{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T10:19:22Z","timestamp":1760782762604,"version":"3.38.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2005,9,1]],"date-time":"2005-09-01T00:00:00Z","timestamp":1125532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2005,9,1]]},"abstract":"<jats:p> Objective: To asses the effectiveness of arbitration of discordant double readings in mammography screening. <\/jats:p><jats:p> Design: A retrospective study of 1217 consecutive arbitrations. <\/jats:p><jats:p> Setting: A subset of discordant double readings from the Florence screening programme underwent arbitration by a third reader. <\/jats:p><jats:p> Results: Positive arbitration of 1217 discordant double readings prompted assessment in 476 cases (39.2%), detecting 30 cancers (6.3%). Of 741 negative arbitrations (60.8%), 311 have been followed up thus far, and two cancers (0.64%) occurred in the site previously suspected at one of the two independent readings. Arbitration had a sensitivity of 86.3% and a negative predictive value of 99.3%. Arbitration reduced the overall referral rates from 3.82% to 2.59% (relative decrease 32.1%). Due to false-negative arbitration, cancers detected per 1000 women screened would decrease from 4.58 to 4.50 (relative decrease 1.7%). For every cancer missed due to false-negative arbitration, 151 unnecessary recalls and \u20ac21,248 would have been saved, whereas the saved cost per screened woman due to arbitration was \u20ac1.72. <\/jats:p><jats:p> Discussion: Arbitration of discordant double reading would substantially reduce referral rates with a limited reduction in cancer detection rate, and may be recommended as a routine procedure. Greater benefit from arbitration might be expected in the presence of high referral rates at independent double reading, a common scenario in a newly implemented service screening. <\/jats:p>","DOI":"10.1258\/0969141054855337","type":"journal-article","created":{"date-parts":[[2005,8,30]],"date-time":"2005-08-30T23:07:13Z","timestamp":1125443233000},"page":"125-127","source":"Crossref","is-referenced-by-count":23,"title":["The role of arbitration of discordant reports at double reading of screening mammograms"],"prefix":"10.1177","volume":"12","author":[{"given":"S","family":"Ciatto","sequence":"first","affiliation":[{"name":"Radiologist and Head of Unit, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Ambrogetti","sequence":"additional","affiliation":[{"name":"Radiologist, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Risso","sequence":"additional","affiliation":[{"name":"Radiologist, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Catarzi","sequence":"additional","affiliation":[{"name":"Radiologist, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Morrone","sequence":"additional","affiliation":[{"name":"Radiologist, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Mantellini","sequence":"additional","affiliation":[{"name":"Epidemiologist, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Rosselli Del Turco","sequence":"additional","affiliation":[{"name":"Radiologist and Head of Unit, Centro per lo Studio e la Prevenzione Oncologica, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,9,1]]},"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/0969141054855337","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/0969141054855337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T23:38:26Z","timestamp":1740785906000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/0969141054855337"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2005,9,1]]}},"alternative-id":["10.1258\/0969141054855337"],"URL":"https:\/\/doi.org\/10.1258\/0969141054855337","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"type":"print","value":"0969-1413"},{"type":"electronic","value":"1475-5793"}],"subject":[],"published":{"date-parts":[[2005,9,1]]}}}