Background: Substantial regional heterogeneity in the provision of cancer prevention and management services results from the decentralised Swiss healthcare system. Materials and methods: Breast cancer mortality trends between 1980 and 2002 were compared in two French- and in two German-speaking female populations of Switzerland, aged 55-74 years, characterised by different access to, and use of, mammography screening. Results: Since the early 1990s, a 30% fall was observed in the French-speaking regions of Vaud and Geneva, where mammography screening is widespread, with no decline in the German-speaking areas of Basel and Zurich. Conclusion: Modification in breast cancer diagnosis and management in selected regions of Switzerland is urgently needed.
Diverging trends in breast cancer mortality within Switzerland / J.L. Bulliard, C. La Vecchia, F. Levi. - In: ANNALS OF ONCOLOGY. - ISSN 0923-7534. - 17:1(2006 Jan), pp. 57-59. [10.1093/annonc/mdj035]
Diverging trends in breast cancer mortality within Switzerland
C. La VecchiaSecondo
;
2006
Abstract
Background: Substantial regional heterogeneity in the provision of cancer prevention and management services results from the decentralised Swiss healthcare system. Materials and methods: Breast cancer mortality trends between 1980 and 2002 were compared in two French- and in two German-speaking female populations of Switzerland, aged 55-74 years, characterised by different access to, and use of, mammography screening. Results: Since the early 1990s, a 30% fall was observed in the French-speaking regions of Vaud and Geneva, where mammography screening is widespread, with no decline in the German-speaking areas of Basel and Zurich. Conclusion: Modification in breast cancer diagnosis and management in selected regions of Switzerland is urgently needed.
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