Table 1.
Trial no. | First author, year of publication* | Country, study acronym | Screening method (as compared to the control group) | Follow-up period (years) |
Cause of death assessment | Cancer-specific deaths used for calculation of the main relative risk associated with screening | RR | 95% CI | |
---|---|---|---|---|---|---|---|---|---|
Intervention period | Post- intervention period | ||||||||
1 | Shapiro et al., 199726 | USA, Greater New York Health Insurance Plan | MMS + BCE every 12 months, 4 rounds | 5 | 13 | Committee unaware of screening status | Cancer-specific deaths of cancers found during the intervention period | 0.77 | NR |
2 | Tabar et al., 201120 | Sweden, Two-County trial† | MMS, 2–4 rounds | 7 | 22 | Local committee | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.69 | 0.56; 0.85 |
id. | id. | id. | id. | id. | Joint review committee‡ | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.73 | 0.59; 0.89 | |
2 | Nyström et al. | Sweden, Ostergotland§ | MMS, 2–4 rounds | 7.7 | 9.7 | Death certificates | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.90 | 0.73; 1.11 |
3 | Nyström et al.1 | Sweden, Malmö I | MMS every 18–24 months, 6–8 rounds | 15 | 5 | Death certificates | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.82 | 0.67; 1.00 |
4 | Nyström et al.1 | Sweden, Malmö II | MMS every 18–24 months, 1–7 rounds | 5.8 | 3.3 | Death certificates | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.64 | 0.39; 1.06 |
5 | Nyström et al.1 | Sweden, Stockholm | MMS every 24–28 months, 2 rounds | 4.4 | 10.5 | Death certificates | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.91 | 0.65; 1.27 |
6 | Nyström et al.1 | Sweden, Göteborg | MMS, 3–5 rounds | 7 (women 39–49) and 5 (women 50–59) | 7 (women 39–49) and 9 (women 50–59) | Death certificates | Cancer-specific deaths of cancers found during the intervention period plus, for the control group, incorporation of cancer-specific deaths of cancers found at first screening of this group | 0.76 | 0.56; 1.04 |
7 | Miller et al., 201422 | Canada, NBSS I and II | MMS every year, 4–5 rounds | 5 | 20 | Committee unaware of screening status | Cancer-specific deaths of cancers found during the intervention period | 1.05 | 0.85; 1.30 |
8 | Moss et al., 200612 | England, Age trial | MMS every 12 months, 4–6 rounds | 5 | 6 | Death certificates | Cancer-specific deaths of cancers found during the intervention period | 0.83 | 0.66; 1.04 |
BCE: Breast physical examination; MMS: Mammography screening; RR: Relative risk; NBSS: National Breast Screening Study.
The most recent publication reporting on main trial results is displayed in the Table.
This trial was done in the counties of Dalarna (formerly Kopparberg) and Ostergötland.
The Joint Review Committee included Two-County trial investigators (Holmberg et al., 200911) and has to be distinguished from the Independent Endpoint Committee set up by Swedish trial overviews (Nyström et al., 1993)29
The Ostergötland county trial was part of the Two-County trial, but results specific to the Ostergötland trial were published in Nyström et al.1