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The screen\u2010detected cancer rate was 4.86 (95% confidence interval [CI], 4.75\u20134.97) cases per 1000 screens with film mammography and 6.11 (95% CI, 5.97\u20136.24) cases per 1000 screens with digital mammography (unadjusted difference, 1.24 [95% CI, 1.06\u20131.41] cases per 1000 screens). The interval cancer rate was 2.56 (95% CI, 2.48\u20132.64) cases per 1000 screens with film mammography and 2.84 (95% CI, 2.75\u20132.94) cases per 1000 screens with digital mammography (unadjusted difference, 0.27 [95% CI, 0.15\u20130.40] cases per 1000 screens). With the transition to digital mammography, the screen\u2010detected cancer rate increased by 0.07 per 1000 screens, the sum of the decline in the invasive cancer rate (\u20130.21 cases per 1000 screens) and the rise in the ductal carcinoma in\u00a0situ detection rate (0.28 cases per 1000 screens); during 2009\u20132015, it increased by 0.18 cases per 1000 screens per year. With the transition to digital mammography, the interval cancer rate increased by 0.75 cases per 1000 screens (invasive cancer: by 0.69 cases per 1000 screens); during 2009\u20132015, it declined by 0.13 cases per 1000 screens per year. The recall rate increased by 8.02 per 1000 screens and the false positive rate by 7.16 per 1000 screens following the transition; both rates subsequently declined to pre\u2010transition levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The increased screen\u2010detected cancer rate following the transition to digital mammography was not accompanied by a reduction in interval cancer detection rates.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52566","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T04:34:27Z","timestamp":1736742867000},"page":"82-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The impact of the <scp>BreastScreen NSW<\/scp> transition from film to digital mammography, 2002\u20132016: a linked population health data analysis"],"prefix":"10.5694","volume":"222","author":[{"given":"Rachel","family":"Farber","sequence":"first","affiliation":[{"name":"Sydney School of Public Health the University of Sydney  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3641-952X","authenticated-orcid":false,"given":"Nehmat","family":"Houssami","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health the University of Sydney  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"McGeechan","sequence":"additional","affiliation":[{"name":"The Family Planning Australia Research Centre  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra L","family":"Barratt","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health the University of Sydney  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0137-3218","authenticated-orcid":false,"given":"Katy JL","family":"Bell","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health the University of Sydney  Sydney NSW"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,12]]},"reference":[{"key":"e_1_2_9_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0720-048X(97)01168-6"},{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10278-006-0770-x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa052911"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2443061478"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-007-0730-y"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2532090225"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.08.2157"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djaa080"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12581"},{"key":"e_1_2_9_10_1","unstructured":"Australian Department of Health and Aged Care.BreastScreen Australia National Accreditation Standards (NAS). 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