On mammograms
2014-02-12 15:37:48.848796+00 by Dan Lyke 1 comments
NY Times: Vast Study Casts Doubts on Value of Mammograms. The study is BMJ: Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial:
... During the entire study period, 3250 women in the mammography arm and 3133 in the control arm had a diagnosis of breast cancer, and 500 and 505, respectively, died of breast cancer. Thus the cumulative mortality from breast cancer was similar between women in the mammography arm and in the control arm (hazard ratio 0.99, 95% confidence interval 0.88 to 1.12). After 15 years of follow-up a residual excess of 106 cancers was observed in the mammography arm, attributable to over-diagnosis.'
So early detection might not influence mortality, and appears to cause unnecessary treatment.