Evidence map›Paper›PMID 39167740›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Breast Cancer Screening Interval: Effect on Rate of Late-Stage Disease at Diagnosis and Overall Survival.

Margarita L Zuley, Andriy I Bandos, Stephen W Duffy, Durwin Logue, Rohit Bhargava, Priscilla F McAuliffe, Adam M Brufsky, Robert M Nishikawa

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Determinants of stage at breast cancer diagnosis across different healthcare systems: an international multicentre cohort study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  3. PRS-BCJournal of medical genetics · 2026
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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

8 authors.

Margarita L ZuleyDepartment of Radiology, Division of Breast Imaging, School of Medicine & University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0003-2127-8346
Andriy I BandosBiostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Stephen W DuffyWolfson Institute of Population Health, Queen Mary University of London, London, England.ORCID 0000-0003-4901-7922
Durwin LogueImaging Research, Department of Radiology, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Rohit BhargavaDepartment of Pathology and Pathology at Magee-Womens Hospital of the University of Pittsburgh Medical Center, School of Medicine, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0002-1225-8418
Priscilla F McAuliffeDepartment of Surgery and Breast Surgical Oncology at Magee-Womens Hospital of the University of Pittsburgh Medical Center, School of Medicine, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0002-2933-1191
Adam M BrufskyDivision of Hematology/Oncology, School of Medicine & University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0001-8080-7960
Robert M NishikawaImaging Research, Department of Radiology, School of Medicine, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0001-7720-9951

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
NCI NIH HHS P30 CA047904
6 · The paper itself

Abstract

purposeControversy continues regarding the effect of screening mammography on breast cancer outcomes. We evaluated late-stage cancer rate and overall survival (OS) for different screening intervals using a real-world institutional research data mart.

methodsPatients having both a cancer registry record of new breast cancer diagnosis and prediagnosis screening history between 2004 and 2019 were identified from our institutional research breast data mart. Time interval between the two screening mammograms immediately preceding diagnosis and the time to cancer diagnosis were determined. Screening interval was deemed annual if ≤15 months, biennial if >15 and ≤27 months, intermittent if >27 months, and baseline if only one prediagnosis screen was known. The primary end point was late-stage cancer (TNM stage IIB or worse), and the secondary end point was OS. The association of screening interval and late-stage cancer was analyzed using multivariable logistic regression adjusting for prediagnosis characteristics. Proportional hazards regression was used for survival analysis. Potential lead time was analyzed using survival from a uniform fixed time point.

resultsIn total, 8,145 patients with breast cancer had prediagnosis screening mammography in the timeframe. The percentage of late-stage cancers diagnosed increased significantly with screening interval with 9%, 14%, and 19% late stages for annual, biennial, and intermittent groups (

conclusionAnnual mammographic screening was associated with lower risk of late-stage cancer and better OS across clinical and demographic subgroups. Our study suggests benefit of annual screening for women 40 years and older.

Indexed as

Breast NeoplasmsEarly Detection of CancerMammographyNeoplasm StagingAdultAgedFemaleHumansMiddle AgedRegistriesTime Factors

Identifiers

PMID39167740
PMCPMC11540751

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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.