Table 18False Positives in Randomized Trials Comparing Digital Breast Tomosynthesis and Digital Mammography, by Population Subgroup

Outcome

Author, Year

Study/Trial Name

Comparison (IG vs. CG)FollowupSubgroupIG n/N (rate per 1,000 screened)CG n/N (rate per 1,000 screened)Effect (95% CI)
False-positive recall

Pattacini, 2022160

RETomo

DBT/DM vs. DMRound 1Ages 45 to 49179/5,053 (35.4)194/5,103 (38.0)RR: 0.93 (95% CI, 0.76 to 1.10)*
Ages 50 to 69231/8,303 (27.8)267/8,418 (31.7)RR: 0.88 (95% CI, 0.74 to 1.00)*
Round 2Ages 45 to 49154/4,813 (32.0)177/4,855 (36.5)RR: 0.88 (95% CI, 0.71 to 1.09)*
Ages 50 to 69249/7,920 (31.4)253/8,056 (31.4)RR: 1.00 (95% CI, 0.84 to 1.19)*

Hofvind, 2021143

To-Be

DBT/sDM vs. DMRound 1VDG165/3,929 (16.5)91/3,212 (28.3)RR: 0.58 (95% CI, 0.43 to 0.80)*
VDG2151/6,216 (24.3)231/6,280 (36.8)RR: 0.66 (95% CI, 0.54 to 0.81)*
VDG3106/3,152 (33.6)121/3,655 (33.1)RR: 1.02 (95% CI, 0.79 to 1.31)*
VDG424/962 (24.9)38/1,136 (33.5)RR: 0.75 (95% CI, 0.45 to 1.23)*
Round 2VDG155/3,214 (17.1)62/2,960 (20.9)RR: 0.81 (95% CI, 0.57 to 1.17)*
VDG2132/4,353 (30.3)142/4,395 (32.3)RR: 0.94 (95% CI, 0.74 to 1.19)*
VDG3114/2,656 (42.9)105/2,736 (38.4)RR: 1.12 (95% CI, 0.86 to 1.45)*
VDG444/900 (48.9)29/934 (31.0)RR: 1.57 (95% CI, 0.99 to 2.49)*
False-positive biopsy

Hofvind, 2021143

To-Be

DBT/sDM vs. DMRound 1VDG121/3,929 (5.3)30/3,212 (9.3)RR: 0.57 (95% CI, 0.33 to 1.00)*
VDG259/6,216 (9.5)93/6,280 (14.8)RR: 0.64 (95% CI, 0.46 to 0.89)*
VDG368/3,152 (21.6)44/3,655 (12.0)RR: 1.79 (95% CI, 1.23 to 2.61)*
VDG417/962 (17.7)18/1,136 (15.8)RR: 1.12 (95% CI, 0.58 to 2.15)*
Round 2VDG130/3,214 (9.3)35/2960 (11.8)RR: 0.79 (95% CI, 0.49 to 1.28)*
VDG253/4,353 (12.2)61/4,395 (13.9)RR: 0.88 (95% CI, 0.61 to 1.26)*
VDG352/2,656 (19.6)50/2,736 (18.3)RR: 1.07 (95% CI, 0.72 to 1.57)*
VDG420/900 (22.2)10/934 (10.7)RR: 2.08 (95% CI, 0.98 to 4.41)*
*

Relative risk calculated from Ns.

Recalled for assessment without a finding of invasive cancer or DCIS.

Underwent biopsy without a finding of invasive cancer or DCIS.

Abbreviations: CG=control group; CI=confidence interval; DBT=digital breast tomosynthesis; DCIS=ductal carcinoma in situ; DM=digital mammography; IG=intervention group; RETomo=Reggio Emilia Tomosynthesis Trial; RR=relative risk; sDM=synthetic 2-view mammography; To-Be=Tomosynthesis Trial in Bergen; OVVV=Oslo-Vestfold-Vestre Viken; VDG=Volpara Density Grade

From: Chapter 3, Results

Cover of Screening for Breast Cancer: A Comparative Effectiveness Review for the U.S. Preventive Services Task Force
Screening for Breast Cancer: A Comparative Effectiveness Review for the U.S. Preventive Services Task Force [Internet].
Evidence Synthesis, No. 231.
Henderson JT, Webber EM, Weyrich M, et al.

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