Evaluation of a breast cancer screening programme--the DOM project.
In several studies it has been shown that breast cancer screening by means of mammography reduces breast cancer mortality. To ensure that when organising a service screening programme the aim is reached, it is necessary to control and monitor the process. This is possible by several methods. In this study, disease-free intervals and survival rates were used as monitoring tools. The DOM project, a breast cancer screening programme for women aged 50-64 years old at intake, started at the end of 1974. All breast cancer cases diagnosed between 1973 and 1989 were followed up to 1991. It is clear that disease-free interval and survival rates are proper predictors of the effects of screening on breast cancer mortality.
Collette
C
C
Department of Epidemiology, University of Utrecht, The Netherlands.
Collette
H J
HJ
Fracheboud
J
J
Slotboom
B J
BJ
de Waard
F
F
D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening / Q000458:organization & administration; D008875:Middle Aged; D009367:Neoplasm Staging; D009426:Netherlands / Q000453:epidemiology; D011379:Prognosis; D015397:Program Evaluation; D016019:Survival Analysis; D013997:Time Factors