Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

475 questions · 487 findings · 49 reviews · Breast Cancer

No studies found 44 · 9%GRADE not reported 14 · 2.9%Very low 108 · 22.2%Low 128 · 26.3%Moderate 107 · 22%High 86 · 17.7%

Mammography in combination with breast ultrasonography vs mammography alone

Interval cancer · breast cancer screening (non‐dense breasts)

Mammography in combination with breast ultrasonography showed no clear difference in interval cancer compared with mammography alone (high certainty).

1 finding from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

False‐positive rate in women with non‐dense breasts · breast cancer screening (non‐dense breasts)

Mammography in combination with breast ultrasonography leads to higher false‐positive rate in women with non‐dense breasts compared with mammography alone (high certainty).

1 finding from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

False‐negative rate in women with non‐dense breasts · breast cancer screening (non‐dense breasts)

Mammography in combination with breast ultrasonography probably leads to lower false‐negative rate in women with non‐dense breasts compared with mammography alone (moderate certainty).

1 finding from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

Biopsy rate in women with non‐dense breasts · breast cancer screening (non‐dense breasts)

Mammography in combination with breast ultrasonography leads to higher biopsy rate in women with non‐dense breasts compared with mammography alone (high certainty).

1 finding from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

Incremental cancer detection: cohort studies · s of women with dense and non‐dense breasts

Mammography in combination with breast ultrasonography leads to higher incremental cancer detection: RCT compared with mammography alone (high certainty).

2 findings from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

Incremental detection of invasive cancers · s of women with dense and non‐dense breasts

Mammography in combination with breast ultrasonography showed no clear difference in incremental detection of invasive cancers: RCT compared with mammography alone (low certainty).

2 findings from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

Interval cancer · s of women with dense and non‐dense breasts

Mammography in combination with breast ultrasonography leads to lower interval cancer compared with mammography alone (high certainty).

1 finding from 1 review

Mammography in combination with breast ultrasonography vs mammography alone

Lymph node status · s of women with dense and non‐dense breasts

Mammography in combination with breast ultrasonography probably leads to lower lymph node status compared with mammography alone (moderate certainty).

1 finding from 1 review

Skin‐sparing mastectomy vs conventional mastectomy

Overall survival,assessed as time to any death · people with a diagnosis of ductal carcinoma in situ (DCIS) or invasive breast cancer

It is very uncertain whether skin‐sparing mastectomy changes overall survival,assessed as time to any death compared with conventional mastectomy (very low certainty).

1 finding from 1 review

Skin‐sparing mastectomy vs conventional mastectomy

Overall complications,assessed using the number of participants with at least one local or systemic complication · people with a diagnosis of ductal carcinoma in situ (DCIS) or invasive breast cancer

It is very uncertain whether skin‐sparing mastectomy changes overall complications,assessed using the number of participants with… compared with conventional mastectomy (very low certainty).

1 finding from 1 review

Intervention not reported

Breast cancer stage at the time of presentation: defined as the proportion of women with breast cancer diagnosed at early stage (stage 0, I, II) Time of outcome assessment: 3 years to 20 years Method of measurement: CBE · health workers

The intervention may leads to higher breast cancer stage at the time of presentation: defined as the… (low certainty).

1 finding from 1 review

Intervention not reported

Breast cancer stage at the time of presentation: defined as the proportion of women with breast cancer diagnosed at late stage (stage III, IV) Time of outcome assessment: 3 years to 20 years Method of measurement: CBE · health workers

The intervention may leads to lower breast cancer stage at the time of presentation: defined as the… (low certainty).

1 finding from 1 review