Changes in Breast Cancer Incidence and Stage Distribution in Modena, Italy: The Effect of a Mammographic Screening Program
Objective: Assessing changes in breast cancer (BC) incidence and stage distribution in the District of Modena, Italy, during the period 1992-1998, and their relationship to a mammographic screening program launched in 1995. Methods: Demographic, clinical, and pathological data of all BC cases report...
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| Veröffentlicht in: | Cancer causes & control 2002-10, Vol.13 (8), p.729-734 |
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| creator | Turchetti, Daniela Mangone, Lucia Negri, Rossella Rossi, Giulio Cortesi, Laura Vinceti, Marco Maiorana, Antonino Gallo, Ennio Federico, Massimo |
| description | Objective: Assessing changes in breast cancer (BC) incidence and stage distribution in the District of Modena, Italy, during the period 1992-1998, and their relationship to a mammographic screening program launched in 1995. Methods: Demographic, clinical, and pathological data of all BC cases reported to the population-based Modena Cancer Registry between 1992 and 1998 were collected and linked to the screening database. Results: A total of 3429 women were diagnosed with BC in the District of Modena between 1992 and 1998. In this period the incidence rate increased by 15.7% (from 134.3 in 1992 to 155.4 per 100,000 in 1998). The increase began in 1995 and exclusively included women aged 50-69; the incidence rose by 30.4%. Moreover, the rise was confined to early tumors, with more than half (54%) of all cases reported in 1998 diagnosed as stage 0 or I disease, compared with 42% in 1992. Screen-detected tumors were significantly smaller (13.2 mm) than other tumors diagnosed in women aged 50-69 (18.5 mm), with 46% of screen-detected tumors smaller than 10 mm. Overall, a decline in the average tumor diameter was shown (from 20.2 mm in 1992-1994 to 18 mm in 1996-1998). Conclusions: Our data confirm that mammographic screening leads to an increase in the incidence of early-stage BC cancers. |
| doi_str_mv | 10.1023/A:1020208719902 |
| format | Article |
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Methods: Demographic, clinical, and pathological data of all BC cases reported to the population-based Modena Cancer Registry between 1992 and 1998 were collected and linked to the screening database. Results: A total of 3429 women were diagnosed with BC in the District of Modena between 1992 and 1998. In this period the incidence rate increased by 15.7% (from 134.3 in 1992 to 155.4 per 100,000 in 1998). The increase began in 1995 and exclusively included women aged 50-69; the incidence rose by 30.4%. Moreover, the rise was confined to early tumors, with more than half (54%) of all cases reported in 1998 diagnosed as stage 0 or I disease, compared with 42% in 1992. Screen-detected tumors were significantly smaller (13.2 mm) than other tumors diagnosed in women aged 50-69 (18.5 mm), with 46% of screen-detected tumors smaller than 10 mm. Overall, a decline in the average tumor diameter was shown (from 20.2 mm in 1992-1994 to 18 mm in 1996-1998). Conclusions: Our data confirm that mammographic screening leads to an increase in the incidence of early-stage BC cancers.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1023/A:1020208719902</identifier><identifier>PMID: 12420951</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Netherlands: Kluwer Academic Publishers</publisher><subject>Age ; Age groups ; Aged ; Breast cancer ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - epidemiology ; Breast Neoplasms - pathology ; Cancer ; Cancer screening ; Female ; Health screening ; Humans ; Incidence ; Italy - epidemiology ; Mammography ; Mass Screening ; Medical prognosis ; Medical screening ; Middle Aged ; Mortality ; Pathology ; Population ; Prognosis ; Tumors ; Womens health</subject><ispartof>Cancer causes & control, 2002-10, Vol.13 (8), p.729-734</ispartof><rights>Copyright 2002 Kluwer Academic Publishers</rights><rights>Copyright Kluwer Academic Publishers Oct 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c301t-7ecc5617ad81d75d7582a6eac22fe735876c5ab69dbd1729ba0f99a935d44b273</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3553551$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3553551$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27903,27904,57996,58229</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12420951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turchetti, Daniela</creatorcontrib><creatorcontrib>Mangone, Lucia</creatorcontrib><creatorcontrib>Negri, Rossella</creatorcontrib><creatorcontrib>Rossi, Giulio</creatorcontrib><creatorcontrib>Cortesi, Laura</creatorcontrib><creatorcontrib>Vinceti, Marco</creatorcontrib><creatorcontrib>Maiorana, Antonino</creatorcontrib><creatorcontrib>Gallo, Ennio</creatorcontrib><creatorcontrib>Federico, Massimo</creatorcontrib><title>Changes in Breast Cancer Incidence and Stage Distribution in Modena, Italy: The Effect of a Mammographic Screening Program</title><title>Cancer causes & control</title><addtitle>Cancer Causes Control</addtitle><description>Objective: Assessing changes in breast cancer (BC) incidence and stage distribution in the District of Modena, Italy, during the period 1992-1998, and their relationship to a mammographic screening program launched in 1995. Methods: Demographic, clinical, and pathological data of all BC cases reported to the population-based Modena Cancer Registry between 1992 and 1998 were collected and linked to the screening database. Results: A total of 3429 women were diagnosed with BC in the District of Modena between 1992 and 1998. In this period the incidence rate increased by 15.7% (from 134.3 in 1992 to 155.4 per 100,000 in 1998). The increase began in 1995 and exclusively included women aged 50-69; the incidence rose by 30.4%. Moreover, the rise was confined to early tumors, with more than half (54%) of all cases reported in 1998 diagnosed as stage 0 or I disease, compared with 42% in 1992. Screen-detected tumors were significantly smaller (13.2 mm) than other tumors diagnosed in women aged 50-69 (18.5 mm), with 46% of screen-detected tumors smaller than 10 mm. Overall, a decline in the average tumor diameter was shown (from 20.2 mm in 1992-1994 to 18 mm in 1996-1998). Conclusions: Our data confirm that mammographic screening leads to an increase in the incidence of early-stage BC cancers.</description><subject>Age</subject><subject>Age groups</subject><subject>Aged</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - pathology</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Female</subject><subject>Health screening</subject><subject>Humans</subject><subject>Incidence</subject><subject>Italy - epidemiology</subject><subject>Mammography</subject><subject>Mass Screening</subject><subject>Medical prognosis</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pathology</subject><subject>Population</subject><subject>Prognosis</subject><subject>Tumors</subject><subject>Womens health</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkEFPHDEMhaOqqCy0Zy6oinroqdMmziSZcKMLpSuBWgl6Hnkymd2sdjJLkjnQX98gKAfkJ9ny-2xZJuSEs6-cgfh2flZSiUZzYxi8IQsutag0gHxLFsxIXUmoxSE5SmnLGJMK2DtyyKGGYvIF-bvcYFi7RH2g36PDlOkSg3WRroL1vSslxdDT24xrRy98ytF3c_ZTeJy4mQqBX-gq4-7hjN5tHL0cBmcznQaK9AbHcVpH3G-8pbc2Ohd8WNPf8bE5vicHA-6S-_Ccj8mfH5d3y5_V9a-r1fL8urKC8VxpZ61UXGPf8F7LogZQObQAg9NCNlpZiZ0yfddzDaZDNhiDRsi-rjvQ4ph8ftq7j9P97FJuR5-s2-0wuGlOrQalaqVkAT-9ArfTHEO5rQUuWG0AmgJ9fIbmbnR9u49-xPjQ_n9pAU6fgG3KU3zxhZRFXPwD7n6Arg</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Turchetti, Daniela</creator><creator>Mangone, Lucia</creator><creator>Negri, Rossella</creator><creator>Rossi, Giulio</creator><creator>Cortesi, Laura</creator><creator>Vinceti, Marco</creator><creator>Maiorana, Antonino</creator><creator>Gallo, Ennio</creator><creator>Federico, Massimo</creator><general>Kluwer Academic Publishers</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20021001</creationdate><title>Changes in Breast Cancer Incidence and Stage Distribution in Modena, Italy: The Effect of a Mammographic Screening Program</title><author>Turchetti, Daniela ; Mangone, Lucia ; Negri, Rossella ; Rossi, Giulio ; Cortesi, Laura ; Vinceti, Marco ; Maiorana, Antonino ; Gallo, Ennio ; Federico, Massimo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c301t-7ecc5617ad81d75d7582a6eac22fe735876c5ab69dbd1729ba0f99a935d44b273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Age</topic><topic>Age groups</topic><topic>Aged</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - pathology</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Female</topic><topic>Health screening</topic><topic>Humans</topic><topic>Incidence</topic><topic>Italy - epidemiology</topic><topic>Mammography</topic><topic>Mass Screening</topic><topic>Medical prognosis</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pathology</topic><topic>Population</topic><topic>Prognosis</topic><topic>Tumors</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turchetti, Daniela</creatorcontrib><creatorcontrib>Mangone, Lucia</creatorcontrib><creatorcontrib>Negri, Rossella</creatorcontrib><creatorcontrib>Rossi, Giulio</creatorcontrib><creatorcontrib>Cortesi, Laura</creatorcontrib><creatorcontrib>Vinceti, Marco</creatorcontrib><creatorcontrib>Maiorana, Antonino</creatorcontrib><creatorcontrib>Gallo, Ennio</creatorcontrib><creatorcontrib>Federico, Massimo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turchetti, Daniela</au><au>Mangone, Lucia</au><au>Negri, Rossella</au><au>Rossi, Giulio</au><au>Cortesi, Laura</au><au>Vinceti, Marco</au><au>Maiorana, Antonino</au><au>Gallo, Ennio</au><au>Federico, Massimo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in Breast Cancer Incidence and Stage Distribution in Modena, Italy: The Effect of a Mammographic Screening Program</atitle><jtitle>Cancer causes & control</jtitle><addtitle>Cancer Causes Control</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>13</volume><issue>8</issue><spage>729</spage><epage>734</epage><pages>729-734</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Objective: Assessing changes in breast cancer (BC) incidence and stage distribution in the District of Modena, Italy, during the period 1992-1998, and their relationship to a mammographic screening program launched in 1995. Methods: Demographic, clinical, and pathological data of all BC cases reported to the population-based Modena Cancer Registry between 1992 and 1998 were collected and linked to the screening database. Results: A total of 3429 women were diagnosed with BC in the District of Modena between 1992 and 1998. In this period the incidence rate increased by 15.7% (from 134.3 in 1992 to 155.4 per 100,000 in 1998). The increase began in 1995 and exclusively included women aged 50-69; the incidence rose by 30.4%. Moreover, the rise was confined to early tumors, with more than half (54%) of all cases reported in 1998 diagnosed as stage 0 or I disease, compared with 42% in 1992. Screen-detected tumors were significantly smaller (13.2 mm) than other tumors diagnosed in women aged 50-69 (18.5 mm), with 46% of screen-detected tumors smaller than 10 mm. Overall, a decline in the average tumor diameter was shown (from 20.2 mm in 1992-1994 to 18 mm in 1996-1998). Conclusions: Our data confirm that mammographic screening leads to an increase in the incidence of early-stage BC cancers.</abstract><cop>Netherlands</cop><pub>Kluwer Academic Publishers</pub><pmid>12420951</pmid><doi>10.1023/A:1020208719902</doi><tpages>6</tpages></addata></record> |
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| subjects | Age Age groups Aged Breast cancer Breast Neoplasms - diagnostic imaging Breast Neoplasms - epidemiology Breast Neoplasms - pathology Cancer Cancer screening Female Health screening Humans Incidence Italy - epidemiology Mammography Mass Screening Medical prognosis Medical screening Middle Aged Mortality Pathology Population Prognosis Tumors Womens health |
| title | Changes in Breast Cancer Incidence and Stage Distribution in Modena, Italy: The Effect of a Mammographic Screening Program |
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