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Annals of Oncology Advance Access originally published online on October 26, 2005
Annals of Oncology 2006 17(1):57-59; doi:10.1093/annonc/mdj035
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© 2005 European Society for Medical Oncology

Diverging trends in breast cancer mortality within Switzerland

J-L. Bulliard1,*, C. La Vecchia1,2,3 and F. Levi1,4

1 Unité d'Epidémiologie du Cancer and 4 Registres Vaudois et Neuchâtelois des Tumeurs, Institut Universitaire de Médecine Sociale et Préventive, Lausanne, Switzerland; 2 Istituto di Ricerche Farmacologiche ‘Mario Negri’, 3 Istituto di Biometria e Statistica Medica, Università degli Studi di Milano, Milan, Italy

* Correspondence to: Dr J-L. Bulliard, Unité d'épidémiologie du cancer, Institut universitaire de médecine sociale et préventive, rue du Bugnon 17, 1005 Lausanne, Switzerland. Tel: +41-21-314-7245; Fax: +41-21-314-7373; E-mail: Jean-Luc.Bulliard{at}chuv.ch

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.

Key words: breast cancer, mortality, Switzerland, treatment, mammography screening


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