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To screen for breast cancer or not

Published on April 1, 2009 at 8:44 PM · No Comments

Women are often told that mammography saves lives. But rarely is the question asked, 'how often?'

Researchers writing in the open access journal BMC Medical Informatics and Decision Making, set out to examine how often this life-saving event occurs.

Unrealistic expectations may influence a woman's decision whether or not to participate in screening mammography. Over 90% of women think that 'early detection saves lives'. John D Keen and James E Keen, of the John H. Stroger Jr. Hospital of Cook County and the University of Nebraska, respectively, aimed to promote informed decision-making by calculating the age-dependent absolute benefit of screening in three traditional ways: the absolute risk reduction from repeated screening, the number of women needed to screen repeatedly to save one life, and the survival percentages with and without mammography. They also estimated the average benefit of a single mammogram. Their novel concept of life-saving proportion is also relevant to economic analyses of screening.

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