Diverging trends in breast cancer mortality within Switzerland

被引:17
作者
Bulliard, JL
La Vecchia, C
Levi, F
机构
[1] Inst Univ Med Sociale & Prevent, Unite Epidemiol Canc, CH-1005 Lausanne, Switzerland
[2] Inst Univ Med Sociale & Prevent, Registres Vaudois & Neuchatelois Tumeurs, CH-1005 Lausanne, Switzerland
[3] Univ Milan, Ist Ric Farmacol Mario Negri, Milan, Italy
[4] Univ Milan, Ist Stat Med & Biometria, I-20122 Milan, Italy
关键词
breast cancer; mortality; Switzerland; treatment; mammography screening;
D O I
10.1093/annonc/mdj035
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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.
引用
收藏
页码:57 / 59
页数:3
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