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As expected, the women in the case series had a somewhat lower age at diagnosis, lower proportion screen-detected lesions, larger tumours, not completely excised DCIS, higher proportion of invasive lesions at review, more necrosis and a distribution towards higher grades.
Figure 1 depicts the estimated proportion of eligible women screened by the NBCCEDP, the proportion screened outside the NBCCEDP, and the proportion not screened.
For both FHN and FHG patients the proportion screened decreased with age (p < 0.001).
Declines in the proportion screened occurred across all race/ethnicity groups.
We suggest a target be set for proportion screened within 2 years of being added to the screening register.
This was followed by four years without incentives when the proportion screened fell year on year to 80.5%.
We calculated the proportion of women screened outside the NBCCEDP by subtracting the proportion screened by the NBCCEDP from the proportion of the eligible population screened that we estimated using MEPS.
A similar range was noted for screeners: for example, where nurses performed the screening, the proportion screened ranged from 5.5% to 99%.
The overall proportion screened of LDL-cholesterol (40%) was similar to that of triglyceride screening, but HDL-cholesterol showed a higher overall rate (57%).
During the five consecutive years when financial incentives were attached to screening for diabetic retinopathy (1999-2003), the proportion screened rose from 84.9% to 88.1% (fig 3).
For each of the 50 imputed data sets, the proportion screened at Wave 1 and 4 was computed for each county.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com