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Activity Number: 459
Type: Invited
Date/Time: Wednesday, August 7, 2013 : 8:30 AM to 10:20 AM
Sponsor: SSC
Abstract - #307110
Title: Measuring the Mortality Reductions Produced by Cancer Screening
Author(s): James A. Hanley*+ and Zhihui(Amy) Liu and Erin Strumpf and Nandini Dendukuri
Companies: McGill University and McGill University and McGill University and McGill University
Keywords: cancer ; screening ; mortality
Abstract:

Current guidelines on cancer screening are based on data-analyses that ignore key principles of cancer screening. Consequently they underestimate the mortality reductions that would result from a sustained program. We formulate a statistical model that characterizes the delayed impact of each round of screening. A reanalysis of the year-specific data from five commonly cited screening trials suggests that a program of regular mammography screening, from age 50 to 69, would result in yearly breast cancer mortality reductions of at least 40%, rather than the approximately 20% reported by the 2009 US and 2011 Canadian Task Force meta-analyses, and the 2012 UK independent panel.


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