Screening Mammography — A Long Run for a Short Slide?
Abstract
No screening test has ever been more carefully studied than screening mammography. In the past 50 years, more than 600,000 women have participated in 10 randomized trials, each involving approximately 10 years of follow-up. Given this extraordinary research effort, it is ironic that screening mammography continues to be one of the most contentious issues within the medical community.The juxtaposition of such a charged medical debate in the face of such an exhaustive scientific investigation is in itself instructive. For context, one trial involving fewer than 150 men who were followed for less than 2 years was sufficient to convince . . .
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Overdiagnosis-related harms may require many years before they become apparent, similar to other cancers.
“This is a difficult balance to achieve since the harms of overdiagnosis can take many years to become evident, as is the case for other cancers.114–116”
Cites
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Effect of Screening Mammography on Breast-Cancer Mortality in Norway
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Content of invitations for publicly funded screening mammography
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Overview, History, and Objectives of Performance Measurement.
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Goggins, M., Overbeek, K. A., Brand, R., Syngal, S., Del Chiaro, M., Bartsch, D. K., Bassi, C., Carrato, A., Farrell, J., Fishman, E. K., et al. (2020) · Gut · doi:10.1136/gutjnl-2019-319352 · Cited by 659 · see citing works
- Authors
- Welch, H. G.
- Affiliations
- Dartmouth Institute for Health Policy and Clinical Practice (US)
- Corresponding author
- Welch, H. Gilbert
- ORCID
- Welch, H. Gilbert
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2010-09-23
- Volume
- 363
- Issue
- 13
- Pages
- 1276-1278
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2161145860
- Cited by
- 113
- References
- 9
- Citations by year
- 2024: 3 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 9 · 2014: 10 · 2013: 13 · 2012: 22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Digital Radiography and Breast Imaging
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Keywords
- mammography screening, breast cancer screening, randomized controlled trials, long-term follow-up, breast cancer mortality
- MeSH terms
- Breast Neoplasms, Europe, Female, Humans, Mammography, Mass Screening, United States
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