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. 2021 May 8;113(10):1336–1342. doi: 10.1093/jnci/djab072

Table 1.

Estimated mean lead time (MLT), percent increase in incidence (overdiagnosis), and percent reduction in mortality for historical early detection strategies for all races and historical and intensified early detection strategies for Black mena

Model Ages, y Race Frequency Biopsy, % MLT Overdiagnosis, % Mortality reduction Estimate, % (95% CI)
FHCRC 40-84 All races Historical 40 3.6 34.5 24.4 (9.1 to 37.1)
40-84 Black Historical 40 3.5 35.0 23.9 (8.9 to 36.5)
40-84 Black Annual 40 4.9 44.6 31.4 (12.1 to 46.4)
40-84 Black Annual 100 5.8 49.3 36.0 (14.2 to 52.3)
55-69 All races Historical 40 2.2 11.5 15.9 (5.8 to 25.0)
55-69 Black Historical 40 2.5 15.8 17.6 (6.4 to 27.5)
55-69 Black Annual 40 3.8 23.8 25.2 (9.5 to 38.2)
50-69 Black Annual 40 3.9 24.1 26.2 (9.9 to 39.5)
45-69 Black Annual 40 4.0 24.1 26.4 (10.0 to 39.9)
55-69 Black Annual 100 4.6 29.5 30.1 (11.5 to 44.8)
50-69 Black Annual 100 4.8 29.7 31.0 (11.9 to 46.0)
45-69 Black Annual 100 4.9 29.7 31.4 (12.1 to 46.4)
MISCAN 40-84 All races Historical 40 2.7 32.3 20.4 (7.4 to 31.5)
40-84 Black Historical 40 2.8 31.9 21.1 (7.6 to 32.5)
40-84 Black Annual 40 4.1 40.4 29.0 (10.8 to 43.4)
40-84 Black Annual 100 5.0 46.2 34.3 (13.2 to 50.4)
55-69 All races Historical 40 2.5 14.0 18.6 (6.7 to 29.0)
55-69 Black Historical 40 2.6 17.1 19.5 (7.0 to 30.3)
55-69 Black Annual 40 3.9 26.6 27.6 (10.3 to 41.5)
50-69 Black Annual 40 4.0 26.8 28.2 (10.5 to 42.4)
45-69 Black Annual 40 4.0 26.8 28.7 (10.7 to 43.0)
55-69 Black Annual 100 5.0 34.5 33.9 (13.0 to 49.8)
50-69 Black Annual 100 5.1 34.6 34.6 (13.3 to 50.7)
45-69 Black Annual 100 5.2 34.6 35.1 (13.5 to 51.4)
a

CI = confidence interval; FHCRC = Fred Hutchinson Cancer Research Center; MISCAN = Erasmus Medical Center MIcrosimulation SCreening ANalysis.