Breast Cancer Screening Making Sense of Complex and Evolving Evidence

Langue : Anglais

Auteurs : Houssami Nehmat, Miglioretti Diana

Couverture de l’ouvrage Breast Cancer Screening

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Breast Cancer Screening: Making Sense of Complex and Evolving Evidence covers broad aspects of breast cancer screening specifically focusing on current evidence, emerging evidence, and issues that will be critical for future breast screening practice such as tailored screening and shared decision-making in breast screening. The scope of the book is relevant to a global audience.

This book provides balanced perspectives on this increasingly controversial topic, using scientific evidence to explain the evolution of knowledge relating to breast cancer screening. Breast Cancer Screening covers the key points related to this debate including the context of increasingly complex and conflicting evidence, divergent opinions on the benefits and harms of breast screening, and variability in screening practice and outcomes across settings around the world.

1. Foreword: Breast Cancer Screening: A focus on the evidence2. Breast Cancer Screening: balancing evidence with culture, politics, money, and media3. Estimates of Screening Benefit: The Randomized Trials of Breast Cancer Screening4. Weighing the benefits and harms: Screening mammography in the balance5. The Importance of Observational Evidence to Estimate and Monitor Mortality Reduction from Current Breast Cancer Screening6. The role of microsimulation modeling in evaluating the outcomes and effect of screening7. Challenges in understanding and quantifying over-diagnosis and over-treatment8. Challenges and opportunities in the implementation of risk-based screening for breast cancer9. Breast Cancer Screening in the Older Woman10. Screening Women in their Forties11. Screening for Breast Cancer in Women with Dense Breasts12. Screening women with known or suspected cancer gene mutations13. Imaging Surveillance of Women with a Personal History of Breast Cancer14. Evolution of mammography screening: from film screen to digital breast tomosynthesis15. Ethical and Societal Considerations in Breast Cancer Screening16. Treatment of screen-detected breast cancer: can we avoid or minimize over-treatment?17. Informed and shared decision-making in breast screening

clinical researchers, cancer researchers, and clinicians interested in evidence on key aspects of breast screening; specialists in any breast discipline (oncology, breast surgery, radiology, radiation therapists, pathologists, etc.), public health professionals with interest in breast screening or cancer screening, researchers in health services & public health studies, breast screening policy makers and service providers.

Dr. Nehmat Houssami is a medical graduate with specialization in Public Health Medicine, and holds an MPH and a PhD (Clinical Epidemiology). She is also a breast physician and clinical researcher who has focused her career on breast cancer, specifically in the screening and diagnosis setting, for the past 22 years. Her expertise includes population screening, breast diagnostic and prognostic testing, cancer staging, and the effect of tests on patients’ treatment and clinical outcomes. Dr. Houssami has expertise in systematic evidence reviews and evidence synthesis, and in evaluating new breast screening technologies in the clinical field. Her scholarly work integrates clinical with public health medicine and aims to support evidence-based practice in breast screening and healthcare. She currently leads the breast cancer research portfolio in the Screening & Test Evaluation Program (Sydney Medical School) and the majority of her research is based on leading international collaborations including prospective studies and IPD meta-analyses. Her research portfolio has achieved international recognition. Dr. Houssami is a clinical consultant at the Royal Hospital for Women, Sydney; she is also Co-Editor of The Breast (an Elsevier journal).
Diana L. Miglioretti, PhD, is the Dean’s Professor of Biostatistics at University of California Davis and a Senior Investigator at Group Health Research Institute. She received her Ph.D. from the Department of Biostatistics at Johns Hopkins University in 2000. Dr. Miglioretti’s primary research is in the evaluation of breast cancer screening and breast cancer risk prediction modeling. Dr. Miglioretti has been the principal investigator of the Statistical Coordinating Center for the National Cancer Institute (NCI) funded Breast Cancer Surveillance Consortium (BCSC) since 2005. The BCSC is a collaboration of eight breast imaging registries in the United States. She is currently the contact principal investigator and Biostatistics and

Explains complex and evolving evidence on breast screening with a balanced approach
Provides balanced information and up-to-date evidence in an increasingly complex area
Addresses emerging topical issues such as screening trials of digital breast tomosynthesis, tailored breast screening, and shared decision-making in breast screening
Assists academics and researchers in identifying areas needing further research