Evidence map›Paper›PMID 30796654›Full record

ArticleBreast cancer research and treatment2019

Validation of the breast cancer surveillance consortium model of breast cancer risk.

Jeffrey A Tice, Michael C S Bissell, Diana L Miglioretti, Charlotte C Gard, Garth H Rauscher, Firas M Dabbous, Karla Kerlikowske

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

7 authors.

Jeffrey A TiceDivision of General Internal Medicine, Department of Medicine, University of California, San Francisco, 1545 Divisadero Street, Suite 309, San Francisco, CA, 94143-0320, USA. jeff.tice@ucsf.edu.ORCID http://orcid.org/0000-0002-9857-2028
Michael C S BissellDepartment of Public Health Sciences, University of California, Davis, Davis, CA, USA.
Diana L MigliorettiDepartment of Public Health Sciences, University of California, Davis, Davis, CA, USA.
Charlotte C GardDepartment of Economics, Applied Statistics, and International Business, New Mexico State University, Las Cruces, NM, USA.
Garth H RauscherDivision of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, IL, USA.
Firas M DabbousAdvocate Health Care, Downers Grove, IL, USA.
Karla KerlikowskeGeneral Internal Medicine Section, Department of Veteran Affairs and Departments of Medicine and Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.

Funding

Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Diana L Miglioretti · 2011 to 2026
$52.9M
Vermont Screening Process Documentation UnitU54CA163303 · NCI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SPRAGUE, BRIAN L · 2011 to 2017
$6.4M
Comparative effectiveness of breast imaging modalities: a natural experimentR01HS018366 · AHRQ · UNIVERSITY OF ILLINOIS AT CHICAGO · PI RAUSCHER, GARTH H · 2010 to 2014
$1.8M
Agency for Healthcare Research and Quality R01 HS018366-01A1AHRQ HHS R01 HS018366Division of Cancer Epidemiology and Genetics, National Cancer Institute P01CA154292Division of Cancer Epidemiology and Genetics, National Cancer Institute U54CA163303NCI NIH HHS P01 CA154292NCI NIH HHS U54 CA163303
6 · The paper itself

Abstract

purposeIn order to use a breast cancer prediction model in clinical practice to guide screening and prevention, it must be well calibrated and validated in samples independent from the one used for development. We assessed the accuracy of the breast cancer surveillance consortium (BCSC) model in a racially diverse population followed for up to 10 years.

methodsThe BCSC model combines breast density with other risk factors to estimate a woman's 5- and 10-year risk of invasive breast cancer. We validated the model in an independent cohort of 252,997 women in the Chicago area. We evaluated calibration using the ratio of expected to observed (E/O) invasive breast cancers in the cohort and discrimination using the area under the receiver operating characteristic curve (AUROC).

resultsIn an independent cohort of 252,997 women (median age 50 years, 26% non-Hispanic Black), the BCSC model was well calibrated (E/O = 0.94, 95% confidence interval [CI] 0.90-0.98), but underestimated the incidence of invasive breast cancer in younger women and in women with low mammographic density. The AUROC was 0.633, similar to that observed in prior validation studies.

conclusionsThe BCSC model is a well-validated risk assessment tool for breast cancer that may be particularly useful when assessing the utility of supplemental screening in women with dense breasts.

Indexed as

AdultAgedBreastBreast DensityBreast NeoplasmsFemaleHumansMass ScreeningMiddle AgedNeoplasm InvasivenessPredictive Value of TestsRisk AssessmentRisk FactorsBreast cancer surveillance consortiumBreast densityBreast neoplasmsPredictive value of testsRisk assessmentROC curve

Identifiers

PMID30796654
PMCPMC7138025

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.