Table 5 Cancer characteristics.
From: Health benefits and harms of mammography screening in older women (75+ years)—a systematic review
Study Reference | Comparison made | Outcome 1 | Data | Outcome 2 | Data2 | Outcome 3 | Data3 |
---|---|---|---|---|---|---|---|
Node positive | |||||||
Braithwaite [21] | 66–74 vs 75–89 | Positive lymph nodes | Charlson Score=0 & 1-year screen interval: 21.2% vs 16.3%; Charlson Score=0 & 2-year screen interval: 20.6% vs 15.7%; Charlson Score=1 & 1-year screen interval: 24.1% vs 16.6%; Charlson Score=1 & 2-year screen interval: 17.8% vs 12.4%. | ||||
Destounis [24] | No comparison | Positive lymph nodes | 7% | ||||
Erbas [25] | 40–49 vs 50–69 vs 70–74 vs ≥75 | Invasive cancer node positive (%) | 28.99% vs 19.51% vs 15.27% vs 9.45% (p < 0.001) | Interval cancer node positive (%) | 75.40% vs 84.26% vs 71.21% vs 59.26% (p < 0.001) | ||
Malmgren [33] | Mammography v physician v patient detected | Lymph nodes positive | MgD 12% vs PtD+PhysD 38% | ||||
Stage Distribution | |||||||
Braithwaite [21] | 66–74 vs 75–89 | Advanced stage (IIB-IV) | Charlson Score=0 & 1-year screen interval: 12.0% vs 9.4%; Charlson Score=0 & 2-year screen interval: 10.9% vs 10.7%; Charlson Score=1 & 1-year screen interval: 15.8% vs 11.7%; Charlson Score=1 & 2-year screen interval: 11.1% vs 5.7%. | ||||
Erbas [25] | 40–49 vs 50–69 vs 70–74 vs 75 and older | Invasive cancer grade III (%) | 20.29% vs 18.10% vs 15.06% vs 13.39% (p = 0.05) | Interval cancer grade III (%) | 49.06% vs 38.18% vs 30.91% vs 45.45% (p = 0.06) | ||
Hartman [27] | No comparison | Stage | Stage was known for 17 of 26 women: 88% (15/17) had stage 0 (n = 3) or stage I (n = 12) disease and 12% (n = 2) had stage II disease. Stage 3: 0. Unknown stage: 9 (35%) | Grade | Unknown: 1; High: 5; Intermediate to high: 3; Intermediate: 11; Low to intermediate: 3, Low: 3. | ||
McCarthy [35] | Non users v regular users | Late-stage disease | 75–84 (n = 1790) OR 3.64 (2.96-4.48) 85+ (n = 455) OR 6.87 (3.97–11.90) Adjusted for age at diagnosis, race, marital status, income of ZIP code and comorbidity | ||||
Vyas [48] | 70–74 v 45–79 v 80 and older | Diagnosis at insitu stage | 70–74: 1 (reference group) 75–79: 0.97 (0.84–1.11) 80+: 0.79 (0.69–0.90) | Diagnosis at local stage | 70–74: 1(reference group) 75–79: 1.02 (0.90–1.16) 80+: 1.13 (1.00–1.26) | Diagnosis at regional stage | 70–74: 1(reference group) 75–79: 1.03 (0.90–1.17) 80+: 1.00 (1.88–1.12) |
Tumour size | |||||||
Erbas [25] | 40–49 vs 50–69 vs 70–74 vs 75 and older | Invasive cancer mean size (mm) | 17.2 vs 13.88 vs 13.40 vs 13.66 (p = 0.08) | Invasive cancer mean size (mm) by time since previous negative screen | <27 months: 16.97 vs 13.66 vs 13.35 vs 12.71; 27–36 months: 17.25 vs 14.17 vs 13.08 vs 12.41; ≥37 months: 17.51 vs 16.91 vs 15.21 vs 17.46 | Interval cancer mean size (mm) | 20.64 vs 21.39 vs 18.61 vs 20.75 |
Malmgren [33] | Mammography detected v physician detected/ patient detected | Mean tumour size (cm) | 3.02 (pt/phys) v 1.53 (mammo) p < 0.001 | ||||
Randolph [38] | 65–74 v 75 and older | Mean tumour size (adjusted 69–74 v 75 + - non, single, regular user) | 25.5, 19.3, 17.4 v 28.9, 20.6, 16.9. | ||||
VanDijck [45] | First screen, repeat screen, interval CA or non-participant | Tumour size of invasive cancers according to detection round First screening: Repeat screen: Interval: non-participants | Median (25-75 centile); 20(14–27): 12 (7–20): 20 (13–25): 30(20–40) |