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Clinicians, administrators, and consumer groups are also interested in local service outcomes. We therefore use more common prognostic and treatment measures and survivals to gain evidence of screening effects among patients attending 4 local hospitals for treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To compare prognostic, treatment, and survival measures by screening history to determine whether expected screening effects are occurring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Employing routine clinical registry and linked screening data to investigate associations of screening history with these measures, using unadjusted and adjusted analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Screened women had a 10\u2010year survival from breast cancer of 92%, compared with 78% for unscreened women; and 79% of screened surgical cases had breast conserving surgery compared with 64% in unscreened women. Unadjusted analyses indicated that recently screened cases had earlier tumor node metastasis stages, smaller diameters, less nodal involvement, better tumor differentiation, more oestrogen and progesterone receptor positive lesions, more hormone therapy, and less chemotherapy. Radiotherapy tended to be more common in screening participants. More frequent use of adjunctive radiotherapy applied when breast conserving surgery was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results confirm the screening effects expected from the scientific literature and demonstrate the value of opportunistic use of available registry and linked screening data for indicating to local health administrations, practitioners, and consumers whether local screening services are having the effects expected.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12640","type":"journal-article","created":{"date-parts":[[2016,9,22]],"date-time":"2016-09-22T08:43:13Z","timestamp":1474533793000},"page":"508-516","source":"Crossref","is-referenced-by-count":3,"title":["Breast cancer screening\u2014opportunistic use of registry and linked screening data for local evaluation"],"prefix":"10.1111","volume":"23","author":[{"given":"David","family":"Roder","sequence":"first","affiliation":[{"name":"Cancer Epidemiology and Population Health University of South Australia  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gelareh","family":"Farshid","sequence":"additional","affiliation":[{"name":"SA Health BreastScreen SA  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grantley","family":"Gill","sequence":"additional","affiliation":[{"name":"Breast Endocrine and Surgical Oncology Unit, RAH, Discipline of Surgery University of Adelaide  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"Kollias","sequence":"additional","affiliation":[{"name":"SA Health  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogda","family":"Koczwara","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Flinders University  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Karapetis","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Flinders University  Bedford Park SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqui","family":"Adams","sequence":"additional","affiliation":[{"name":"Medical Oncology Lyell McEwin Hospital  Elizabeth Vale SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Joshi","sequence":"additional","affiliation":[{"name":"Medical Oncology Lyell McEwin Hospital  Elizabeth Vale SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothy","family":"Keefe","sequence":"additional","affiliation":[{"name":"SA Health Royal Adelaide Hospital  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Powell","sequence":"additional","affiliation":[{"name":"Population Health South Australian Health and Medical Research Institute (SAHMRI)  North Terrace SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kellie","family":"Fusco","sequence":"additional","affiliation":[{"name":"Centre for Population Health Research University of South Australia  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"Eckert","sequence":"additional","affiliation":[{"name":"Cancer Nursing University of South Australia  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8980-1194","authenticated-orcid":false,"given":"Elizabeth","family":"Buckley","sequence":"additional","affiliation":[{"name":"Centre for Population Health Research University of South Australia  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerri","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Centre for Population Health Research University of South Australia  Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,22]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"BreastScreen Australia Evaluation Taskforce(2009).BreastScreen Australia Evaluation. 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