Breast cancer survival and prognosis by screening history
Background: Cancers not detected by breast screening are commonly assumed to have poorer prognosis. Methods: We examined the survival experience of all women aged 50–74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experie...
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| Published in: | British journal of cancer Vol. 110; no. 3; pp. 556 - 559 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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04-02-2014
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| Abstract | Background:
Cancers not detected by breast screening are commonly assumed to have poorer prognosis.
Methods:
We examined the survival experience of all women aged 50–74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experience. Disease-specific survival rates were calculated and, for cases diagnosed in 2002, prognostic factors (size, nodal involvement, grade ER status and stage) were examined by time since screening.
Results:
Breast cancers diagnosed at screening had the best survival (
P
<0.001). Cancers detected within 12 months of a negative screen had similar survival rates (
P
=0.98) to those diagnosed within 12–23 and 24–47 months, with other non-screen-detected cancers having poorer survival (
P
<0.001). The prognostic profile of cancers diagnosed in 2002 followed a similar pattern.
Interpretation:
There was no evidence that cancers diagnosed within 12 months had poorer prognosis than those diagnosed up to 48 months following screening. |
|---|---|
| AbstractList | Cancers not detected by breast screening are commonly assumed to have poorer prognosis.
We examined the survival experience of all women aged 50-74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experience. Disease-specific survival rates were calculated and, for cases diagnosed in 2002, prognostic factors (size, nodal involvement, grade ER status and stage) were examined by time since screening.
Breast cancers diagnosed at screening had the best survival (P<0.001). Cancers detected within 12 months of a negative screen had similar survival rates (P=0.98) to those diagnosed within 12-23 and 24-47 months, with other non-screen-detected cancers having poorer survival (P<0.001). The prognostic profile of cancers diagnosed in 2002 followed a similar pattern.
There was no evidence that cancers diagnosed within 12 months had poorer prognosis than those diagnosed up to 48 months following screening. Cancers not detected by breast screening are commonly assumed to have poorer prognosis. We examined the survival experience of all women aged 50-74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experience. Disease-specific survival rates were calculated and, for cases diagnosed in 2002, prognostic factors (size, nodal involvement, grade ER status and stage) were examined by time since screening. Breast cancers diagnosed at screening had the best survival (P<0.001). Cancers detected within 12 months of a negative screen had similar survival rates (P=0.98) to those diagnosed within 12-23 and 24-47 months, with other non-screen-detected cancers having poorer survival (P<0.001). The prognostic profile of cancers diagnosed in 2002 followed a similar pattern. There was no evidence that cancers diagnosed within 12 months had poorer prognosis than those diagnosed up to 48 months following screening. BACKGROUNDCancers not detected by breast screening are commonly assumed to have poorer prognosis. METHODSWe examined the survival experience of all women aged 50-74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experience. Disease-specific survival rates were calculated and, for cases diagnosed in 2002, prognostic factors (size, nodal involvement, grade ER status and stage) were examined by time since screening. RESULTSBreast cancers diagnosed at screening had the best survival (P<0.001). Cancers detected within 12 months of a negative screen had similar survival rates (P=0.98) to those diagnosed within 12-23 and 24-47 months, with other non-screen-detected cancers having poorer survival (P<0.001). The prognostic profile of cancers diagnosed in 2002 followed a similar pattern. INTERPRETATIONThere was no evidence that cancers diagnosed within 12 months had poorer prognosis than those diagnosed up to 48 months following screening. Background: Cancers not detected by breast screening are commonly assumed to have poorer prognosis. Methods: We examined the survival experience of all women aged 50–74 years diagnosed with a first breast cancer between 1998 and 2006 in British Columbia, Canada and determined their screening experience. Disease-specific survival rates were calculated and, for cases diagnosed in 2002, prognostic factors (size, nodal involvement, grade ER status and stage) were examined by time since screening. Results: Breast cancers diagnosed at screening had the best survival ( P <0.001). Cancers detected within 12 months of a negative screen had similar survival rates ( P =0.98) to those diagnosed within 12–23 and 24–47 months, with other non-screen-detected cancers having poorer survival ( P <0.001). The prognostic profile of cancers diagnosed in 2002 followed a similar pattern. Interpretation: There was no evidence that cancers diagnosed within 12 months had poorer prognosis than those diagnosed up to 48 months following screening. |
| Author | Phillips, N Coldman, A J |
| Author_xml | – sequence: 1 givenname: A J surname: Coldman fullname: Coldman, A J email: acoldman@bccancer.bc.ca organization: Cancer Surveillance and Outcomes, BC Cancer Agency – sequence: 2 givenname: N surname: Phillips fullname: Phillips, N organization: Cancer Surveillance and Outcomes, BC Cancer Agency |
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| Cites_doi | 10.1136/bmj.e7536 10.1007/s10549-010-1318-9 10.1016/j.breast.2006.05.006 10.1007/BF01832353 10.1093/jnci/djq099 10.1136/jms.7.3.152 10.1038/sj.bjc.6602393 10.1258/jms.2009.009040 10.1016/S0140-6736(86)92569-9 |
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| Keywords | breast screening survival interval cancer Breast disease Prognosis Breast cancer Malignant tumor Medical screening Survival Mammary gland diseases Cancerology Breast Mammary gland Cancer |
| Language | English |
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| References_xml | – volume: 345 start-page: e7536 year: 2012 ident: CR5 article-title: Prognosis in women with interval breast cancer: population based observational cohort study publication-title: BMJ doi: 10.1136/bmj.e7536 contributor: fullname: Adami – volume: 128 start-page: 259 year: 2011 end-page: 266 ident: CR9 article-title: Age of diagnosis, tumor size, and survival after breast cancer: implications for mammographic screening publication-title: Breast Cancer Res Treat doi: 10.1007/s10549-010-1318-9 contributor: fullname: Narod – volume: 16 start-page: 47 year: 2006 end-page: 54 ident: CR1 article-title: Survival from invasive breast cancer among interval cases in the mammography screening programmes of northern Sweden publication-title: Breast doi: 10.1016/j.breast.2006.05.006 contributor: fullname: Lenner – year: 1982 ident: CR6 publication-title: Statistical Models and Methods for Lifetime Data contributor: fullname: Lawless – start-page: 289 year: 2001 end-page: 292 ident: CR2 article-title: Principles of cancer management: chemotherapy publication-title: Cancer - Principles and Practice of Oncology contributor: fullname: DeVita – volume: 24 start-page: 11 year: 1992 end-page: 16 ident: CR3 article-title: Interval cancer and survival in a randomized breast cancer screening trial in Stockholm publication-title: Breast Cancer Res Treat doi: 10.1007/BF01832353 contributor: fullname: Goldman – start-page: 1267 year: 2013 ident: CR8 article-title: III.10 Screening publication-title: Handbook of Epidemiology contributor: fullname: Miller – volume: 102 start-page: 605 issue: 9 year: 2010 end-page: 613 ident: CR12 article-title: Overdiagnosis in Cancer publication-title: J Nat Cancer Inst doi: 10.1093/jnci/djq099 contributor: fullname: Black – volume: 7 start-page: 152 issue: 3 year: 2000 end-page: 159 ident: CR10 article-title: Ten years of breast screening in the Screening Mammography Program of British Columbia, 1988-1997 publication-title: J Med Screen doi: 10.1136/jms.7.3.152 contributor: fullname: King – volume: 92 start-page: 961 issue: 5 year: 2005 end-page: 966 ident: CR11 article-title: Comparison of 1- and 2-year screening intervals for women undergoing screening mammography publication-title: Br J Cancer doi: 10.1038/sj.bjc.6602393 contributor: fullname: Coldman – volume: 16 start-page: 186 issue: 4 year: 2009 end-page: 192 ident: CR7 article-title: Screening histories of invasive breast cancers diagnosed 1989-2006 in the West Midlands, UK: variation with time and impact on 10-year survival publication-title: J Med Screen doi: 10.1258/jms.2009.009040 contributor: fullname: Wallis – volume: 2 start-page: 27 year: 1986 end-page: 30 ident: CR4 article-title: Survival in breast cancer diagnosed between mammographic screening examinations publication-title: Lancet doi: 10.1016/S0140-6736(86)92569-9 contributor: fullname: Bergstrom – volume: 16 start-page: 47 year: 2006 ident: BFbjc2013732_CR1 publication-title: Breast doi: 10.1016/j.breast.2006.05.006 contributor: fullname: P Bordas – volume-title: Statistical Models and Methods for Lifetime Data year: 1982 ident: BFbjc2013732_CR6 contributor: fullname: J Lawless – volume: 2 start-page: 27 year: 1986 ident: BFbjc2013732_CR4 publication-title: Lancet doi: 10.1016/S0140-6736(86)92569-9 contributor: fullname: L Holmberg – volume: 128 start-page: 259 year: 2011 ident: BFbjc2013732_CR9 publication-title: Breast Cancer Res Treat doi: 10.1007/s10549-010-1318-9 contributor: fullname: SA Narod – volume: 7 start-page: 152 issue: 3 year: 2000 ident: BFbjc2013732_CR10 publication-title: J Med Screen doi: 10.1136/jms.7.3.152 contributor: fullname: IA Olivotto – volume: 16 start-page: 186 issue: 4 year: 2009 ident: BFbjc2013732_CR7 publication-title: J Med Screen doi: 10.1258/jms.2009.009040 contributor: fullname: G Lawrence – start-page: 289 volume-title: Cancer - Principles and Practice of Oncology year: 2001 ident: BFbjc2013732_CR2 contributor: fullname: E Chu – start-page: 1267 volume-title: Handbook of Epidemiology year: 2013 ident: BFbjc2013732_CR8 contributor: fullname: AB Miller – volume: 345 start-page: e7536 year: 2012 ident: BFbjc2013732_CR5 publication-title: BMJ doi: 10.1136/bmj.e7536 contributor: fullname: M Kalager – volume: 24 start-page: 11 year: 1992 ident: BFbjc2013732_CR3 publication-title: Breast Cancer Res Treat doi: 10.1007/BF01832353 contributor: fullname: J Frisell – volume: 102 start-page: 605 issue: 9 year: 2010 ident: BFbjc2013732_CR12 publication-title: J Nat Cancer Inst doi: 10.1093/jnci/djq099 contributor: fullname: HG Welch – volume: 92 start-page: 961 issue: 5 year: 2005 ident: BFbjc2013732_CR11 publication-title: Br J Cancer doi: 10.1038/sj.bjc.6602393 contributor: fullname: ES Wai |
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| Snippet | Background:
Cancers not detected by breast screening are commonly assumed to have poorer prognosis.
Methods:
We examined the survival experience of all women... Cancers not detected by breast screening are commonly assumed to have poorer prognosis. We examined the survival experience of all women aged 50-74 years... Cancers not detected by breast screening are commonly assumed to have poorer prognosis. We examined the survival experience of all women aged 50-74 years... BACKGROUNDCancers not detected by breast screening are commonly assumed to have poorer prognosis. METHODSWe examined the survival experience of all women aged... |
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| SubjectTerms | 692/699/67/1347 692/699/67/2322 692/700/1750 Aged Biological and medical sciences Biomedical and Life Sciences Biomedicine Breast cancer Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Breast Neoplasms - prevention & control Canada Cancer Research Drug Resistance Early Detection of Cancer Epidemiology Female Gynecology. Andrology. Obstetrics Humans Mammary gland diseases Mammography Mass Screening Medical sciences Middle Aged Molecular Medicine Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Oncology Short Communication Survival Rate Tumors |
| Title | Breast cancer survival and prognosis by screening history |
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