Evidence map›Paper›PMID 32409756›Full record

SynthesisScientific reports2020

Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis.

Rodrigo Rosa Giampietro, Marcos Vinicius Gama Cabral, Silvana Andrea Molina Lima, Silke Anna Theresa Weber, Vania Dos Santos Nunes-Nogueira

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed, 4 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

5 authors.

Rodrigo Rosa GiampietroDepartment of Internal Medicine, São Paulo State University/UNESP, Medical School, Botucatu, Sao Paulo, Brazil.
Marcos Vinicius Gama CabralDepartment of Internal Medicine, São Paulo State University/UNESP, Medical School, Botucatu, Sao Paulo, Brazil.
Silvana Andrea Molina LimaDepartment of Nursing, São Paulo State University/UNESP, Medical School, Botucatu, Sao Paulo, Brazil.
Silke Anna Theresa WeberHealth Technology Assessment Nucleus, Botucatu Medical School Clinical Hospital, Sao Paulo, Brazil.
Vania Dos Santos Nunes-NogueiraDepartment of Internal Medicine, São Paulo State University/UNESP, Medical School, Botucatu, Sao Paulo, Brazil. vania.nunes-nogueira@unesp.br.ORCID http://orcid.org/0000-0001-9316-4167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We proposed to compare the accuracy and effectiveness of digital breast tomosynthesis (DBT), plus digital or synthetic mammography, with digital mammography alone in women attending population-based breast cancer screenings. We performed a systematic review and included controlled studies comparing DBT with digital mammography for breast cancer screening. Search strategies were applied to the MEDLINE, Embase, LILACS, and CENTRAL databases. With moderate quality of evidence, in 1,000 screens, DBT plus digital mammography increased the overall and invasive breast cancer rates by 3 and 2 (RR 1.36, 95% CI 1.18 to 1.58 and RR 1.51, 95% CI 1.27 to 1.79, respectively). DBT plus synthetic mammography increased both overall and invasive breast cancer rates by 2 (RR 1.38, 95% CI 1.24 to 1.54 and RR 1.37, 95% CI 1.22 to 1.55, respectively). DBT did not improve recall, false positive and false negative rates. However due to heterogeneity the quality of evidence was low. For women attending population-based breast cancer screenings, DBT increases rates of overall and invasive breast cancer. There is no evidence with high or moderate quality showing that DBT compared with digital mammography decreases recall rates, as well as false positive and false negative rates.

Indexed as

Breast NeoplasmsEarly Detection of CancerFemaleHumansMammographyMass ScreeningPublication BiasReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID32409756
PMCPMC7224282

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.