Evidence map›Paper›PMID 29682740›Full record

Observational studyCancer2018

Implications of false-positive results for future cancer screenings.

Glen B Taksler, Nancy L Keating, Michael B Rothberg

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 30 citations in OpenAlex.

  1. Surveillance mammography in older women-should we press on?Journal of the National Cancer Institute · 2026
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  3. Review
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  12. Changes in the uptake of screening for prostate cancer with prostate-specific antigen in Ontario between 2003 to 2012.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2020
    Article
  13. Changements dans les pratiques de dépistage de l'antigène prostatique spécifique en Ontario entre 2003 et 2012.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Glen B TakslerMedicine Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-7566-7104
Nancy L KeatingDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Michael B RothbergMedicine Institute, Cleveland Clinic, Cleveland, Ohio.
Cleveland Clinic · USBrigham and Women's Hospital · US

Funding

Clinical and Translational Science Collaborative of ClevelandKL2TR000440 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$11.1M
NCATS NIH HHS KL2 TR000440
6 · The paper itself

Abstract

backgroundFalse-positive cancer screening results may affect a patient's willingness to obtain future screening.

methodsThe authors conducted logistic regression analysis of 450,484 person-years of electronic medical records (2006-2015) in 92,405 individuals aged 50 to 75 years. Exposures were false-positive breast, prostate, or colorectal cancer screening test results (repeat breast imaging or negative breast biopsy ≤3 months after screening mammography, repeat prostate-specific antigen [PSA] test ≤3 months after PSA test result ≥4.0 ng/mL or negative prostate biopsy ≤3 months after any PSA result, or negative colonoscopy [without biopsy/polypectomy] ≤6 months after a positive fecal occult blood test). Outcomes were up-to-date status with breast or colorectal cancer screening. Covariates included prior screening history, clinical information (eg, family history, obesity, and smoking status), comorbidity, and demographics.

resultsWomen were more likely to be up to date with breast cancer screening if they previously had false-positive mammography findings (adjusted odds ratio [AOR], 1.43 [95% confidence interval, 1.34-1.51] without breast biopsy and AOR, 2.02 [95% confidence interval, 1.56-2.62] with breast biopsy; both P<.001). The same women were more likely to be up to date with colorectal cancer screening (AOR range, 1.25-1.47 depending on breast biopsy; both P<.001). Men who previously had false-positive PSA testing were more likely to be up to date with colorectal cancer screening (AOR, 1.22 [P = .039] without prostate imaging/biopsy and AOR, 1.60 [P = .028] with imaging/biopsy). Results were stronger for individuals with more false-positive results (all P≤.005). However, women with previous false-positive colorectal cancer fecal occult blood test screening results were found to be less likely to be up to date with breast cancer screening (AOR, 0.73; P<.001).

conclusionsPatients who previously had a false-positive breast or prostate cancer screening test were more likely to engage in future screening. Cancer 2018;124:2390-8. © 2018 American Cancer Society.

Indexed as

False Positive ReactionsAgedBiopsyBreastBreast NeoplasmsColonoscopyColorectal NeoplasmsEarly Detection of CancerElectronic Health RecordsFemaleHumansMaleMammographyMass ScreeningMiddle AgedOccult BloodProstate-Specific Antigencancer screeningcancer screening testsdiagnostic errorsearly detection of cancerfalse-positive reactionsmass screening

Identifiers

PMID29682740
PMCPMC5992010
OpenAlexW2802914200

What OpenQuestion holds

Textmetadata
LicenceTDM
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.