Southwestern Internal Medicine Conference: Health maintenance for adults

TY - JOUR

T1 - Southwestern Internal Medicine Conference

T2 - Health maintenance for adults

AU - Kirk, L. M.

N1 - Funding Information: similar group of 31,000 women was not offered specific screening. Sixty-five percent of the women in the study group presented for the initial screening and approx imately 50% received the screen ing examinations for five years. Overall, 33.3% of the breast can cers in the screened group were detected by mammogram alone, when the concomitant physical exam was normal. This varied, depending on the age group, from 20% in women aged 40 to 49 to 41.5% detected by mammography alone in women aged 50 to 59. An even more important finding was that after ten years of follow-up in the 50 to 59 year old women, the case fatality ratio of the cancers detected by screening was significantly lower than that in the control group. The Breast Cancer Detection Demonstration Projects sponsored by the American Cancer Society and the National Cancer Institute offered yearly breast exams and mammograms to 280,000 women in 29 centers. A total of 4,443 breast cancers were detected dur- ing the project, 3,557 of these were detected by the screening. The detection rate varied from 1 in 1,000 screenings in women aged 35 to 39 to a rate of 12.9 cancers per 1000 screenings in women aged 70 to 74. 41.6% of cancers detected by screening were present on mammogram only. In addition, mammography was positive in 91.8% of the cancers detected by the BCDDP in the 50 to 59 age group. Those cancers detected by mammogram alone were more likely to be at a more limited stage with fewer positive nodes, leading one to believe that the long term outcome of these women will be improved. The benefit of both mammography and physical exam for detecting and improving the outcome of breast cancer has therefore been well established. The Breast Cancer Detection Demonstration Project and the New York Health Insurance Plan, as outlined in Table 2, demonstrate these measures. Against this data must be weighed the risks of mammog- Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 1985

Y1 - 1985

UR - http://www.scopus.com/inward/record.url?scp=0022219149&partnerID=8YFLogxK

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U2 - 10.1097/00000441-198505000-00006

DO - 10.1097/00000441-198505000-00006

M3 - Article

C2 - 4003429

AN - SCOPUS:0022219149

SN - 0002-9629

VL - 289

SP - 215

EP - 220

JO - American Journal of the Medical Sciences

JF - American Journal of the Medical Sciences

IS - 5

ER -