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European Journal of Epidemiology

, Volume 28, Issue 4, pp 287–290 | Cite as

Screening, case finding or primary cancer prevention in the developing world?

  • Gustaf Edgren
  • Pagona Lagiou
  • Dimitrios Trichopoulos
  • Hans-Olov Adami
COMMENTARY

Introduction

On account of increasingly successful control of infectious diseases and improvements in both maternal and perinatal mortality, the relative contribution of cancer to the global burden of disease is growing. The 2008 World Cancer Report predicts that the annual number of cancer deaths in the world will have increased by 70–124 % until the year 2030 [1]. Because relative changes in longevity, a key driver of the total cancer burden, will likely be largest in the developing world, this dramatic increase will disproportionately affect low income countries. Unavoidably, the result will be added stress on healthcare systems that are facing the heavy burden of communicable diseases.

With this gloomy picture in mind, it is perhaps understandable that implementation of cancer screening programs are sometimes proposed to stem this devastating tide [2, 3, 4]. However, aside from cervical cancer screening, the two arguably most widespread screening techniques, mammography and...

Keywords

Cancer Screening Primary prevention Case finding Breast cancer Prostate cancer Cervical cancer Colorectal cancer 

Notes

Acknowledgments

We thank Dr Michelle Holmes at Harvard School of Public Health, Harvard University, and Dr Jacob Holmqvist, at Karlstad Central Hospital, Karlstad, Sweden for their comments on an earlier draft of this report. No specific funding was acquired, but Dr Gustaf Edgren is supported by a postdoctoral grant from Svenska Sällskapet för Medicinsk Forskning (SSMF).

Conflict of interest

We declare we have no relevant conflicts of interest.

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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Gustaf Edgren
    • 1
    • 2
  • Pagona Lagiou
    • 1
    • 3
  • Dimitrios Trichopoulos
    • 1
  • Hans-Olov Adami
    • 1
    • 2
  1. 1.Department of Epidemiology, Harvard School of Public HealthHarvard UniversityBostonUSA
  2. 2.Department of Medical Epidemiology and BiostatisticsKarolinska InstitutetStockholmSweden
  3. 3.Department of Hygiene, Epidemiology and Medical StatisticsUniversity of Athens Medical SchoolAthensGreece

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