[No apparent correlation between the level of participation in the German early cancer detection program and the development of cancer mortality in females. An ecologic analysis].
Attendance rates of the German cancer screening programme and female cancer mortality rates (cancers of the uterus, breast, and colon-rectum) were calculated by age (5-year groups), region (Federal States) and period (annually; 1975-1982 for attendance rates, 1975-1984 for mortality rates). There was no apparent association of attendance and mortality pattern. This finding may be due to avoidable shortcomings in data collection. Programme effectiveness is unlikely to be demonstrated by more data of the same aggregate type. We have to collect information on screening histories linked to cause of death on a person-to-person basis. This can be done in retrospective case-control-studies or prospectively using records for cancer patients. Provisions for such studies are essential.
Robra
B P
BP
Abt. Epidemiologie und Sozialmedizin der Medizinischen Hochschule Hannover.
Swart
E
E
Possekel
T
T
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000401:mortality* / Q000517:prevention & control; D002423:Cause of Death; D015179:Colorectal Neoplasms / Q000401:mortality* / Q000517:prevention & control; D003430:Cross-Sectional Studies; D005260:Female; D005860:Germany, West; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D011230:Precancerous Conditions / Q000517:prevention & control; D012307:Risk Factors; D014594:Uterine Neoplasms / Q000401:mortality* / Q000517:prevention & control
Kein erkennbarer Zusammenhang zwischen dem Niveau der Beteiligung am deutschen Krebsfrüherkennungs-programm und der Entwicklung der Krebsmortalität der Frauen. Eine ökologische Analyse.