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Journal of Medical Screening

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J Med Screen 2007;14:94-97
doi:10.1258/096914107781261891
© 2007 Medical Screening Society

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Original Articles

Predicting the risk of a false-positive test for women following a mammography screening programme

Sisse Helle Njor, Anne Helene Olsen, Walter Schwartz, Ilse Vejborg and Elsebeth Lynge , Institute of Public Health, University of Copenhagen, Øster Farigmagsgade 5, opg. B, DK-1014 Copenhagen K, Denmark; Institute of Public Health, University of Copenhagen, Øster Farigmagsgade 5, opg. B, DK1014 Copenhagen K, Denmark; Mammography Screening Clinic, University Hospital Odense, Kløvervænget 10, DK-5000 Odense, Denmark; Department of Diagnostic Imaging, University Hospital Copenhagen, Blegdamsvej 9, DK-2100 Copenhagen Ø, Denmark; Institute of Public Health, University of Copenhagen, Øster Farigmagsgade 5, opg. B, DK-1014 Copenhagen K, Denmark

Objectives: The objectives of this study was to provide a simple estimate of the cumulative risk of a false-positive test for women participating in mammography screening. To test the method, we used data from two well-established, organized mammography screening programmes offering biennial screening to women aged 50–69 years in Copenhagen and Fyn, Denmark.

Methods: We defined the outcome from a screen as being either a false-positive test or not a false-positive test. We then tested whether the outcomes from subsequent screens were independent, and afterwards estimated the risk over 10 screens of a false-positive test, i.e. the risk of getting at least one false-positive test for a woman participating in all 10 screens typically offered in Europe.

Results The outcomes of subsequent screens were found to be independent. After completion of screening rounds 3–5, the risk of a false-positive test over 10 screens was predicted to be 15.8–21.5% for a woman participating in the programme in Copenhagen, and 8.1–9.6% for a woman participating in the programme in Fyn.

Conclusions Our study showed that a relatively robust prediction of the risk of a false-positive test over 10 screens can be calculated in a simple way relatively early after the start of a mammography screening programme.


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