[Treatment of breast cancer between 1985 and 2005 at Saint-Etienne University Hospital: contribution of mammography screening. Retrospective study of 473 patients].
OBJECTIVE
Study the contribution of breast cancer screening by mammography on the quality of diagnosis and treatment of patients admitted at Saint-Etienne University Hospital between 1985 and 2005.


METHODS
Descriptive and retrospective study of 473 breast cancer patients between 1985 and 2005, with a stratified sampling over the year, and comparison of the various characteristics between detected and not detected patients.


RESULTS
Patients diagnosed by a mammography screening present, in a statistically significant way, smaller size tumours, less nodes and metastatic attacks, more conservative surgery and less chemotherapy. The rate of global survival after years years is increased: 93.69% against 86.94% for patients who did not participate in an organized screening (p=0,0471).


CONCLUSIONS
Mammography screening allows optimization of the health care. In the next years, we should continue the development of mass screening and convince the actors of individual screening to join organized campaigns.
Cochin
S
S
Service de gynécologie-obstétrique, CHU de Saint-Etienne, hôpital Nord, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France.
Chauleur
C
C
Service de gynécologie-obstétrique, CHU de Saint-Etienne, hôpital Nord, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France. Electronic address: celine.chauleur@chu-st-etienne.fr.
Trombert
B
B
Service de santé publique, CHU de Saint-Etienne, hôpital de Saint-Jean-de-Bonnefonds, 42055 Saint-Etienne cedex 2, France.
Seffert
P
P
Service de gynécologie-obstétrique, CHU de Saint-Etienne, hôpital Nord, avenue Albert-Raimond, 42270 Saint-Priest-en-Jarez, France.
D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D005260:Female; D005602:France; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis