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Observed and expected mortality in the German skin cancer screening pilot project SCREEN.
- Source :
-
Journal of medical screening [J Med Screen] 2018 Sep; Vol. 25 (3), pp. 166-168. Date of Electronic Publication: 2017 Nov 24. - Publication Year :
- 2018
-
Abstract
- Objective The main purpose of skin cancer screening is melanoma mortality reduction. Before the implementation of nationwide German skin cancer screening, the pilot project SCREEN was conducted in Schleswig-Holstein in 2003-2004. We aimed to determine whether the pilot project had achieved a mortality reduction. Methods Using an incidence-based approach (patients with both melanoma diagnosis and death in 2003-2008), we compared the observed melanoma mortality of the SCREEN cohort to the melanoma mortality expected without screening in the general population of Saarland. Results The age- and sex-standardized melanoma mortality ratio (SMR) for 5.5 years of follow-up was 0.59 (95% confidence interval, 0.40-0.83). Conclusion Our results indicate reduced mortality in the SCREEN cohort. Several potential biases cannot be excluded, but most of them tend to inflate the SMR.
- Subjects :
- Algorithms
Female
Follow-Up Studies
Germany epidemiology
Humans
Incidence
Male
Melanoma epidemiology
Models, Theoretical
Pilot Projects
Skin Neoplasms epidemiology
Early Detection of Cancer methods
Mass Screening methods
Melanoma diagnosis
Melanoma mortality
Skin Neoplasms diagnosis
Skin Neoplasms mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1475-5793
- Volume :
- 25
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of medical screening
- Publication Type :
- Academic Journal
- Accession number :
- 29169295
- Full Text :
- https://doi.org/10.1177/0969141317734003