Public health policy on screening for cancer – Related resources
22.09.2014 • Sonuncu dəyişiklik 03.07.2011
This article is created and updated by the EBMG Editorial Team
Cochrane reviews
- Provision of verbal or written information about the procedure prior to a mammogram may reduce pain and discomfort of the procedure .
- Breast self examination is probably ineffective in screening for breast cancer .
- Active recruitment strategies are more effective than no intervention in increasing participation in breast cancer screening .
Other evidence summaries
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Patient reminders are effective at increasing mammography screening .
The sensitivity of screening mammography based on a one-year screening interval appears to range between 83% and 95% in reported studies, and the false positive rate appears to range between 0.9% and 6.5%. .
Mammography seems to increase the level of distress at least in the short term in some women .
- Screening for ovarian cancer with CA 125 and ultrasound compared with usual care appears not to reduce ovarian cancer or total mortality, and appears to be associated with a considerable number of false-positive results and complications associated with surgery
Literature
- Cervix Cancer Screening. IARC Handbooks of Cancer Prevention, Volume 10. Lyon: IARCPress 2005
- Breast Cancer Screening. IARC Handbooks of Cancer Prevention, Volume 7. Lyon: IARCPress, 2002
- Moss SM, Cuckle H, Evans A, Johns L, Waller M, Bobrow L, Trial Management Group. Effect of mammographic screening from age 40 years on breast cancer mortality at 10 years' follow-up: a randomised controlled trial. Lancet 2006 Dec 9;368(9552):2053-60.
- Hakama M, Hoff G, Kronborg O, Påhlman L. Screening for colorectal cancer. Acta Oncol 2005;44(5):425-39.
- Malila N, Anttila A, Hakama M. Colorectal cancer screening in Finland: details of the national screening programme implemented in Autumn 2004. J Med Screen 2005;12(1):28-32.
- Schröder FH, Hugosson J, Roobol MJ, Tammela TL et al; ERSPC Investigators. Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 2009 Mar 26;360(13):1320-8.
- Menon U, Gentry-Maharaj A, Hallett R et al. Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). Lancet Oncol 2009 Apr;10(4):327-40.
- Malila N, Oivanen T, Hakama M. Implementation of colorectal cancer screening in Finland: experiences from the first three years of a public health programme. Z Gastroenterol 2008 Apr;46 Suppl 1():S25-8.