Document Detail


Survival of patients with breast cancer diagnosed in the United Kingdom trial of early detection of breast cancer. United Kingdom Trial of Early Detection of Breast Cancer Group.
MedLine Citation:
PMID:  8790516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the survival of patients with breast cancer diagnosed in different centres and by different methods in the United Kingdom trial of early detection of breast cancer, in order to investigate the contribution of different factors to the previously observed reductions in breast cancer mortality. SETTING: A non-randomised trial of the early detection of breast cancer, in which women aged 45-64 in two districts were offered annual screening for seven years, women in a further two districts were offered education about breast self examination (BSE), and those in four districts formed a comparison group. METHODS: Patients with breast cancer are classified according to the type of centre, method of detection, and attendance for BSE education. Univariate and multivariate survival analyses are carried out, including tumour size, dissemination status, and use of adjuvant treatment as additional variables. RESULTS: In the univariate analysis, patients with breast cancer who are non-attenders for screening have a significantly worse prognosis than those in the comparison centres. Patients whose cancer is detected by mammography have the best survival rate. The inclusion of size and dissemination status in the multivariate analysis explains only about one third of the improved prognosis in these cases. There is a significant difference between prognosis in the two BSE centres. CONCLUSIONS: The use of prognostic factors as recorded in this trial to predict breast cancer mortality may be inadequate.
Authors:
S M Moss; R Ellman; D Coleman; J Chamberlain
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of medical screening     Volume:  1     ISSN:  0969-1413     ISO Abbreviation:  J Med Screen     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1996-10-18     Completed Date:  1996-10-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9433359     Medline TA:  J Med Screen     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  193-8     Citation Subset:  IM    
Affiliation:
Trial Co-ordinating Centre, Institute of Cancer Research, Sutton, Surrey, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Breast Neoplasms / diagnosis,  mortality,  pathology,  prevention & control*
Breast Self-Examination
Female
Great Britain / epidemiology
Humans
Mammography*
Mass Screening*
Middle Aged
Multivariate Analysis
Neoplasm Staging
Patient Education as Topic
Survival Rate
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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