Table 3

Life-saving proportion: women with screen-detected cancers that have their lives saved by mammography.

Age

Development risk/1000*

CCDR/1000

Death risk/1000

10%

RRR§

15%

RRR

20%

RRR

20%

NND

25%

RRR

30%

RRR

20%

RRR

No Rx


%

%

%

%

%

%

%

40

31.9

25.5

4.8

1.9

2.8

3.7

27

4.7

5.6

4.7

45

41.9

33.5

6.8

2.0

3.0

4.1

25

5.1

6.1

5.1

50

51.0

40.8

8.8

2.2

3.2

4.3

23

5.4

6.5

5.3

55

59.2

47.3

10.5

2.2

3.3

4.4

23

5.5

6.7

5.2

60

64.4

51.5

11.8

2.3

3.4

4.6

22

5.7

6.9

5.1

65

66.3

53.0

12.7

2.4

3.6

4.8

21

6.0

7.2

5.0


* Cumulative 15-year development risk for breast cancer for average women, from Figure 1 [28].

Cumulative cancer detection rate (CCDR) over 15 years assumes a cumulative sensitivity of 80% from repeated screening.

Breast cancer screen-free absolute death risk is from Figure 1.

§ The proportion is the screen-free absolute death risk multiplied by the relative risk reduction (RRR), and then divided by the CCDR.

Number of cancers needed to be detected (NND) is the reciprocal of the life-saving proportion.

Assumes maximum prescreening era (1978–1980) 15-year absolute death risk, with no adjustment for improved therapy.

Keen and Keen BMC Medical Informatics and Decision Making 2009 9:18   doi:10.1186/1472-6947-9-18

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