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Evaluation of extension of breast screening to women aged 65-70 in England using screening performance measures.

Bennett, RL; Blanks, RG; Moss, SM (2009) Evaluation of extension of breast screening to women aged 65-70 in England using screening performance measures. Br J Cancer, 100 (7). 1043 - 1047. https://doi.org/10.1038/sj.bjc.6604981
SGUL Authors: Bennett, Rachel Louise

Abstract

The objective of this study was to investigate screening performance measures in the English screening units that began inviting women aged 65-70 between 1 April 2001 and 1 April 2004. We analysed results after each unit commenced inviting women aged 65-70. In addition, we analysed data from units that invited this age group for a second time between 1 April 2004 and 31 March 2007. Results for women aged 65-70 were compared to women aged 50-64 and 60-64. Average uptake was 72.8% for women aged 65-70 and 76.7% for women aged 50-64. For women screened within the last 5 years, uptake was 88.7% for older women and 89.1% for younger women. For women previously screened within 5 years the invasive cancer detection rate was 17% higher in the 65-70 age group than in the 60-64 age group. The rates of recall to assessment and PPV were 3.5 and 27.6% in women aged 65-70 and 3.4 and 24.6% in women aged 50-64 respectively. These results suggest that, as in the earlier demonstration studies, uptake rates remain high in older women, and many more older women attend following an invitation than had previously self-referred. The cancer detection rate is higher in this older age group, whereas rates of recall are generally similar to those in younger women; consequently the PPV is also higher in older women.

Item Type: Article
Additional Information: PMCID: PMC2669999
Keywords: Age Factors, Aged, Breast Neoplasms, England, Female, Humans, Mass Screening, Middle Aged
Journal or Publication Title: Br J Cancer
Dates:
DateEvent
7 April 2009Published
PubMed ID: 19277039
Web of Science ID: 19277039
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URI: http://openaccess.sgul.ac.uk/id/eprint/880
Publisher's version: https://doi.org/10.1038/sj.bjc.6604981

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