Table 3.
Association between past false-positives on cancer screening tests and future receipt of cancer screenings*
| Females | Males | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
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| Up-to-date with colorectal cancer screening |
Up-to-date with breast cancer screening |
Up-to-date with colorectal cancer screening |
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| Column | (1) | (2) | (3) | (4) | (5) | (6) | ||||||
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| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |||||||
|
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| OR (95% CI) |
P | AOR (95% CI) |
P | OR (95% CI) |
P | AOR (95% CI) |
P | OR (95% CI) |
P | AOR (95% CI) |
P | |
|
|
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| Ever had false-positive breast cancer screening | ||||||||||||
| Repeat breast imaging within 91 d (no biopsy) | 1.35 (1.30–1.39) | <0.001 | 1.25 (1.18–1.32) | <0.001 | 2.42 (2.29–2.56) | <0.001 | 1.43 (1.34–1.51) | <0.001 | ||||
| Breast biopsy | 1.50 (1.32–1.70) | <0.001 | 1.47 (1.23–1.77) | <0.001 | 3.25 (2.52–4.19) | <0.001 | 2.02 (1.56–2.62) | <0.001 | ||||
| Ever had false-positive colorectal cancer screening† | ||||||||||||
| Positive FOBT with negative follow-up colonoscopy within 6 m, without biopsy/polypectomy† | 0.97 (0.81–1.15) | 0.69 | 0.73 (0.61–0.81) | <0.001 | ||||||||
| Ever had false-positive prostate cancer screening | ||||||||||||
| PSA ≥4.0 ng/mL (repeated within 91 d, no imaging/biopsy) | 1.42 (1.27–1.58) | <0.001 | 1.22 (1.01–1.48) | 0.039 | ||||||||
| Prostate imaging/ biopsy | 1.87 (1.43–2.45) | <0.001 | 1.60 (1.05–2.42) | 0.028 | ||||||||
| Receipt of prior cancer screening | ||||||||||||
| Up-to-date with breast cancer screening (past 2 y) | 1.78 (1.68–1.90) | <0.001 | ||||||||||
| Up-to-date with colorectal cancer screening‡ | 1.81 (1.69–1.93) | <0.001 | ||||||||||
| Had prostate cancer screening (past 2 y) | 1.34 (1.27–1.42) | <0.001 | ||||||||||
| Psuedo-R2 | 0.03 | 0.51 | 0.29 | 0.41 | 0.02 | 0.53 | ||||||
| N person-years | 262,242 | 262,242 | 262,242 | 262,242 | 188,242 | 188,242 | ||||||
| N individuals | 52,871 | 52,871 | 52,871 | 52,871 | 39,534 | 39,534 | ||||||
Adjusted models controlled for covariates as described in manuscript.
We did not consider false-positives for patients who underwent initial colonoscopy because repeat screening would not be expected during the study period.
Receipt of FOBT within 1 year, flexible sigmoidoscopy within 5 years or colonoscopy within 10 years.