The Stockholm Mammographic Screening Trial: Risks and Benefits in Age Group 40-49 Years
Open Access
- 1 January 1997
- journal article
- clinical trial
- Published by Oxford University Press (OUP) in JNCI Monographs
- Vol. 1997 (22), 49-51
- https://doi.org/10.1093/jncimono/1997.22.49
Abstract
This article presents updated data on breast cancer mortality for women under age 50 from the Stockholm Mammographic Screening Trial, as well as a review of some side effects associated with screening in this age group. Approximately 40,000 women aged 40-64 (14,842 aged 40-49 years) were randomized to a trial of breast cancer screening by single-view mammography alone; 20,000 women (7,103 aged 40-49) were randomized to a control group. In the 40-49 age group, 24 and 12 breast cancer deaths were found in the study and control groups, respectively, after 11.4 years of follow-up. The relative risk of breast cancer death in screened to nonscreened women was 1.08 (95% confidence interval: 0.54-2.17). The rates of benign surgical biopsies, false positives, and follow-up costs were higher among women under age 50. Large overview studies are needed, however, to determine whether mammography screening consistently reduces mortality in women 40-49 years of age. Side effects such as costs and public health aspects of mammography screening in this age group also warrant further study.Keywords
This publication has 8 references indexed in Scilit:
- Followup after 11 years – update of mortality results in the Stockholm mammographic screening trialBreast Cancer Research and Treatment, 1997
- Neglected aspects of false positive findings of mammography in breast cancer screening: analysis of false positive cases from the Stockholm trialBMJ, 1996
- Single-view screening mammography: psychological, endocrine and immunological effects of recalling for a complete three-view examinationEuropean Journal Of Cancer, 1995
- Breast cancer screening with mammography: overview of Swedish randomised trialsThe Lancet, 1993
- Interval cancer and survival in a randomized breast cancer screening trial in StockholmBreast Cancer Research and Treatment, 1992
- Randomized study of mammography screening — preliminary report on mortality in the stockholm trialBreast Cancer Research and Treatment, 1991
- Randomized mammographic screening for breast cancer in StockholmBreast Cancer Research and Treatment, 1986
- REDUCTION IN MORTALITY FROM BREAST CANCER AFTER MASS SCREENING WITH MAMMOGRAPHYThe Lancet, 1985