Ireland should screen women for the disease on the basis of risk not age, says expert
Breast cancer is the most common cancer in Irish women, with about 3,500 cases and more than 700 deaths a year. Photograph: PA“doesn’t make much of a difference” to death rates from the disease, according to a leading breast cancer specialist.
Internationally, death rates from breast cancer have tumbled in recent decades. But they have also fallen in Switzerland, added Prof Kennedy, which does not have a national screening programme.Breast cancer: ‘Tears, fear, anxiety, disbelief and feeling numb — a whole smorgasbord going on at once’Irish women aged between 50 and 69 are eligible for a mammogram every two years under BreastCheck, the State’s national breast screening programme. There are plans to expand the age range to 45-74 years.
Overall survival rates for all cancers have increased by 40 per cent since the 1980s but getting further improvements will prove difficult, because “the low-hanging fruit has already been plucked,” Prof Kennedy said. Survival rates in Ireland are better where services are centralised, as they are for breast, oesophageal and pancreatic cancers — and worse where they are not — such as with gynaecological cancers, he said.
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