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Breast screening for survivors of breast cancer: A systematic review

Preventive Medicine Sep 05, 2017

Muradali D, et al. – Analysts explore the outcomes of surveillance mammography in breast cancer survivors, and aim to investigate the proof for screening these women within an organized population–based screening program. Based on this review, organized screening programs ought to reassess their guidelines on surveillance mammography and consider including women with a personal history of breast cancer (PHBC).

  • In this study, they looked Cochrane Central Register of Controlled Trials (CENTRAL Issue 6, 2015), OVID MEDLINE and EMBASE (January 2012 to June 22, 2015) for English–language studies of surveillance of the target population.
  • A study author extracted study outcomes, which were audited by a research assistant.
  • They included 1 systematic review and 5 primary studies.
  • These demonstrated that surveillance mammography may decrease breast cancer–specific mortality through early/asymptomatic detection (Hazard Ratio for those without compared to with symptoms:HR: 0.64, 95% CI 0.55 – 0.74).
  • Three studies demonstrated that semi–annual mammography is likely not of greater benefit than annual mammography.
  • No proof was observed to propose that surveillance mammography for women with a PHBC ought not be conducted within an organized screening program.
  • The small evidence–base had a high level of heterogeneity in populations, interventions and outcomes.

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