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. 2018 Apr 5;2018(4):CD002748. doi: 10.1002/14651858.CD002748.pub4

Meijers‐Heijboer 2001.

Methods Prospective cohort study
Participants 139 women who had BRCA 1 or 2 mutations
Interventions BRRM (simple total) = 76
 Comparison group: close observation = 63
Close observation defined as monthly breast self‐examination, clinical breast examination every 6 months, and yearly mammography
Outcomes BC incidence
 BC mortality
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Free of selection bias? High risk While the study authors controlled for some factors such as age and oophorectomy status, adjustment of other important factors was not reported.
Free of performance bias? Low risk Only women who tested positive for BRCA1/2 were invited to participate in BC surveillance program. Participants were those who had BRRM.
Free of detection bias? Low risk Vital status and the occurrence of cancer was extracted from the women’s medical files.
Free of attrition bias? Low risk No women were lost to follow‐up after BRRM