Title |
Observed and expected mortality in the German skin cancer screening pilot project SCREEN
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Published in |
Journal of Medical Screening, November 2017
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DOI | 10.1177/0969141317734003 |
Pubmed ID | |
Authors |
Nora Eisemann, Annika Waldmann, Bernd Holleczek, Alexander Katalinic |
Abstract |
Objective The main purpose of skin cancer screening is melanoma mortality reduction. Before the implementation of nationwide German skin cancer screening, the pilot project SCREEN was conducted in Schleswig-Holstein in 2003-2004. We aimed to determine whether the pilot project had achieved a mortality reduction. Methods Using an incidence-based approach (patients with both melanoma diagnosis and death in 2003-2008), we compared the observed melanoma mortality of the SCREEN cohort to the melanoma mortality expected without screening in the general population of Saarland. Results The age- and sex-standardized melanoma mortality ratio (SMR) for 5.5 years of follow-up was 0.59 (95% confidence interval, 0.40-0.83). Conclusion Our results indicate reduced mortality in the SCREEN cohort. Several potential biases cannot be excluded, but most of them tend to inflate the SMR. |
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Unknown | 1 | 100% |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
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Unknown | 7 | 100% |
Demographic breakdown
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Researcher | 3 | 43% |
Student > Ph. D. Student | 1 | 14% |
Professor | 1 | 14% |
Unknown | 2 | 29% |
Readers by discipline | Count | As % |
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Biochemistry, Genetics and Molecular Biology | 1 | 14% |
Nursing and Health Professions | 1 | 14% |
Social Sciences | 1 | 14% |
Medicine and Dentistry | 1 | 14% |
Unknown | 3 | 43% |