Table 1. Parameters of the screening model.
Model component | Parameter | Baseline estimate | Mininum estimate | Maximum estimate | Reference |
---|---|---|---|---|---|
Tumour induction due to radiation risk | Dose (mSv) | 3 | 1 | 5 | Peer et al (1993) |
|
The lifetime probability of tumour induction |
0.51 |
0.28 |
0.83 |
Preston et al (2002) |
Preclinical tumour growth |
Mean preclinical period (years) |
|
|
|
|
<50 years | 1.9 | 0.63 | 3.17 | Peer et al (1996); Tilanus-Linthorst et al (2007); Kriege et al (2006) | |
50–70 years | 3.7 | 1.23 | 6.17 | ||
|
>70 years |
4.5 |
1.50 |
7.50 |
|
|
s.d. (years) |
|
|
|
|
<50 years | 0.63 | 0.21 | 1.05 | (Peer et al, 1996; Tilanus-Linthorst et al, 2007; Kriege et al, 2006) | |
50–70 years | 0.51 | 0.17 | 0.85 | ||
|
>70 years |
1.06 |
0.35 |
1.77 |
|
|
Tumour-doubling times (days) |
|
|
|
|
<50 years | 80 | 27 | 133 | Peer et al (1996); Tilanus-Linthorst et al (2007); Kriege et al (2006)) | |
50–70 years | 157 | 52 | 262 | ||
|
>70 years |
188 |
63 |
313 |
|
Risk of developing breast during life |
BRCA1 probability function |
|
|
|
|
Lifetime risk at age 70 years | 0.80 | 0.71 | 0.84 | Easton et al (1995); Ford et al (1998) | |
Mean age (years) | 53.9 | 43.9 | 63.9 | ||
|
s.d. (years) |
16.5 |
5.5 |
28 |
|
|
BRCA2 probability function |
|
|
|
|
Lifetime risk at age 70 years | 0.76 | 0.69 | 0.76a | Easton et al (1995); Ford et al (1998) | |
Mean age (years) | 58.5 | 48.5 | 68.5 | ||
|
s.d. (years) |
13.8 |
4.6 |
23 |
|
Sensitivity | Sensitivity of mammography at age <40 years | 0.333 | 0.279 | 0.397 | Kerlikowske et al (2000) |
Sensitivity of mammography at age 40–49 years | 0.389 | 0.326 | 0.464 | ||
Sensitivity of mammography at age 50–54 | 0.556 | 0.466 | 0.663 | ||
Sensitivity of mammography at age 55–59 years | 0.697 | 0.584 | 0.832 | ||
Sensitivity of mammography at age ⩾60 years | 0.838 | 0.702 | 1 | ||
|
Sensitivity of MRI for all age groups |
0.770 |
0.593 |
1 |
Warner et al (2008) |
Specificity | Specificity of mammography at age <40 years | 0.961 | 0.924 | 1 | Kerlikowske et al (2000) |
Specificity of mammography at age ⩾40 years | 0.946 | 0.909 | 0.984 | ||
|
Specificity of MRI for all age groups |
0.863 |
0.745 |
1 |
Warner et al (2008) |
Death rate | Average life expectancy population (years) | 79 | — | — | www.RIVM.nl |
5-year survival rate breast cancer patients | www.cijfersoverkanker.nl | ||||
Tumour diameter <20 mm | 0.98 | — | — | ||
Tumour diameter 20–50 mm | 0.86 | — | — | ||
Tumour diameter >50 mm | 0.62 | — | — |
Minimum and maximum estimates correspond with two times the s.d. For a detailed description of the parameters, see Heijnsdijk et al (2012).
The maximum estimate is equal to the baseline estimate because the lifetime risk at the age of 100 years is 100%.