Breast cancer screening, with particular reference to the concept of 'high risk' groups.
An overview is presented of the salient aspects of the DOM-project of breast cancer screening carried out in the city of Utrecht, the Netherlands. Results on stage at diagnosis, case-fatality, and mortality rates suggest that the program has been effective. Attention is devoted to the issue whether knowledge about risk factors for breast cancer is helpful in making a screening program more effective or efficient. It is concluded that such knowledge is of limited importance.
De Waard
F
F
Department of Epidemiology, University of Utrecht, The Netherlands.
Collette
H J
HJ
Rombach
J J
JJ
Collette
C
C
D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening; D008875:Middle Aged; D009367:Neoplasm Staging; D009426:Netherlands; D011237:Predictive Value of Tests; D012307:Risk Factors