Evidence map›Paper›PMID 37935443›Full record

ArticleJournal of the National Cancer Institute2024

Method of primary breast cancer detection and the disease-free interval, adjusting for lead time.

Linda de Munck, Anouk H Eijkelboom, Johannes D M Otten, Mireille J M Broeders, Sabine Siesling

Open access · hybridAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Linda de MunckDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.ORCID 0000-0002-2930-509X
Anouk H EijkelboomDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.ORCID 0000-0002-0660-0221
Johannes D M OttenDepartment for Health Evidence, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0001-8910-6685
Mireille J M BroedersDepartment for Health Evidence, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID 0000-0002-8741-8148
Sabine SieslingDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation, Utrecht, the Netherlands.ORCID 0000-0002-0273-824X
Netherlands Comprehensive Cancer Organisation · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the impact of screen-detected breast cancer compared with clinically detected breast cancer on the disease-free interval (ie, free from locoregional recurrences, distant metastasis, contralateral breast cancer). Moreover, it is thought that most studies overestimate the beneficial effect of screening, as they do not adjust for lead time. We investigated the association between method of breast cancer detection and disease-free interval, taking lead time into account.

methodsWomen aged 50-76 years, diagnosed with breast cancer between 2005 and 2008 were selected from the Netherlands Cancer Registry. Women diagnosed in 2005 were divided into screen-detected and clinically detected cancer and had a follow-up of 10 years (2005 cohort). Women diagnosed in 2006-2008 were divided into screen-detected, interval, and nonscreen-related cancer and had a follow-up of 5 years (2006-2008 cohort). A previously published method was used to adjust for lead time. Analyses were repeated correcting for confounding variables instead of lead time.

resultsThe 2005 cohort included 6215 women. Women with screen-detected cancer had an improved disease-free interval compared with women with clinically detected cancer (hazard ratio [HR] = 0.77, 95% confidence interval [CI] = 0.68 to 0.87). The 2006-2008 cohort included 15 176 women. Women with screen-detected or interval cancer had an improved disease-free interval compared with women with nonscreen-related cancer (HR = 0.76, 95% CI = 0.66 to 0.88; HR = 0.88, 95% CI = 0.78 to 0.99, respectively). Correcting for confounders instead of lead time did not change associations.

conclusionWomen with screen-detected cancer had an improved disease-free interval compared with women with a nonscreen-related or clinically detected cancer, after correction for lead time.

Indexed as

Breast NeoplasmsBreastEarly Detection of CancerFemaleHumansMammographyMass ScreeningNeoplasm Recurrence, Local

Identifiers

PMID37935443
PMCPMC10919328
OpenAlexW4388486958

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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.