HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leung, G. M. Articles by Hedley, A. J. Search for Related Content PubMed PubMed Citation Articles by Leung, G. M. Articles by Hedley, A. J. Related Collections Prevention Asians Women's Health

Gabriel M. Leung, MD, MPH, Tai-Hing Lam, MD, Thuan Q. Thach, PhD and Anthony J. Hedley, MD

Gabriel M. Leung, Tai-Hing Lam, Thuan Q. Thach, and Anthony J. Hedley are with the Department of Community Medicine, University of Hong Kong Medical Centre, Hong Kong.

Correspondence: Requests for reprints should be sent to G. M. Leung, MD, MPH, Department of Community Medicine, 21 Sassoon Road, Patrick Manson Building, University of Hong Kong, Pokfulam, Hong Kong (e-mail: gmleung{at}hku.hk).

Objectives. We sought to systematically review the evidence for population-based mammography as applied to a Chinese population.

Methods. Primary reports for meta-analysis were identified by a search of MEDLINE and the Cochrane Library. Outcome measures included breast cancer–related mortality, the number needed to be screened to prevent 1 death, and the positive predictive value of mammography.

Results. Pooled relative risk for breast cancer–related death in the screened group was 0.80 (95% confidence interval = 0.71, 0.90). Applied to Hong Kong, this figure translates into a number needed to screen of 1 302 healthy women screened annually for 10 years to prevent 1 death. Conclusions. Evidence is insufficient to justify population-based breast cancer screening by mammography for women in Hong Kong and other Asian populations with low breast cancer prevalence.

This article has been cited by other articles:

				G. M. Leung, P. P. S. Woo, B. J. Cowling, C. S. H. Tsang, A. N. Y. Cheung, H. Y. S. Ngan, K. Galbraith, and T.-H. Lam Who receives, benefits from and is harmed by cervical and breast cancer screening among Hong Kong Chinese? J. Public Health Med., September 1, 2008; 30(3): 282 - 292. [Abstract] [Full Text] [PDF]

				P. P.S. Woo, J. J. Kim, and G. M. Leung What Is the Most Cost-Effective Population-Based Cancer Screening Program for Chinese Women? J. Clin. Oncol., February 20, 2007; 25(6): 617 - 624. [Abstract] [Full Text] [PDF]

				D. Gur, J. S. Stalder, L. A. Hardesty, B. Zheng, J. H. Sumkin, D. M. Chough, B. E. Shindel, and H. E. Rockette Computer-aided Detection Performance in Mammographic Examination of Masses: Assessment Radiology, November 1, 2004; 233(2): 418 - 423. [Abstract] [Full Text] [PDF]

				M. Tseng and C. Fang SCREENING MAMMOGRAPHY IN ASIAN AMERICAN WOMEN Am J Public Health, September 1, 2003; 93(9): 1378 - 1378. [Full Text] [PDF]

				T. Lam and G. Leung Geoethnic-sensitive and cross-culture collaborative epidemiological studies Int. J. Epidemiol., April 1, 2003; 32(2): 178 - 180. [Full Text] [PDF]