A prospective study of the use and effects of screening mammography in women aged 70 and older.

ABSTRACT:

Objectives

To prospectively examine how age and comorbidity affect screening mammography use, cancer detection, and overall survival.

Design

Prospective, with median follow-up of 10.2 years.

Setting

A population-based cohort of Vermont women with data in the Vermont Breast Cancer Surveillance System.

Participants

Women aged 70 and older with no history of breast cancer (N = 20,697).

Measurements

Rates of screening, diagnostic procedure use, and breast cancer diagnosis were examined according to age and comorbidity. The effect of breast cancer on overall survival was assessed in relation to detection mode, tumor characteristics, and treatment.

Results

Screening declined 9% per year after age 70 and 18% with each unit increase in comorbidity score,

SUBMITTER: Vacek PM 

PROVIDER: S-EPMC4300281 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature