Will screening mammography in the east do more harm than good?
G.M. Leung,
T.-H. Lam,
T.Q. Thach and
A.J. Hedley
American Journal of Public Health, 2002, vol. 92, issue 11, 1841-1846
Abstract:
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.
Date: 2002
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2002:92:11:1841-1846_2
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