Association of patient age with outcomes of current-era, large-scale screening mammography : Analysis of data from the national mammography database
Menée aux Etats-Unis à partir de l'analyse de plus de 5 millions de clichés mammographiques réalisés entre 2008 et 2014 sur plus de 2 millions de femmes âgées de 40 ans ou plus, cette étude évalue, en fonction de catégories d'âge et du point de vue du taux de rappel et du taux de détection du cancer du sein, l'efficacité d'une mammographie de dépistage
Mammography is the standard imaging examination for breast cancer screening and has substantially reduced mortality from breast cancer. In the past decade, different interpretations of the evidence on outcomes have resulted in various screening guidelines and debate regarding the balance of benefits and risks of mammography screening. Part of this debate involves uncertainty about when to stop screening given that women 75 years or older were not included in randomized clinical trials, which limited the sources of most available data to small observational studies. This knowledge gap may be informed by new large-scale evidence from the National Mammography Database (NMD), a mammography outcomes database with current data from a large proportion of US states. Using data from the NMD, we evaluated the association between patient age and screening mammography performance metrics in women 40 years or older.
JAMA Oncology , résumé, 2016