definition of the measure of overdiagnosis, and present different study methods to estimate overdiagnosis of breast cancer with mammography screening.
引用
收藏
页码：481 / 491
页数：11
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