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Mammography screening: are women really giving informed consent? (Countering the counterpoint).
| Content Provider | Semantic Scholar |
|---|---|
| Author | Baines, Cornelia Johanna |
| Copyright Year | 2003 |
| Abstract | Dr. Alfred Berg’s counterpoint is gracious and informative. I am grateful that he reinforces the often disregarded but currently best available version of the truth: in women younger than age 50 years, screening benefits take longer to become apparent and absolute benefits are smaller compared with older women. In Dr. Berg’s words, longer means 13–20 years after randomization. My commentary focuses on what happens to women age 40–49 years before the benefits become apparent. My conviction that, for the first 10 years, breast cancer deaths are increased in women age 40–49 years who receive mammography screening is evidence-based despite Dr. Berg’s assertion that it is not. What is my evidence? The increase in deaths from breast cancer among screened women (compared with that among control women who did not receive screening) is seen very briefly in the Health Insurance Plan of New York study but lasts up to 10 years in the Two-County trial, the Canadian trial, the Stockholm trial, and the Malmö trial. Furthermore, the meta-analysis performed by Brian Cox in 1997 portrayed the paradox clearly (see Fig. 1 in my commen- |
| File Format | PDF HTM / HTML |
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| Alternate Webpage(s) | https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/jnci/95/20/10.1093_jnci_djg066/1/1512.pdf?Expires=1493051135&Key-Pair-Id=APKAIUCZBIA4LVPAVW3Q&Signature=XtIes1rc9dT4meZzL4UFNUjNvYQGzUHcRjXGdJLd4rr11THLisnvNsMQBcbskQ3nhDFt6tc8ETcK4sKwtUiZ69GK1uZJuPVHtDajGdJ5fGAIhFe3F~G2fwC1V0gFM2PVIsbaTO9lntXQeQQFx~ea3Pl93ucQjjR4jaUoIoykQ8U6cR88aGFF4bIlAqfua65IlijUeK294XtWthRHIZeG5~-xr0YQnfoRxu6HnliDCTC2wrpJko36MgbHzmVPRIERdfk~1UX2BfFBTPnDLRgCKvbRYkM-kZpFjko0BUZcrsf2OBj0deJ1XxQQXlZcKQc4A5zXG9Wwnv3tCKXaEBV83w__ |
| PubMed reference number | 14559872v1 |
| Volume Number | 95 |
| Issue Number | 20 |
| Journal | Journal of the National Cancer Institute |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Breast Fibrocystic Disease Cessation of life Informed Consent Mammary Neoplasms Published Comment Screening mammography Small benefit |
| Content Type | Text |
| Resource Type | Article |
