Abstract
In a feasibility study of mass population screening for breast cancer by annual clinical examination and mammography the findings of non-medical staff (nurses and radiographers) were used to estimate the hospital work load generated by such a programme. Among 2490 women who attended for the first time by invitation the rate of referral for a surgical opinion based on the findings of the non-medical staff was 7.9% and the biopsy rate 2.5%. In the second and third years referral rates fell to 4.3% and 2.7% respectively and the biopsy rates to 1.1% and 1.4%. The rates of referral and biopsy among 1203 women who referred themselves for screening were higher, but many self-referred women were symptomatic; those without symptoms had rates of referral and biopsy similar to those of the invited women. Extrapolation of these findings to a population of 200,000 in a typical health district showed that the hospital work load would be high in the first year of screening with 44 outpatient referrals per week and 14 biopsies. By the third year, however, only seven referrals and four biopsies a week could be expected. The work load would be reduced by a third if screening were confined to women over the age of 50.
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Selected References
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- Chamberlain J., Rogers P., Price J. L., Ginks S., Nathan B. E., Burn I. Validity of clinical examination and mammography as screening tests for breast cancer. Lancet. 1975 Nov 22;2(7943):1026–1030. doi: 10.1016/s0140-6736(75)90304-9. [DOI] [PubMed] [Google Scholar]
- Davey J. B., Pentney H., Richter A. M. The early diagnosis of breast cancer. A further report for a Women's Screening Unit. Practitioner. 1974 Sep;213(1275):365–369. [PubMed] [Google Scholar]
- Dowdy A. H., Barker W. F., Lagasse L. D., Sperling L., Zeldis L. J., Longmire W. P., Jr Mammography as a screening method for the examination of large populations. Cancer. 1971 Dec;28(6):1558–1562. doi: 10.1002/1097-0142(197112)28:6<1558::aid-cncr2820280633>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
- George W. D., Gleave E. N., England P. C., Wilson M. C., Sellwood R. A., Asbury D., Hartley G., Barker P. G., Hobbs P., Wakefield J. Screening for breast cancer. Br Med J. 1976 Oct 9;2(6040):858–860. doi: 10.1136/bmj.2.6040.858. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Griesbach W. A. Screening for breast carcinoma. Oncology. 1969;23(2):167–171. doi: 10.1159/000224479. [DOI] [PubMed] [Google Scholar]
- Jakobsson S., Lundgren B., Melander O., Norin T. Mass-screening of a female population for detection of early carcinoma of the breast. Acta Radiol Ther Phys Biol. 1975 Oct;14(5):424–432. doi: 10.3109/02841867509132683. [DOI] [PubMed] [Google Scholar]
- Lewis J. D., Milbrath J. R., Shaffer K. A., Das Gupta T. K. Implications of suspicious findings in breast cancer screening. Arch Surg. 1975 Aug;110(8):903–907. doi: 10.1001/archsurg.1975.01360140047010. [DOI] [PubMed] [Google Scholar]
- Moskowitz M., Pemmaraju S., Fidler J. A., Sutorius D. J., Russell P., Scheinok P., Holle J. On the diagnosis of minimal breast cancer in a screenee population. Cancer. 1976 May;37(5):2543–2552. doi: 10.1002/1097-0142(197605)37:5<2543::aid-cncr2820370547>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
- Shapiro S. Evidence on screening for breast cancer from a randomized trial. Cancer. 1977 Jun;39(6 Suppl):2772–2782. doi: 10.1002/1097-0142(197706)39:6<2772::aid-cncr2820390665>3.0.co;2-k. [DOI] [PubMed] [Google Scholar]
- Stanfield J. P., Bracken P. M., Waddell K. M., Gall D. Diphtheria-tetanus-pertussis immunization by intradermal jet injection. Br Med J. 1972 Apr 22;2(5807):197–199. doi: 10.1136/bmj.2.5807.197. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stark A. M., Way S. The screening of well women for the early detection of breast cancer using clinical examination with thermography and mammography. Cancer. 1974 Jun;33(6):1671–1679. doi: 10.1002/1097-0142(197406)33:6<1671::aid-cncr2820330630>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]