PMID: 8608287Mar 30, 1996Paper

Mammography screening: an incremental cost effectiveness analysis of double versus single reading of mammograms

BMJ : British Medical Journal
J BrownR Warren

Abstract

To compare mammography reading by one radiologist with independent reading by two radiologists. An observational non-randomised trial at St Margaret's Hospital, Epping. 33 734 consecutive attenders for breast screening in the main trial and a sample of 132 attenders for assessment who provided data on private costs. Three reporting policies were compared: single reading, consensus double reading, and non-consensus double reading. Numbers of cancers detected, recall rates, screening and assessment costs, and cost effectiveness ratios. A policy of double reading followed by consensus detected an additional nine cancers per 10 000 women screened (95% confidence interval 5 to 13) compared with single reading. A non-consensus double reading policy detected an additional 10 cancers per 10 000 women screened (95% confidence interval 6 to 14). The difference in numbers of cancers detected between the consensus and non-consensus double reading policies was not significant (95% confidence interval -0.2 to 2.2). The proportion of women recalled for assessment after consensus double reading was significantly lower than after single reading (difference 2.7%; 95% confidence interval 2.4% to 3.0%). The recall rate with the non-consensus polic...Continue Reading

Citations

Oct 13, 2000·Breast Cancer : the Journal of the Japanese Breast Cancer Society·R Warren, S Duffy
Feb 28, 2009·European Radiology·Ruth WarrenNehmat Houssami
Apr 12, 2011·Journal of Medical Systems·Raúl Ramos-PollánIsabel Ramos
Jun 1, 1997·Clinical Radiology·E R Denton, S Field
Dec 10, 1997·Clinical Radiology·R Fitzgerald
Jul 6, 2001·European Journal of Radiology·R Warren
Aug 13, 1999·Breast Cancer Research and Treatment·T LeivoO P Heinonen
May 12, 2001·The Breast Journal·Claudia Z. Lee
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Jul 13, 1996·BMJ : British Medical Journal·J Wells, J Cooke
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Jan 28, 2009·IEEE Transactions on Information Technology in Biomedicine : a Publication of the IEEE Engineering in Medicine and Biology Society·Jinshan TangYongyi Yang

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