Evidence map›Paper›PMID 25224469›Full record

ArticleBMJ (Clinical research ed.)2014

Effect of implementation of the mass breast cancer screening programme in older women in the Netherlands: population based study.

Nienke A de Glas, Anton J M de Craen, Esther Bastiaannet, Ester G Op 't Land, Mandy Kiderlen, Willemien van de Water, Sabine Siesling, Johanneke E A Portielje, Herman M Schuttevaer, Geertruida Truuske H de Bock and 2 more

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
  8. Review
  9. Women's experiences of age-related discontinuation from mammography screening: A qualitative interview study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  10. Article
  11. Article
  12. Population-level breast screening: how to salvage the concept?Journal of the Royal Society of Medicine · 2020
    Article
  13. Article
  14. Article
  15. Defining disease in the context of overdiagnosis.Medicine, health care, and philosophy · 2017
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Nienke A de GlasDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands Department of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, Netherlands.
Anton J M de CraenDepartment of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, Netherlands.
Esther BastiaannetDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands Department of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, Netherlands.
Ester G Op 't LandDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands.
Mandy KiderlenDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands Department of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, Netherlands.
Willemien van de WaterDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands Department of Gerontology and Geriatrics, Leiden University Medical Centre, Leiden, Netherlands.
Sabine SieslingDepartment of Research, Comprehensive Cancer Centre the Netherlands, Utrecht, Netherlands.
Johanneke E A PortieljeDepartment of Medical Oncology, Haga Hospital, The Hague, Netherlands.
Herman M SchuttevaerDepartment of Radiology, Rijnland Hospital Leiderdorp, Netherlands.
Geertruida Truuske H de BockDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Cornelis J H van de VeldeDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands.
Gerrit-Jan LiefersDepartment of Surgery, Leiden University Medical Centre, PO Box 9600, Postzone K6-R, 2300 RC, Leiden, Netherlands G.J.Liefers@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the incidence of early stage and advanced stage breast cancer before and after the implementation of mass screening in women aged 70-75 years in the Netherlands in 1998.

designProspective nationwide population based study.

settingNational cancer registry, the Netherlands.

participantsPatients aged 70-75 years with a diagnosis of invasive or ductal carcinoma in situ breast cancer between 1995 and 2011 (n=25,414). Incidence rates were calculated using population data from Statistics Netherlands.

main outcome measureIncidence rates of early stage (I, II, or ductal carcinoma in situ) and advanced stage (III and IV) breast cancer before and after implementation of screening. Hypotheses were formulated before data collection.

resultsThe incidence of early stage tumours significantly increased after the extension for implementation of screening (248.7 cases per 100,000 women before screening up to 362.9 cases per 100,000 women after implementation of screening, incidence rate ratio 1.46, 95% confidence interval 1.40 to 1.52, P<0.001). However, the incidence of advanced stage breast cancers decreased to a far lesser extent (58.6 cases per 100,000 women before screening to 51.8 cases per 100,000 women after implementation of screening, incidence rate ratio 0.88, 0.81 to 0.97, P<0.001).

conclusionsThe extension of the upper age limit to 75 years has only led to a small decrease in incidence of advanced stage breast cancer, while that of early stage tumours has strongly increased.

Indexed as

AgedBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingEarly Detection of CancerFemaleHumansIncidenceMass ScreeningNeoplasm StagingNetherlandsProspective StudiesRegistries

Identifiers

PMID25224469
PMCPMC4164134

What OpenQuestion holds

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Registered trials

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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.