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Breast and cervical cancer screening and disease incidence and stage in New Mexico

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Abstract

Objective: Data on the health impact of breast and cervical cancer screening programs for low-income women are limited. We sought to determine whether a statewide program to provide breast and cervical cancer screening services influenced trends in disease incidence and stage. Methods: We assessed trend data regarding breast and cervical cancer incidence and stage gathered by the New Mexico Tumor Registry and the Surveillance, Epidemiology, and End Results Program before (1975 through 1990) and during (1991 through 1998) implementation of the New Mexico Breast and Cervical Cancer Screening Program. Results: The incidence of cervical carcinoma in-situ increased rapidly in 1991. The incidence per 100,000 population for in-situ breast cancer (2.9 in 1975–1982, 8.5 in 1983–1990, and 16.8 in 1991–1998) and local breast cancer (39.9 in 1975–1982, 46.5 in 1983–1990, and 61.3 in 1991–1998) also increased during the program operation. Notably, a significant increase in incidence per 100,000 population for regional and distant breast cancer from 1975–1982 (31.5) to 1983–1990 (36.0) declined during the 1991–1998 (33.2) period of program operation. Conclusions: The statewide screening program improved detection of breast and cervical cancer and helped reduce the incidence of advanced stages of breast cancer in a relatively short time period.

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References

  1. Landis SH, Murray T, Bolden S, Wingo PA (1998) Cancer Statistics 1998. Cancer J Clin 48: 6–29.

    Google Scholar 

  2. Devesa SS, Young JL Jr, Brinton LA, Fraumeni JF Jr (1989) Recent trends in cervix uteri cancer. Cancer 64: 2184–2190.

    Google Scholar 

  3. Fruchter RG, Wright C, Habenstreit B, Remy JC, Boyce JG, Imperato PJ (1985) Screening for cervical and breast cancer among Caribbean immigrants. J Commun Health 10: 121–135.

    Google Scholar 

  4. Becker TM, Wheeler CM, Key CR, Samet JM (1992) Cervical cancer incidence and mortality in New Mexico's Hispanics, American Indians, and non-Hispanic whites. West J Med 156: 376–379.

    Google Scholar 

  5. Strax P, Martin G (1987) Principles in mass screening for breast cancer. Cancer Detect Prev 10: 229–232.

    Google Scholar 

  6. Boss LP, Guckes FH (1992) Medicaid coverage of screening tests for breast and cervical cancer. Am J Public Health 82: 252–253.

    Google Scholar 

  7. Peto R, Boreham J, Clarke M, Davies C, Beral V (2000) UK and USA breast cancer deaths down 25% in year 2000 at ages 20–69 years. Lancet 355: 1822.

  8. Cuzick J, Stewart H, Peto R, et al. (1987) Overview of randomized trials of postoperative adjuvant radiotherapy in breast cancer. Cancer Treat Rep 71: 15–29. 144 L.G. Escobedo et al.

    Google Scholar 

  9. Plante M, Roy M (1995) The use of operative laparoscopy in determining eligibility for pelvic exenteration in patients with recurrent cervical cancer. Gynecol Oncol 59: 401–404.

    Google Scholar 

  10. Barber HR (1987) Pelvic exenteration. Cancer Invest 5: 331–338.

    Google Scholar 

  11. Kelsey JL, Whittemore AS (1994) Epidemiology and primary prevention of cancers of the breast, endometrium, and ovary. A brief overview. Ann Epidemiol 4: 89–95.

    Google Scholar 

  12. Brinton LA, Bernstein L, Colditz GA (1998). Summary of the Workshop: Workshop on Physical Activity and Breast Cancer. National Action Plan on Breast Cancer Etiology Working Group: Workshop on Physical Activity and Breast Cancer. Cancer 83 (Suppl. 3): 595–599.

  13. Murthy NS, Mathew A (2000) Risk factors for pre-cancerous lesions of the cervix. Eur J Cancer Prev 9: 5–14.

    Google Scholar 

  14. Tabar L, Vitak B, Chen HH, Prevost TC, Duffy SW (1999) Update of the Swedish Two-County Trial of breast cancer screening: histologic grade-specific and age-specific results. Swiss Surg 5: 199–204.

    Google Scholar 

  15. Mahlck CG, Jonsson H, Lenner P (1994) Pap smear screening and changes in cervical cancer mortality in Sweden. Int J Gynaecol Obstet 44: 267–272.

    Google Scholar 

  16. Celentano DD, DeLissovoy G (1989–1990) Assessment of cervical cancer screening and follow-up programs. Public Health Rev 17: 173–240.

    Google Scholar 

  17. Hardy RE, Ahmed NU, Hargreaves MK, Semenya KA (2000) Difficulty in reaching low-income women for screening mammography. J Health Care Poor Underserved 11: 45–49.

    Google Scholar 

  18. Segnan N, Senore C, Giiordan L, Ponti A, Ronco G (1998) Promoting participation in a population screening program for breast and cervical cancer: a randomized trial of different invitation strategies. Tumori 84: 348–353.

    Google Scholar 

  19. Richardson JL, Mondrus GT, Danley K, Deapen D, Mack T (1996) Impact of a mailed intervention on annual mammography and physician breast examinations among women at high risk of breast cancer. Cancer Epidemiol Biomarkers Prev 5: 71–76.

    Google Scholar 

  20. Clover K, Redman S, Forbes J, Sanson-Fisher R, Callaghan T (1996) Two sequential randomized trials of community participation to recruit women for mammographic screening. PrevMed 25: 126–134.

    Google Scholar 

  21. Fernandez ME, DeBor M, Candreia MJ, Wagner AK, Stewart KR (1999) Evaluation of ENCOREplus. A community-based breast and cervical cancer screening program. Am J PrevMed 16: 35–49.

    Google Scholar 

  22. Margolis KL, Lurie N, McGovern PG, Tyrell M, Slater JS (1998) Increasing breast and cervical cancer screening in low-income women. J Gen Intern Med 13: 515–521.

    Google Scholar 

  23. Williams RB, Boles M, Johnson RE (1998) A patient-initiated system for preventive health care. A randomized trial in community-based primary care practices. Arch Fam Med 7: 338–345.

    Google Scholar 

  24. National Cancer Institute. A Guide to Using SEER*Stat, version 3.0. Bethesda, MD: NCI.

  25. Henson RM, Wyatt SW, Lee NC (1996) The National Breast and Cervical Cancer Early Detection Program: a comprehensive public health response to two major health issues for women. J Public Health Manage Pract 2: 36–47.

    Google Scholar 

  26. Caplan LS, May DS, Lisa R (2000) Time to diagnosis and treatment of breast cancer: results from the National Breast and Cervical Cancer Early Detection Program, 1991–1995. Am J Public Health 90: 130–134.

    Google Scholar 

  27. Athas WF (1998) Cancer in New Mexico 1970–1996: Changing Patterns and Emerging Trends. Santa Fe, NM: New Mexico Department of Health.

  28. US Preventive Services Task Force (1996) Screening for breast cancer. In: US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd edn. Baltimore, MD: Williams & Wilkins, pp. 73–87.

    Google Scholar 

  29. US Preventive Services Task Force (1996) Screening for cervical cancer. In: US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd edn. Baltimore, MD: Williams & Wilkins, pp. 105–117.

    Google Scholar 

  30. Ernester VL, Barclay J, Kerlikowske K, Grady D, Henderson C (1996) Incidence of and treatment for ductal carcinoma in-situ of the breast. JAMA 275: 913–918.

    Google Scholar 

  31. Berman SE (2000) New Mexico Breast and Cervical Cancer Program. Demographic characterization of program activity and selected CDC program performance indicators: Program years 1–8 (7/16/1991–7/15/1999). New Mexico Department of Health Breast and Cervical Cancer Program.

  32. Paskett ED, Tatum CM, D'Agostino R Jr, et al. (1999) Community-based interventions to improve breast and cervical cancer screening: results of the Forsyth County Cancer Screening (Focas) Project. Cancer Epidemiol Biomarkers Prev 8: 453–459.

    Google Scholar 

  33. Fernandez ME, DeBor M, Candreia MJ, Wagner AK, Stewart KR (1999) Evaluation of ENCOREplus. A community-based breast and cervical cancer screening program. Am J PrevMed 16: 35–49.

    Google Scholar 

  34. Taplin S, Galvin MS, Payne T, Coole D, Wagner E (1998) Putting population-based care into practice: real option or rhetoric. J Am Board Fam Pract 11: 116–126.

    Google Scholar 

  35. Lynge E (1998) Mammography screening for breast cancer in Copenhagen April 1991–March 1997. Mammography Screening Evaluation Group. APMIS, Supplementum 83: 1–44.

    Google Scholar 

  36. van Dijck J, Verbeek A, Hendriks J, Holland R, Mravunac M (1996) Mammographic screening after the age of 65 years: early outcomes in the Nijmegen programme. Br J Cancer 74: 1838–1842.

    Google Scholar 

  37. Chao A, Becker TM, Jordan SW, Darling R, Gilliland FD, Key CR (1996) Decreasing rates of cervical cancer among American Indians and Hispanics in New Mexico (United States). Cancer Causes Control 7: 205–213.

    Google Scholar 

  38. Christopherson WM, Lundin FE Jr, Mendez WM, Parker JE (1976) Cervical cancer control-a study of morbidity and mortality trends over a twenty-one-year period. Cancer 38: 1357–1366.

    Google Scholar 

  39. Jones HW 3rd (1995) Impact of the Bethesda system. Cancer 76: 1914–1918.

    Google Scholar 

  40. New Mexico Health Policy Commission (2000) Health Care in New Mexico: Access, Financing, Delivery and Outcomes. Quick Facts 2000. State of New Mexico.

  41. Centers for Disease Control and Prevention (1998) State specific prevalence estimates of uninsured and underinsured persons-Behavioral risk Factor Surveillance System, 1995. MMWR 47: 51–55.

    Google Scholar 

  42. Centers for Disease Control and Prevention (1998) Age-and statespecific prevalence estimates of insured and uninsured persons-United States, 1995–1996. MMWR 47: 529–532.

    Google Scholar 

  43. Nelson DAF, Nelson MA, Shank JC, Thompson FL (1979) Emergency room misuse by medical assistance patients in a family practice residency. J Fam Pract 8: 341–345.

    Google Scholar 

  44. Fleming NS, Jones HC (1983) The impact of outpatient department and emergency room use on costs in the Texas Medicaid program. Med Care 21: 892–910.

    Google Scholar 

  45. Schipper H, Menden K (1994) Writing papers and changing minds. Can Med Assoc J 150: 1075–1078.

    Google Scholar 

  46. Weber BE, Reilly BM (1997) Enhancing mammography use in the inner city: a randomized trial of intensive case management. Arch Intern Med 157: 2345–2349.

    Google Scholar 

  47. Morrison AS (1992) Efficacy of screening for breast cancer in older women. J Gerontol 47: 80–84.

    Google Scholar 

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Escobedo, L.G., Zhong, Z. & Key, C. Breast and cervical cancer screening and disease incidence and stage in New Mexico. Cancer Causes Control 13, 137–145 (2002). https://doi.org/10.1023/A:1014302121094

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