programas cribado cancer

Nota bibliográfica cribado miscelánea 2014-11

Leive A, Stratmann T. Do national cancer screening guidelines reduce mortality?. J Popul Econ. 2014;1–21. Available from: http://dx.doi.org/10.1007/s00148-014-0536-6. doi: 10.1007/s00148-014-0536-6.

 The effectiveness of cancer screening is a salient health policy issue that remains unresolved. This article sheds new light on the benefits of population-wide cancer screening. We investigate changes in mortality after the introduction of screening guidelines for breast and prostate cancers in the USA and UK. We use differences in the timing of guideline adoption, differences in ages recommended for screening, and differences in which cancers are detectable by screening to identify the effect of cancer screening guidelines. Our quadruple-differencing strategy finds a moderately sized mortality benefit from mammography and prostate-specific antigen (PSA) screening guidelines among recommended age groups and little change in mortality rates among age groups not recommended to receive screening. As a falsification test, we verify that prostate cancer rates among men did not fall after the introduction of mammography screening and breast cancer rates among women did not fall after the introduction of the PSA test.

Segura PP, Fombella JPB, Lorenzo BP, Martín MR, Lopez PG. SEOM guide to primary and secondary prevention of cancer: 2014.Clin Transl Oncol. 2014;16(12):1072–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25358801. doi: 10.1007/s12094-014-1215-5. PMID: 25358801.

CONCLUSION: The diffusion of these preventive tools can reduce the incidence of cancer and increase the number of early diagnostics in the most prevalent tumors.

Miller JW, Plescia M, Ekwueme DU. Public health national approach to reducing breast and cervical cancer disparities. Cancer. 2014;120(S16):2537–9. Available from: http://dx.doi.org/10.1002/cncr.28818. doi: 10.1002/cncr.28818.
 
Breast and cervical cancer have had disparate impact on the lives of women. The burden of breast and cervical cancer is more prominent among some racial and ethnic minority women. Providing comprehensive care to all medically underserved women is a critical element in continuing the battle to reduce cancer burden and eliminate disparities. The National Breast and Cervical Cancer Early Detection Program is the only nationally organized cancer screening program for underserved women in the United States. Its public health goal is to ensure access to high-quality screening, follow-up, and treatment services for diverse and vulnerable populations that, in turn, may reduce disparities.
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