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Annals of Oncology Advance Access published online on October 26, 2005
Annals of Oncology, doi:10.1093/annonc/mdj035
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© 2005 European Society for Medical Oncology
Received June 30, 2005
Revised August 8, 2005
Accepted September 5, 2005

original article

Diverging trends in breast cancer mortality within Switzerland

J-L. Bulliard 1*, C. La Vecchia 2, and F. Levi 3

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

* To whom correspondence should be addressed.
J-L. Bulliard, E-mail: Jean-Luc.Bulliard{at}chuv.ch


  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.

Keywords: breast cancer; mortality; Switzerland; treatment; mammography screening.
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