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BMC Public Health

, 8:38

First Online: 28 January 2008Received: 26 April 2007Accepted: 28 January 2008DOI: 10.1186-1471-2458-8-38

Cite this article as: Anttila, A., Sarkeala, T., Hakulinen, T. et al. BMC Public Health 2008 8: 38. doi:10.1186-1471-2458-8-38


BackgroundThe aim of the current study was to examine impacts of the Finnish breast cancer BC screening programme on the population-based incidence and mortality rates. The programme has been historically targeted to a rather narrow age band, mainly women of ages 50–59 years.

MethodsThe study was based on the information on breast cancer during 1971–2003 from the files of the Finnish Cancer Registry. Incidence, cause-specific mortality as well as incidence-based refined mortality from BC were analysed with Poisson regression. Age-specific incidence and routine cause-specific mortality were estimated for the most recent five-year period available; incidence-based mortality, respectively, for the whole steady state of the programme, 1992–2003.

ResultsThere was excess BC incidence with actual screening ages; incidence in ages 50–69 was increased 8% 95 CI 2.9–13.4. There was an increasing temporal tendency in the incidence of localised BC; and, respectively, a decrease in that of non-localised BC. The latter was most consistent in age groups where screening had been on-going several years or eventually after the last screen. The refined mortality rate from BC diagnosed in ages 50–69 was decreased with -11.1% 95% CI -19.4 -2.1.

ConclusionsThe current study demonstrates that BC screening in Finland is effective in reducing mortality rates from breast cancers, even though the impact on the population level is smaller than expected based on the results from randomised trials among women screened in age 50 to 69. This may be explained by the rather young age group targeted in our country. Consideration whether to targeted screening up to age 69 is warranted.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-8-38 contains supplementary material, which is available to authorized users.

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Autor: Ahti Anttila - Tytti Sarkeala - Timo Hakulinen - Sirpa Heinävaara


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