Maximising benefit and minimising harm of screening
Open accessAbstract
Gordon Brown has pledged to increase screening services in the NHS. MuirGray, Julietta Patnick, and Roger Blanks show how experience with the UK breast screening programme can help ensure that they are effective
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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”
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Cites
Färber, M., & Ayer, A. J. (1938) · The Philosophical Review · doi:10.2307/2180985 · Cited by 2,118 · see citing works
REDUCTION IN MORTALITY FROM BREAST CANCER AFTER MASS SCREENING WITH MAMMOGRAPHY
Tabár, L. K., Gad, A., Holmberg, L., Ljungquist, U., Fagerberg, C., Baldetorp, L., Gröntoft, O., Lundström, B., Månson, J. C., EKLUND, G. A., et al. (1985) · The Lancet · doi:10.1016/s0140-6736(85)92204-4 · Cited by 1,778 · see citing works
Is screening for breast cancer with mammography justifiable?
Gøtzsche, P. C., & Olsen, O. (2000) · The Lancet · doi:10.1016/s0140-6736(99)06065-1 · Cited by 851 · see citing works
Blanks, R. G. (2000) · BMJ · doi:10.1136/bmj.321.7262.665 · Cited by 385 · see citing works
Self-citationBlanks, R. G., Wallis, M., & Moss, S. (1998) · Journal of Medical Screening · doi:10.1136/jms.5.4.195 · Cited by 138 · see citing works
Self-citationAmendoeira, I., Bianchi, S., Boecker, W., et al. (1999) · Archiv für Pathologische Anatomie und Physiologie und für Klinische Medicin · doi:10.1007/s004280050297 · Cited by 119 · see citing works
Holmberg, L., Ljungquist, U., Baldetorp, L., et al. (1985) · Cited by 116 · see citing works
Sloane, J. P., Ellman, R., Anderson, T. J., et al. (1994) · European Journal of Cancer · doi:10.1016/0959-8049(94)00261-3 · Cited by 107 · see citing works
Impact of a national external quality assessment scheme for breast pathology in the UK
Ellis, I. O., Coleman, D., Wells, C. A., et al. (2006) · Journal of Clinical Pathology · doi:10.1136/jcp.2004.025551 · Cited by 107 · see citing works
Blanks, R. G., Day, N., Moss, S., et al. (1996) · Journal of Medical Screening · doi:10.1177/096914139600300206 · Cited by 36 · see citing works
Self-citationSauven, P., Bishop, H., Patnick, J., et al. (2003) · British journal of surgery · doi:10.1002/bjs.4013 · Cited by 24 · see citing works
Self-citationBlanks, R. G., Bennett, R. L., Wallis, M., et al. (2002) · Journal of Medical Screening · doi:10.1136/jms.9.1.11 · Cited by 21 · see citing works
Self-citationPrior, P., Woodman, C. B. J., Wilson, S. E., et al. (1996) · Journal of Medical Screening · doi:10.1177/096914139600300303 · Cited by 19 · see citing works
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Research works printed but not linked: 3
- [6]Pritchard J. Quality assurance guidelines for mammography Oxford: NHS Breast Screening Programme, 1989
- [7]Donabedian A. Explorations in quality assessment and monitoring: the definition of quality and approaches to its assessments, Vol 1-3. Ann Arbor, MI: Health Administration Press, 1980
- [12]Department of Health. Cancer screening to be expanded and waiting times to be further reduced Press release 0273, September 2007. www.independenthealthcare.org.uk/downloads/briefing_papers/IHAS_Press_Releases_Sep_07.pdf
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Helping Doctors and Patients Make Sense of Health Statistics
Gigerenzer, G., Gaissmaier, W., Kurz-Milcke, E., Schwartz, L. M., & Woloshin, S. (2007) · Psychological Science in the Public Interest · doi:10.1111/j.1539-6053.2008.00033.x · Cited by 1,336 · see citing works
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
Wearable Photoplethysmography for Cardiovascular Monitoring
Charlton, P. H., Kyriacou, P. A., Mant, J., Marozas, V., Chowienczyk, P., & Alastruey, J. (2022) · Proceedings of the IEEE · doi:10.1109/jproc.2022.3149785 · Cited by 250 · see citing works
- Authors
- Gray, J. A. M., Patnick, J., & Blanks, R. G.
- Affiliations
- Institute of Cancer Research (GB)
- Corresponding author
- Gray, J A M
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2008-02-28
- Volume
- 336
- Issue
- 7642
- Pages
- 480-483
- ISSN
- 1756-1833 (ISSN-L)
- 0959-8138
- PMC
- PMC2258553
- OpenAlex
- W2008081600
- Cited by
- 134
- References
- 13
- Citations by year
- 2026: 13 · 2025: 7 · 2024: 18 · 2023: 19 · 2022: 9 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 10 · 2017: 3 · 2016: 3 · 2015: 7 · 2013: 7 · 2012: 5
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Digital Radiography and Breast Imaging
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- screening programs, breast cancer screening, National Health Service, screening effectiveness, screening harms, health policy, Gordon Brown, public health services
- MeSH terms
- Breast Neoplasms, Decision Making, Female, United Kingdom, Health Policy, Humans, Mass Screening, Quality Assurance, Health Care, Sensitivity and Specificity, State Medicine, Program Evaluation, Harm Reduction
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