Evidence map›Paper›PMID 30739738›Full record

ReviewAmerican journal of surgery2019

Redefining the sensitivity of screening mammography: A review.

Alan B Hollingsworth

Abstract readReview
In one paragraph

Review in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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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

1 author.

Alan B HollingsworthDepartment of Surgery, Mercy Hospital, 4401 W. McAuley Blvd., Suite #1100, Mercy Hospital Coletta Building, Oklahoma City, OK, USA. Electronic address: alan.hollingsworth@mercy.net.

Funding

Increasing Cancer Detection Yield Using Breast MRI Screening ModalityR01CA197150 · NCI · UNIVERSITY OF OKLAHOMA · PI HOLLINGSWORTH, ALAN B., LIU, HONG · 2015 to 2019
$2.5M
NCI NIH HHS R01 CA197150
6 · The paper itself

Abstract

From its inception, screening mammography has enjoyed a perceived level of sensitivity that is inconsistent with available evidence. The original data that imparted erroneous beliefs about sensitivity were based on a variety of misleading definitions and approaches, such as the inclusion of palpable tumors, using the inverse of interval cancer rates (often tied to an arbitrary 12 month interval), and quoting prevalence screen sensitivity wherein tumors are larger than those found on incidence screens. This review addresses the background for the overestimation of mammographic sensitivity, and how a major adjustment in our thinking is overdue now that multi-modality imaging allows us to determine real time mammographic sensitivity. Although a single value for mammographic sensitivity is disingenuous, given the wide range based on background density, it is important to realize that a sensitivity gap between belief and reality still exists in the early detection of breast cancer using mammography alone, in spite of technologic advances. Failure to recognize this gap diminishes the acceptance of adjunct methods of breast imaging that greatly complement detection rates.

Indexed as

Breast NeoplasmsEarly Detection of CancerFemaleFollow-Up StudiesHumansMammographyMultimodal ImagingSensitivity and Specificity

Identifiers

PMID30739738
PMCPMC6640096

What OpenQuestion holds

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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.