Evidence map›Paper›PMID 24411004›Full record

Trial reportTrials2014

Changing case Order to Optimise patterns of Performance in mammography Screening (CO-OPS): study protocol for a randomized controlled trial.

Sian Taylor-Phillips, Matthew G Wallis, Helen Parsons, Janet Dunn, Nigel Stallard, Helen Campbell, Sarah Sellars, Ala Szczepura, Simon Gates, Aileen Clarke

Open access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Modeling Radiologists' Assessments to Explore Pairing Strategies for Optimized Double Reading of Screening Mammograms.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  4. Fatigue and vigilance in medical experts detecting breast cancer.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  5. Article
  6. Errors in Mammography Cannot be Solved Through Technology AloneAsian Pacific journal of cancer prevention : APJCP · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Sian Taylor-PhillipsWarwick Medical School, The University of Warwick, Coventry CV4 7AL, UK. s.taylor-phillips@warwick.ac.uk.
Matthew G Wallis
Helen Parsons
Janet Dunn
Nigel Stallard
Helen Campbell
Sarah Sellars
Ala Szczepura
Simon Gates
Aileen Clarke
University of Warwick · GBCambridge University Hospitals NHS Foundation Trust · GBPublic Health England · GBUniversity of Oxford · GB

Funding

Department of Health PDF-2011-04-073Department of Health WMCLAHRC-2014-1Medical Research Council G106/1196
6 · The paper itself

Abstract

backgroundX-ray mammography remains the predominant test for screening for breast cancer, with the aim of reducing breast cancer mortality. In the English NHS Breast Screening Programme each woman's mammograms are examined separately by two expert readers. The two readers read each batch in the same order and each indicates if there should be recall for further tests. This is a highly skilled, pressurised, repetitive and frequently intellectually unchallenging activity where readers examine one or more batches of 30-50 women's mammograms in each session. A vigilance decrement or performance decrease over time has been observed in similar repetitive visual tasks such as radar operation. METHODS/

designThe CO-OPS study is a pragmatic, multi-centre, two-arm, double blind cluster randomised controlled trial of a computer software intervention designed to reduce the effects of a vigilance decrement in breast cancer screening. The unit of randomisation is the batch. Intervention batches will be examined in the opposite order by the two readers (one forwards, one backwards). Control batches will be read in the same order as one another, as is current standard practice. The hypothesis is that cancer detection rates will be higher in the intervention group because each readers' peak performance will occur when examining different women's mammograms. The trial will take place in 44 English breast screening centres for 1 year and 4 months. The primary outcome is cancer detection rate, which will be extracted from computer records after 1 year of the trial. The secondary outcomes include rate of disagreement between readers (a more statistically powerful surrogate for cancer detection rate), recall rate, positive predictive value, and interval cancer rate (cancers found between screening rounds which will be measured three years after the end of the trial). DISCUSSION: This is the first trial of an intervention to ameliorate a vigilance decrement in breast cancer screening.

trial registrationISRCTN46603370 (submitted: 24 October 2012, date of registration: 26 March 2013).

Indexed as

Clinical CompetenceMammographyResearch DesignAttentionBreast NeoplasmsClinical ProtocolsDouble-Blind MethodEnglandFemaleHumansMass ScreeningObserver VariationPattern Recognition, VisualPredictive Value of TestsReproducibility of ResultsTask Performance and Analysis

Identifiers

PMID24411004
PMCPMC3899604
OpenAlexW2013979764

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.