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. 2019 Aug 18;8(13):6127–6138. doi: 10.1002/cam4.2476

Table 1.

The results of the systematic review. The characteristics and results of the included papers are described and compared with MISCAN modeling estimates

Article reference Cancer type Name of the measured parameter Results of the measured parameter Model type Modelled population Screen program Timeframe for model predictions Comparing results with MISCAN estimates
Carreras, 34 Lung All‐cause smoking attributable deaths

Reduction for the screened population after 5, 15, 25 years:

Women: 1.4%, 1.5%, 2.3%

Men: 1.8%, 1.6%, 1.9%

Model type is not clearly defied

Modeling assumptions were based on NLST trial

Italian population between 1986 and 2009 (model adjusted with Italian smoking habits)

Three rounds of annual CT screening for current and former heavy smokers

Age range: 55‐74 years

2015‐2020

2015‐2030

2015‐2040 (5, 15 and 25 years)

Not comparable

MISCAN estimates all‐cause deaths and not smoking‐attributable death.

Manser, 35 Lung All‐cause mortality Reduction in all‐cause mortality ‐ screening vs. control arm: 2.1% Markov model: Using 10 different health states with a cycle period of 3 months Two hypothetical Australian cohorts: Screen and control arm of 10 000 high‐risk male smokers

Annual CT screening for high‐risk male current smokersa

Age range 60‐64 years

15 years after the onset of screening

Comparable

MISCAN estimates: 1.9% after 15 years

McMahon, 36 Lung Number of all‐cause deaths

Relative reduction for the cohort ‐ screening vs. control arm

6 years: 3.6% (157 vs. 162.8)

10 years: 2.9% (293.6 vs. 302.3)

15 years: 1.9% (501 vs. 510.7)

Lung Cancer Policy Model: Patient‐level microsimulation model considering individual heterogeneity in risk factors and event rates. Mayo Clinic helical CT screening study: 1520 participants, mean age: 59 years, enrollment: January to December 1999

Annual helical CT examinations for current and former smokers

Age range: 50‐85 years

6, 10 and 15 years after the study enrollment

Comparable

MISCAN estimates: 2.3%, 2.4% and 1.9% after 6, 10 and 15 years respectively

Marshall, 37 Breast Number of all‐cause deaths

Relative reduction for 1000 women ‐ screening vs. control arm

Age 40‐75:1.5% (271 vs. 275)

Age 50‐75:1.1% (272 vs. 275)

Mathematical model based on US mortality rates

Database: Centers for Disease Control and Prevention

US women

Biennial mammography screening

Age range: 40‐75 and 50‐75 years

From age 40 until age 75

Comparable with limitation

MISCAN uses different age range: screening age 50‐69

MISCAN estimates: 1.1% after 10‐20 years

Pharoah, 38 Breast Number of all cause deaths Relative reduction for the cohort ‐ screening vs. control arm: 0.4% (217 192 vs. 217 983) Mathematical model based on life tables of England and Wales using data from Office for National Statistics 729 000 50‐year old women in 2009 in England and Wales 364 500 for both the screen and control arms Mammography at age 50 and every three years thereafter until the age of 70 35 years of follow‐up

Comparable with limitation

MISCAN uses biennial screening instead of every three year

MISCAN estimates: 0.3% after 35 years

Sigurdsson, 39 Colon All deaths (also referred as all premature deaths)

Reduction due to screening program by country

Denmark: 0.8%; Finland: 0.5%; Iceland: 0.6%; Norway: 0.9%; Sweden: 0.8%

Mathematical model based on Cochrane meta‐analysis, national databanks from Nordic countries and WHO mortality database

Denmark, Finland, Norway, Sweden population in 2009

Iceland population for the period 2005‐2009

Biannually FOBT screening for 10 years

Age range: 55‐74 years

10 years for the age group 55‐65 at the start

Comparable with limitation

MISCAN uses FIT screening test

MISCAN estimates: 0.6% after 10 years

Stang, 9 Breast Age –standardized mortality rates for all‐cause mortality

Expected reduction all‐cause mortality rate with screening

UK (England & Wales): 1.7%;

Germany: 1.8%

Mathematical model based on disease‐specific relative rate reduction from trials and expected all‐cause mortality rate UK (England & Wales) and Germany Mammography age 50‐69 years Not reported (in references 11 years of follow‐up)

Comparable

MISCAN estimates: 1.2% after 11 years

Stang, 9 Colon Age –standardized mortality rates for all‐cause mortality

Expected reduction all‐cause mortality rate with screening

UK (England & Wales): 1.2%;

Germany: 1.0%

Mathematical model based on disease‐specific relative rate reduction from trials and expected all‐cause mortality rate UK (England & Wales) and Germany Flexible sigmoidoscopy age 55‐64 years Not reported (in references 11‐12 years of follow‐up)

Comparable

MISCAN estimates: 0.8% after 11 years

Abbreviations: CT, computed tomography; US, United States of America; WHO, World Health Organization, FOBT, fecal occult blood test, NLST, National Lung Screening Trial.

a

In sensitivity analyses also female current smokers and other age groups.