Title | Screening mammography & breast cancer mortality: meta-analysis of quasi-experimental studies. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Irvin, VL, Kaplan, RM |
Journal | PloS one |
Volume | 9 |
Issue | 6 |
Pagination | e98105 |
Date Published | 06/2014 |
Keywords | Risk Factors |
Abstract | BACKGROUND: The magnitude of the benefit associated with screening has been debated. We present a meta-analysis of quasi-experimental studies on the effects of mammography screening. METHODS: We searched MEDLINE/PubMed and Embase for articles published through January 31, 2013. Studies were included if they reported: 1) a population-wide breast cancer screening program using mammography with 5+ years of data post-implementation; 2) a comparison group with equal access to therapies; and 3) breast cancer mortality. Studies excluded were: RCTs, case-control, or simulation studies. We defined quasi-experimental as studies that compared either geographical, historical or birth cohorts with a screening program to an equivalent cohort without a screening program. Meta-analyses were conducted in Stata using the metan command, random effects. Meta-analyses were conducted separately for ages screened: under 50, 50 to 69 and over 70 and weighted by population and person-years. RESULTS: Among 4,903 published papers that were retrieved, 19 studies matched eligibility criteria. Birth cohort studies reported a significant benefit for women screened |
DOI | 10.1371/journal.pone.0098105 |