| Titre : | Will screening mammography in the East do more harm than good ? (2002) |
| Auteurs : | Gabriel-M LEUNG ; Anthony-J HEDLEY ; Tai-Hing LAM ; Thuan-Q THACH ; Department of Community Medicine. University of Hong Kong Medical Centre. HKG |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 92, n° 11, 2002) |
| Pagination : | 1841-1846 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Sein ; Homme ; Femme ; Ethnie ; Epidémiologie ; Etats Unis ; Amérique ; Dépistage ; Mammographie ; Mortalité ; Glande mammaire [pathologie] ; Radiodiagnostic ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS UBR0xpTD. Diffusion soumise à autorisation]. Objectives. We sought to systematically review the evidence for population-based mammography as applied to a Chinese population. Methods. Primary reports for meta-analysis were identified by a search of MEDLINE and the Cochrane Library. Outcome measures included breast cancer-related mortality, the number needed to be screened to prevent 1 death, and the positive predictive value of mammography. Results. Pooled relative risk for breast cancer-related death in the screened group was 0.80 (95% confidence interval=0.71,0.90). Applied to Hong Kong, this figure translates into a number needed to screen of 1302 healthy women screened annually for 10 years to prevent 1 death. Conclusions. Evidence is insufficient to justify population-based breast cancer screening by mammography for women in Hong Kong and other Asian populations with low breast cancer prevalence. |
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