Association between mammography timing and measures of screening performance in the United States

Bonnie C. Yankaskas, Stephen H. Taplin, Layra Ichikawa, Berta M. Geller, Robert D. Rosenberg, Patricia (Patty) Carney, Karla Kerlikowske, Rachel Ballard-Barbash, Gary R. Cutter, William E. Barlow

Research output: Contribution to journalArticle

80 Citations (Scopus)

Abstract

PURPOSE: To evaluate whether there is an association between the number of months since previous mammography (MSPM) and performance measures (sensitivity, specificity, recall rate, cancer detection rate, and positive predictive value) in women who underwent U.S. community-based screening mammography. MATERIALS AND METHODS: Data from seven registries (Breast Cancer Surveillance Consortium) and mammographic data and cancer outcome in regard to 1 213 754 screening mammographic examinations performed in 680 641 women who were 40-89 years old for the years 1996-2000 were used in this study. These data are submitted annually in a standard format to a central statistical coordinating center that is subject to institutional review board approval, quality control, and confidentiality standards. Performance measures were calculated for first and subsequent screening mammography. For subsequent mammography, performance measures were calculated according to categories of MSPM (9-15, 16-20, 21-27, and ≥28 months). Receiver operating characteristic and multivariable logistic regression analyses were conducted to test the association between the number of MSPM and performance measures. RESULTS: With increasing MSPM in each category from 9-15 to 28 months or more and for first mammographic examinations, respectively, there was increased sensitivity (70.9%, 75.7%, 85.4%, 82.5%, and 88.6%), decreased specificity (93.3%, 92.7%, 91.6%, 91.0%, and 85.9%), increased recall rate (7.0%, 7.6%, 8.8%, 9.4%, and 14.7%), and increased cancer detection rates (3.2, 3.5, 4.5, 4.6, and 6.1 per 1000 mammographic examinations). When the category of 9-15 MSPM was compared with that of 21-27 MSPM, there was a slight increase in positive predictive value from 4.6% to 5.1%. Confidence intervals were narrow and did not overlap. Age affected these associations for aii performance measures except sensitivity. CONCLUSION: Performance measures increased as MSPM increased, except for specificity, which decreased. Time between mammograms is an important factor to consider when audits are reviewed or screening performance measures are compared.

Original languageEnglish (US)
Pages (from-to)363-373
Number of pages11
JournalRadiology
Volume234
Issue number2
DOIs
StatePublished - Feb 2005
Externally publishedYes

Fingerprint

Mammography
Neoplasms
Research Ethics Committees
Confidentiality
ROC Curve
Quality Control
Registries
Logistic Models
Regression Analysis
Confidence Intervals
Breast Neoplasms
Sensitivity and Specificity

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Yankaskas, B. C., Taplin, S. H., Ichikawa, L., Geller, B. M., Rosenberg, R. D., Carney, P. P., ... Barlow, W. E. (2005). Association between mammography timing and measures of screening performance in the United States. Radiology, 234(2), 363-373. https://doi.org/10.1148/radiol.2342040048

Association between mammography timing and measures of screening performance in the United States. / Yankaskas, Bonnie C.; Taplin, Stephen H.; Ichikawa, Layra; Geller, Berta M.; Rosenberg, Robert D.; Carney, Patricia (Patty); Kerlikowske, Karla; Ballard-Barbash, Rachel; Cutter, Gary R.; Barlow, William E.

In: Radiology, Vol. 234, No. 2, 02.2005, p. 363-373.

Research output: Contribution to journalArticle

Yankaskas, BC, Taplin, SH, Ichikawa, L, Geller, BM, Rosenberg, RD, Carney, PP, Kerlikowske, K, Ballard-Barbash, R, Cutter, GR & Barlow, WE 2005, 'Association between mammography timing and measures of screening performance in the United States', Radiology, vol. 234, no. 2, pp. 363-373. https://doi.org/10.1148/radiol.2342040048
Yankaskas, Bonnie C. ; Taplin, Stephen H. ; Ichikawa, Layra ; Geller, Berta M. ; Rosenberg, Robert D. ; Carney, Patricia (Patty) ; Kerlikowske, Karla ; Ballard-Barbash, Rachel ; Cutter, Gary R. ; Barlow, William E. / Association between mammography timing and measures of screening performance in the United States. In: Radiology. 2005 ; Vol. 234, No. 2. pp. 363-373.
@article{f5738fe128084a33afc71efa80dd7734,
title = "Association between mammography timing and measures of screening performance in the United States",
abstract = "PURPOSE: To evaluate whether there is an association between the number of months since previous mammography (MSPM) and performance measures (sensitivity, specificity, recall rate, cancer detection rate, and positive predictive value) in women who underwent U.S. community-based screening mammography. MATERIALS AND METHODS: Data from seven registries (Breast Cancer Surveillance Consortium) and mammographic data and cancer outcome in regard to 1 213 754 screening mammographic examinations performed in 680 641 women who were 40-89 years old for the years 1996-2000 were used in this study. These data are submitted annually in a standard format to a central statistical coordinating center that is subject to institutional review board approval, quality control, and confidentiality standards. Performance measures were calculated for first and subsequent screening mammography. For subsequent mammography, performance measures were calculated according to categories of MSPM (9-15, 16-20, 21-27, and ≥28 months). Receiver operating characteristic and multivariable logistic regression analyses were conducted to test the association between the number of MSPM and performance measures. RESULTS: With increasing MSPM in each category from 9-15 to 28 months or more and for first mammographic examinations, respectively, there was increased sensitivity (70.9{\%}, 75.7{\%}, 85.4{\%}, 82.5{\%}, and 88.6{\%}), decreased specificity (93.3{\%}, 92.7{\%}, 91.6{\%}, 91.0{\%}, and 85.9{\%}), increased recall rate (7.0{\%}, 7.6{\%}, 8.8{\%}, 9.4{\%}, and 14.7{\%}), and increased cancer detection rates (3.2, 3.5, 4.5, 4.6, and 6.1 per 1000 mammographic examinations). When the category of 9-15 MSPM was compared with that of 21-27 MSPM, there was a slight increase in positive predictive value from 4.6{\%} to 5.1{\%}. Confidence intervals were narrow and did not overlap. Age affected these associations for aii performance measures except sensitivity. CONCLUSION: Performance measures increased as MSPM increased, except for specificity, which decreased. Time between mammograms is an important factor to consider when audits are reviewed or screening performance measures are compared.",
author = "Yankaskas, {Bonnie C.} and Taplin, {Stephen H.} and Layra Ichikawa and Geller, {Berta M.} and Rosenberg, {Robert D.} and Carney, {Patricia (Patty)} and Karla Kerlikowske and Rachel Ballard-Barbash and Cutter, {Gary R.} and Barlow, {William E.}",
year = "2005",
month = "2",
doi = "10.1148/radiol.2342040048",
language = "English (US)",
volume = "234",
pages = "363--373",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "2",

}

TY - JOUR

T1 - Association between mammography timing and measures of screening performance in the United States

AU - Yankaskas, Bonnie C.

AU - Taplin, Stephen H.

AU - Ichikawa, Layra

AU - Geller, Berta M.

AU - Rosenberg, Robert D.

AU - Carney, Patricia (Patty)

AU - Kerlikowske, Karla

AU - Ballard-Barbash, Rachel

AU - Cutter, Gary R.

AU - Barlow, William E.

PY - 2005/2

Y1 - 2005/2

N2 - PURPOSE: To evaluate whether there is an association between the number of months since previous mammography (MSPM) and performance measures (sensitivity, specificity, recall rate, cancer detection rate, and positive predictive value) in women who underwent U.S. community-based screening mammography. MATERIALS AND METHODS: Data from seven registries (Breast Cancer Surveillance Consortium) and mammographic data and cancer outcome in regard to 1 213 754 screening mammographic examinations performed in 680 641 women who were 40-89 years old for the years 1996-2000 were used in this study. These data are submitted annually in a standard format to a central statistical coordinating center that is subject to institutional review board approval, quality control, and confidentiality standards. Performance measures were calculated for first and subsequent screening mammography. For subsequent mammography, performance measures were calculated according to categories of MSPM (9-15, 16-20, 21-27, and ≥28 months). Receiver operating characteristic and multivariable logistic regression analyses were conducted to test the association between the number of MSPM and performance measures. RESULTS: With increasing MSPM in each category from 9-15 to 28 months or more and for first mammographic examinations, respectively, there was increased sensitivity (70.9%, 75.7%, 85.4%, 82.5%, and 88.6%), decreased specificity (93.3%, 92.7%, 91.6%, 91.0%, and 85.9%), increased recall rate (7.0%, 7.6%, 8.8%, 9.4%, and 14.7%), and increased cancer detection rates (3.2, 3.5, 4.5, 4.6, and 6.1 per 1000 mammographic examinations). When the category of 9-15 MSPM was compared with that of 21-27 MSPM, there was a slight increase in positive predictive value from 4.6% to 5.1%. Confidence intervals were narrow and did not overlap. Age affected these associations for aii performance measures except sensitivity. CONCLUSION: Performance measures increased as MSPM increased, except for specificity, which decreased. Time between mammograms is an important factor to consider when audits are reviewed or screening performance measures are compared.

AB - PURPOSE: To evaluate whether there is an association between the number of months since previous mammography (MSPM) and performance measures (sensitivity, specificity, recall rate, cancer detection rate, and positive predictive value) in women who underwent U.S. community-based screening mammography. MATERIALS AND METHODS: Data from seven registries (Breast Cancer Surveillance Consortium) and mammographic data and cancer outcome in regard to 1 213 754 screening mammographic examinations performed in 680 641 women who were 40-89 years old for the years 1996-2000 were used in this study. These data are submitted annually in a standard format to a central statistical coordinating center that is subject to institutional review board approval, quality control, and confidentiality standards. Performance measures were calculated for first and subsequent screening mammography. For subsequent mammography, performance measures were calculated according to categories of MSPM (9-15, 16-20, 21-27, and ≥28 months). Receiver operating characteristic and multivariable logistic regression analyses were conducted to test the association between the number of MSPM and performance measures. RESULTS: With increasing MSPM in each category from 9-15 to 28 months or more and for first mammographic examinations, respectively, there was increased sensitivity (70.9%, 75.7%, 85.4%, 82.5%, and 88.6%), decreased specificity (93.3%, 92.7%, 91.6%, 91.0%, and 85.9%), increased recall rate (7.0%, 7.6%, 8.8%, 9.4%, and 14.7%), and increased cancer detection rates (3.2, 3.5, 4.5, 4.6, and 6.1 per 1000 mammographic examinations). When the category of 9-15 MSPM was compared with that of 21-27 MSPM, there was a slight increase in positive predictive value from 4.6% to 5.1%. Confidence intervals were narrow and did not overlap. Age affected these associations for aii performance measures except sensitivity. CONCLUSION: Performance measures increased as MSPM increased, except for specificity, which decreased. Time between mammograms is an important factor to consider when audits are reviewed or screening performance measures are compared.

UR - http://www.scopus.com/inward/record.url?scp=19944430591&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=19944430591&partnerID=8YFLogxK

U2 - 10.1148/radiol.2342040048

DO - 10.1148/radiol.2342040048

M3 - Article

C2 - 15670994

AN - SCOPUS:19944430591

VL - 234

SP - 363

EP - 373

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 2

ER -