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

Detalhes bibliográficos
Autor(a) principal: Giampietro, Rodrigo Rosa [UNESP]
Data de Publicação: 2020
Outros Autores: Gama Cabral, Marcos Vinicius [UNESP], Molina Lima, Silvana Andrea [UNESP], Theresa Weber, Silke Anna [UNESP], Nunes-Nogueira, Vania dos Santos [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1038/s41598-020-64802-x
http://hdl.handle.net/11449/197191
Resumo: 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.
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spelling Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-AnalysisWe 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.Oswaldo Cruz German HospitalBrazilian Health Ministry through the Program of Support for the Institutional Development of the Unified Health System (PROADI-SUS), 2017Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Sao Paulo State Univ, UNESP, Med Sch, Dept Internal Med, Botucatu, SP, BrazilSao Paulo State Univ, UNESP, Med Sch, Dept Nursing, Botucatu, SP, BrazilBotucatu Med Sch Clin Hosp, Hlth Technol Assessment Nucleus, Sao Paulo, BrazilSao Paulo State Univ, Med Sch, UNESP, Ophthalmol Otorhinolaryngol & Head & Neck Surg De, Botucatu, SP, BrazilSao Paulo State Univ, UNESP, Med Sch, Dept Internal Med, Botucatu, SP, BrazilSao Paulo State Univ, UNESP, Med Sch, Dept Nursing, Botucatu, SP, BrazilSao Paulo State Univ, Med Sch, UNESP, Ophthalmol Otorhinolaryngol & Head & Neck Surg De, Botucatu, SP, BrazilBrazilian Health Ministry through the Program of Support for the Institutional Development of the Unified Health System (PROADI-SUS), 2017: 25000.014916/2015-62Nature Publishing GroupUniversidade Estadual Paulista (Unesp)Botucatu Med Sch Clin HospGiampietro, Rodrigo Rosa [UNESP]Gama Cabral, Marcos Vinicius [UNESP]Molina Lima, Silvana Andrea [UNESP]Theresa Weber, Silke Anna [UNESP]Nunes-Nogueira, Vania dos Santos [UNESP]2020-12-10T20:09:02Z2020-12-10T20:09:02Z2020-05-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10http://dx.doi.org/10.1038/s41598-020-64802-xScientific Reports. London: Nature Publishing Group, v. 10, n. 1, 10 p., 2020.2045-2322http://hdl.handle.net/11449/19719110.1038/s41598-020-64802-xWOS:000560040700048Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScientific Reportsinfo:eu-repo/semantics/openAccess2021-10-23T12:19:11Zoai:repositorio.unesp.br:11449/197191Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T12:19:11Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
title Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
spellingShingle Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
Giampietro, Rodrigo Rosa [UNESP]
title_short Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
title_full Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
title_fullStr Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
title_full_unstemmed Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
title_sort Accuracy and Effectiveness of Mammography versus Mammography and Tomosynthesis for Population-Based Breast Cancer Screening: A Systematic Review and Meta-Analysis
author Giampietro, Rodrigo Rosa [UNESP]
author_facet Giampietro, Rodrigo Rosa [UNESP]
Gama Cabral, Marcos Vinicius [UNESP]
Molina Lima, Silvana Andrea [UNESP]
Theresa Weber, Silke Anna [UNESP]
Nunes-Nogueira, Vania dos Santos [UNESP]
author_role author
author2 Gama Cabral, Marcos Vinicius [UNESP]
Molina Lima, Silvana Andrea [UNESP]
Theresa Weber, Silke Anna [UNESP]
Nunes-Nogueira, Vania dos Santos [UNESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Botucatu Med Sch Clin Hosp
dc.contributor.author.fl_str_mv Giampietro, Rodrigo Rosa [UNESP]
Gama Cabral, Marcos Vinicius [UNESP]
Molina Lima, Silvana Andrea [UNESP]
Theresa Weber, Silke Anna [UNESP]
Nunes-Nogueira, Vania dos Santos [UNESP]
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020-12-10T20:09:02Z
2020-12-10T20:09:02Z
2020-05-14
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1038/s41598-020-64802-x
Scientific Reports. London: Nature Publishing Group, v. 10, n. 1, 10 p., 2020.
2045-2322
http://hdl.handle.net/11449/197191
10.1038/s41598-020-64802-x
WOS:000560040700048
url http://dx.doi.org/10.1038/s41598-020-64802-x
http://hdl.handle.net/11449/197191
identifier_str_mv Scientific Reports. London: Nature Publishing Group, v. 10, n. 1, 10 p., 2020.
2045-2322
10.1038/s41598-020-64802-x
WOS:000560040700048
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Nature Publishing Group
publisher.none.fl_str_mv Nature Publishing Group
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
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