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Review of the evidence on the use of arbitration or consensus within breast screening: A systematic scoping review
L Hackney1, A Szczepura2, L Moody1
1Coventry University, Priory St, Coventry CV1 5FB, UK.
Objectives:
A systematic scoping review was undertaken to establish the evidence base on arbitration and consensus in mammography reporting. Database searches were supplemented with hand searching of peer-reviewed journals, citation tracking, key author searching, grey literature and personal contact with experts. A 3-stage process was utilised to screen a large volume of literature (601) against the inclusion and exclusion criteria. 26 papers were retained.
Key Findings:
A lack of guidance and underpinning evidence to inform how best to use arbitration or consensus to resolve discordant reads. In particular, a lack of prospective studies to determine effectiveness in real-life clinical settings.
Conclusion:
The insufficiency of follow-up or reporting of true interval cancers compromised the ability to conclude the effectiveness of the processes.
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