{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:12:58Z","timestamp":1790392378180,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,2,23]],"date-time":"2016-02-23T00:00:00Z","timestamp":1456185600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2016,5,15]]},"abstract":"<jats:p>We examined survival in screened\u2010detected and non\u2010screen\u2010detected women diagnosed in the West Midlands (UK) and New South Wales (Australia) in order to evaluate whether international differences in survival are related to early diagnosis, or to other factors relating to the healthcare women receive. Data for women aged 50\u2009\u2212\u200965 years who had been eligible for screening from 50 years were examined. Data for 5,628 women in West Midlands and 6,396 women in New South Wales were linked to screening service records (mean age at diagnosis 53.7 years). We estimated net survival and modelled the excess hazard ratio of breast cancer death by screening status. Survival was lower for women in the West Midlands than in New South Wales (5\u2010year net survival 90.9% [95% CI 89.9%\u221291.7%] compared with 93.4% [95% CI 92.6%\u201094.1%], respectively). The difference was greater between the two populations of non\u2010screen\u2010detected women (4.9%) compared to between screen\u2010detected women, (1.8% after adjustment for lead\u2010time and over\u2010diagnosis). The adjusted excess hazard ratio of breast cancer death for West Midlands compared with New South Wales was greater in the non\u2010screen\u2010detected group (EHR 2.00, 95% CI 1.70\u2009\u2212\u20092.31) but not significantly different to that for women whose cancer had been screen\u2010detected (EHR 1.72, 95% CI 0.87\u2009\u2212\u20092.56). In this study more than one in three breast cancer deaths in the West Midlands would have been avoided if survival had been the same as in New South Wales. The possibility that women in the UK receive poorer treatment is an important potential explanation which should be examined with care.<\/jats:p>","DOI":"10.1002\/ijc.29984","type":"journal-article","created":{"date-parts":[[2016,1,13]],"date-time":"2016-01-13T02:54:44Z","timestamp":1452653684000},"page":"2404-2414","source":"Crossref","is-referenced-by-count":10,"title":["Are international differences in breast cancer survival between <scp>A<\/scp>ustralia and the UK present amongst both screen\u2010detected women and non\u2010screen\u2010detected women? survival estimates for women diagnosed in <scp>W<\/scp>est <scp>M<\/scp>idlands and <scp>N<\/scp>ew <scp>S<\/scp>outh <scp>W<\/scp>ales 1997\u20132006"],"prefix":"10.1002","volume":"138","author":[{"given":"Laura M.","family":"Woods","sequence":"first","affiliation":[{"name":"Cancer Research UK Cancer Survival Group Department of Non\u2010Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine London WC1E 7HT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Rachet","sequence":"additional","affiliation":[{"name":"Cancer Research UK Cancer Survival Group Department of Non\u2010Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine London WC1E 7HT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianne L.","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Cancer Research Division Cancer Council NSW NSW 1340 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gill","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Breast Cancer Audit Consultant and Former Director West Midlands Cancer Intelligence Unit, Public Health Building, University of Birmingham Birmingham B15 2TT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel P.","family":"Coleman","sequence":"additional","affiliation":[{"name":"Cancer Research UK Cancer Survival Group Department of Non\u2010Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine London WC1E 7HT"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.24233"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdj007"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(93)91067-V"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7134.832"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0959-8049(95)00324-C"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1006152918283"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.9.1064"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anzs.12059"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdg325"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38764.572569.7C"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn120"},{"key":"e_1_2_9_13_1","unstructured":"Census 2011. 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