Evidence map›Paper›PMID 30526360›Full record

ArticleRadiology2019

Impact of Digital Mammography on Cancer Detection and Recall Rates: 11.3 Million Screening Episodes in the English National Health Service Breast Cancer Screening Program.

Roger G Blanks, Matthew G Wallis, Rupert Alison, Olive Kearins, Jacquie Jenkins, Julietta Patnick, Rosalind M Given-Wilson

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Radiology, 2019. 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
1.0field-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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Roger G BlanksFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).ORCID 0000-0003-4748-3444
Matthew G WallisFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Rupert AlisonFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Olive KearinsFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Jacquie JenkinsFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Julietta PatnickFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Rosalind M Given-WilsonFrom the Cancer Epidemiology Unit, Nuffield Department of Population Health, Oxford University, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, England (R.G.B., J.P., R.A.); Cambridge Breast Unit and NIHR Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Trust, Cambridge, England (M.G.W.); Screening QA Service, Public Health England, London, England (O.K.); Breast Screening Programme, Public Health England, London, England (J.J.); and Department of Radiology, St George's University Hospital Foundation Trust, London, England (R.M.G.W.).
Public Health England · GBCambridge University Hospitals NHS Foundation Trust · GBSt George’s University Hospitals NHS Foundation Trust · GB

Funding

Cancer Research UK 16491
6 · The paper itself

Abstract

Purpose To report the impact of changing from screen-film mammography to digital mammography (DM) in a large organized national screening program. Materials and Methods A retrospective analysis of prospectively collected annual screening data from 2009-2010 to 2015-2016 for the 80 facilities of the English National Health Service Breast Cancer Screening Program, together with estimates of DM usage for three time periods, enabled the effect of DM to be measured in a study of 11.3 million screening episodes in women aged 45-70 years (mean age, 59 years). Regression models were used to estimate percentage and absolute change in detection rates due to DM. Results The overall cancer detection rate was 14% greater with DM (P < .001). There were higher rates of detection of grade 1 and 2 invasive cancers (both ductal and lobular), but no change in the detection of grade 3 invasive cancers. The recall rate was almost unchanged by the introduction of DM. At prevalent (first) screening episodes for women aged 45-52 years, DM increased the overall detection rate by 19% (P < .001) and for incident screening episodes in women aged 53-70 years by 13% (P < .001). Conclusion The overall cancer detection rate was 14% greater with digital mammography with no change in recall rates and without confounding by changes in other factors. There was a substantially higher detection of grade 1 and grade 2 invasive cancers, including both ductal and lobular cancers, but no change in the detection of grade 3 invasive cancers. © RSNA, 2018 Online supplemental material is available for this article. See also the editorial by C.I. Lee and J.M. Lee in this issue.

Indexed as

AgedBreast NeoplasmsContinuity of Patient CareEarly Detection of CancerEnglandFemaleHumansMammographyMass ScreeningMiddle AgedNeoplasm GradingNeoplasm InvasivenessRetrospective StudiesState Medicine

Identifiers

PMID30526360
OpenAlexW2904004553

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.