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Nonexperimental Evaluation of the Effectiveness of a Screening Program for Lung Cancer

Published online by Cambridge University Press:  14 October 2009

K. Ebeling  and
P. Nischan
K. Ebeling
Affiliation:
Humboldt University Faculty of Medicine
P. Nischan
Affiliation:
Humboldt University Faculty of Medicine
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Abstract

The effectiveness of screening to control lung cancer was examined in the German Democratic Republic by analyzing data from a cancer registry and incidence and mortality rates for lung cancer relative to different screening policies, and by two case-control studies. Mortality from lung cancer did not appear to be affected by the screening programs studied. The high cost of mass screening, combined with uncertainty about the benefits of early treatment of lung cancer, outweigh the vague advantages of such screening.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 8 , Issue 2 , Spring 1992 , pp. 245 - 254
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

1.Berndt, R., Nischan, P., & Ebeling, K.Screening for lung cancer in the middle-aged. International Journal of Cancer, 1990, 45, 229–30.Google Scholar
2.Berrino, F., Gatta, G., D'Alto, M., et al. Use of case-control studies in evaluation of screening programmes. In Prorok, P. C. & Miller, A. B. (eds.), Screening for cancer, UICC technical report series, vol. 78. Geneva: UICC, 1984, 29–43.Google Scholar
3.Breslow, N. E., & Day, N. E.Statistical methods in cancer research, vol. 1. Lyon, France: IARC, 1980.Google Scholar
4.Brett, G. Z.Earlier diagnosis and survival in lung cancer. British Medical Journal, 1969, 4, 260–62.CrossRefGoogle ScholarPubMed
5.Dales, L. G., Friedman, G. D., & Collen, M. F.Evaluating periodic multiphasic health checkups: A controlled trial. Journal of Chronic Diseases, 1979, 32, 385–404.Google Scholar
6.Doll, R., & Peto, R.The causes of cancer. Oxford, U.K.: Oxford University Press, 1981.Google ScholarPubMed
7.Ebeling, K., & Nischan, P.Screening for lung cancer-Results from a case control study. International Journal of Cancer, 1987, 40, 141–44.CrossRefGoogle ScholarPubMed
8.Ebeling, K., Nischan, P., & Zellmer, C.Survival rates of asymptomatic or symptom-detected cases of lung cancer. Archiv für Geschwulstforschung, 1987, 57, 61–67.Google ScholarPubMed
9.Flehinger, B. J., Melamed, M. R., Zaman, M. B., et al. Screening for early detection of lung cancer in New York. In Prorok, P. C. & Miller, A. B. (eds.), Screening for cancer, UICC technical report series, vol. 78. Geneva: UICC, 1984, 123–35.Google Scholar
10.Fontana, R. S. Screening for lung cancer. In Miller, A. B. (ed.), Screening for cancer. San Diego, CA: Academic Press, 1985, 377–95.Google Scholar
11.Lilienfeld, A.An evaluation of radiologic and cytologic screening for the early detection of lung cancer: A cooperative pilot study of the American Cancer Society and the Veterans Administration. Cancer Research, 1966, 26, 2083–121.Google Scholar
12.Miller, A. B. Principles of screening and of the evaluation of screening programs. In Miller, A. B. (ed.), Screening for cancer. San Diego, CA: Academic Press, 1985, 3–24.Google ScholarPubMed
13.Morrison, A. S.Case definition in case-control studies of the efficacy of screening. American Journal of Epidemiology, 1982, 115, 6–8.CrossRefGoogle ScholarPubMed
14.Prorok, P. C., Chamberlain, J., Day, N. E., et al. UICC workshop on the evaluation of screening programmes for cancer. International Journal of Cancer, 1984, 34, 1–4.Google Scholar
15.Sasco, A. J., Day, N. E., & Walter, S. D.Case-control studies for the evaluation of screening. Journal of Chronic Diseases, 1986, 399–405.CrossRefGoogle ScholarPubMed
16.Weiss, W. Problems in screening for lung cancer. In Miller, A. B. (ed.), Screening for cancer. Geneva: UICC, 1978, 216–38.Google Scholar
17.Wilde, J. Early detection and first symptoms. X-ray screening. In von Trendelenburg, F. (ed.), Handbuch der Inneren Medizin, vol. 4. Berlin: Springer, 1985, 2–37.Google Scholar