Summary
An overview is presented of the salient aspects of the DOM-project of breast cancer screening carried out in the city of Utrecht, the Netherlands. Results on stage at diagnosis, case-fatality, and mortality rates suggest that the program has been effective.
Attention is devoted to the issue whether knowledge about risk factors for breast cancer is helpful in making a screening program more effective or efficient. It is concluded that such knowledge is of limited importance.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Shapiro S, Strax P, Venet L: Periodic breast cancer screening in reducing mortality from breast cancer. JAMA 215: 1777–1785, 1971
de Waard F, Collette HJA, Rombach JJ, Baanders-van Halewijn EA, Honing C: The DOM-project for the early detection of breast cancer. J Chron Dis 37: 1–44, 1984a
Collette HJA, Day NE, Rombach JJ, de Waard F: Evaluation of screening for breast cancer in a non-randomised study (the DOM-project) by means of a case-control study. Lancet 1: 1224–1226, 1984
Tabar L, Fagerberg CJG, Gad Aet al.: Reduction in mortality from breast cancer after mass screening with mammography. Lancet 1: 829–832, 1985
de Waard F, Poortman J, Collette HJA: Relationship of weight to the promotion of breast cancer. Nutr Cancer 2: 237–240, 1981
Stanford JL, Szklo M, Boring CC, Brinton L, Diamond EL, Greenberg RS, Hoover RN: A case control study of breast cancer stratified by estrogen-receptor status. Amer J Epid 125: 184–194, 1987
Bulbrook RD, Hayward JL, Spicer CC: Relation between urinary androgen and corticoid excretion and subsequent breast cancer. Lancet 2: 395–398, 1971
Poortman J, van der Smissen J, Collette HJA, de Waard F: Ratio of 11-desoxy 17-oxosteroids to creatinine in a population screened for breast cancer. Brit J Cancer 39: 688–695, 1979
Wolfe JN: Breast pattern as an index of risk for developing breast cancer. Am J Roentgenol 126: 1130–1139, 1976
Boyd NF, O'Sullivan B, Fishell E, Simon I, Cooke G: Mammographic patterns and breast cancer risk: methodologic standards and contradictory results. JNCI 72: 1253–1259, 1984
de Waard F, Rombach JJ, Collette HJA, Slotboom B: Breast cancer risk associated with reproductive factors and breast parenchymal pattern. JNCI 72: 1277–1282, 1984b
Bergkvist L, Tabar L, Bergstrom R, Adami HO: Epidemiologic determinants of the mammographic parenchymal pattern. Amer J Epidemiol 126: 1075–1081, 1987
McMahon B, Cole P, Lin TM, Lowe CR, Mirra AP, Ravnihar B, Salber EJ, Valaoras VG, Yuasa S: Age at first birth and breast cancer risk. Bull WHO 43: 209–221, 1970
Duffy J, Roberts MM, Elton R: Risk factors for breast cancer: relevance to screening. J Epidemiol Comm Health 37: 127–131, 1983
Schlechter MT, Miller AB, Baines CJ, Howe GR: Selection of women at high risk for breast cancer at initial screening. J Chron Dis 39: 253–260, 1986
Baker LH: Breast cancer detection demonstration project: five-year summary report. CA 32: 194–255, 1982
Tabar L: Personal communication, 1987
Consensus Development Meeting NIH/NCI on breast cancer screening. JNCI 60: 1519–1524, 1978
Carlile T: Breast cancer detection. Cancer 47: 1164–1169, 1981
American Cancer Society: Mammography guidelines 1983. CA 33: 255, 1983
Moskovitz M: Breast cancer: age-specific growth rates and screening strategies. Radiology 161: 37–41, 1986
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
De Waard, F., Collette, H.J.A., Rombach, J.J. et al. Breast cancer screening, with particular reference to the concept of ‘high risk’ groups. Breast Cancer Res Tr 11, 125–132 (1988). https://doi.org/10.1007/BF01805836
Issue Date:
DOI: https://doi.org/10.1007/BF01805836