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Henderson JT, Webber EM, Sawaya GF. Screening for Ovarian Cancer: An Updated Evidence Review for the U.S. Preventive Services Task Force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Feb. (Evidence Synthesis, No. 157.)

Cover of Screening for Ovarian Cancer

Screening for Ovarian Cancer: An Updated Evidence Review for the U.S. Preventive Services Task Force [Internet].

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Appendix DBenefits Reported in Ovarian Cancer Screening Trials: Ovarian Cancer Mortality in Analyses Excluding Peritoneal Cancer*

Trial, Year of publicationUKCTOCS, 2016 (CA-125 ROCA arm)92UKCTOCS, 2016 (ultrasound arm)92PLCO, 201191U.K. Pilot, 199998
QualityGoodGoodGoodGood
N analyzed per armIG: 50,624
CG: 101,299
IG: 50,623
CG: 101,299
IG: 34,253
CG: 34,304
IG: 10,958
CG: 10,977
Ovarian cancer incidence, n (%)IG: 338 (0.7)
CG: 630 (0.6)
IG: 314 (0.6)
CG: 630 (0.6)
IG: 183 (0.5)
CG: 158 (0.5)
IG: 16 (0.1)
CG: 20 (0.2)
Ovarian cancer incidence rateIG: 6.2 per 10,000 p-y
CG: 5.7 per 10,000 p-y
IG: 5.7 per 10,000 p-y
CG: 5.7 per 10,000 p-y
IG: 4.9 per 10,000 p-y
CG: 4.7 per 10,000 p-y
NR
Between group differencep=NRp=NRp=NR
Ovarian cancer mortality, n (%)IG: 148 (0.29)
CG: 347 (0.34)
IG: 163 (0.30)
CG: 347 (0.34)
NRIG: 9 (0.082)
CG: 18 (0.16)
Ovarian cancer mortality rateIG: 2.7 per 10,000 p-y
CG: 3.2 per 10,000 p-y
IG: 2.8 per 10,000 p-y
CG: 3.2 per 10,000 p-y
NRNR
Ovarian cancer mortality between group differenceHR: 0.85
(95% CI, 0.70 to 1.03), p=0.10
HR: 0.89
(0.73, 1.07),
p=0.21
NRRR: 0.50
(95% CI, 0.22 to 1.11)
p=0.083
*

Includes ovarian and fallopian cancers

Cox proportional hazards model

Calculated (article reports RR calculated in in terms of increased relative risk)

Abbreviations: CG = control group; CI = confidence interval; HR = hazard ratio; IG = intervention group; NR = not reported; NS = not significant; PLCO = Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial; P-Y = person-years; ROCA = Risk of Ovarian Cancer Algorithm; RR = relative risk; U.K. = United Kingdom; UKCTOCS: U.K. Collaborative Trial of Ovarian Cancer Screening

Bookshelf ID: NBK493400

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