codrus on Nostr: This one is for women. Mammography Screening: The Great Hoax. 12-point summary of the ...
This one is for women. Mammography Screening: The Great Hoax.
12-point summary of the book:
1. Mammography screening does not reduce overall mortality.
2. There is no reliable evidence that screening reduces breast cancer mortality.
3. Overdiagnosis is a major harm of screening, affecting about one in three screen-detected breast cancers
4. Screening increases the number of mastectomies by about 20%, contrary to claims that it leads to less aggressive treatment.
5. False positives are common in mammography screening, affecting 25% of women in the UK and 50% in the USA over 10 screening rounds.
6. Screening has not reduced the incidence of advanced cancers as expected.
7. The claimed benefits of screening are often exaggerated in both scientific literature and public communication.
8. The lead time for breast cancer - how much earlier screening detects cancer compared to symptoms - is much shorter than often assumed.
9. Informed consent is often lacking in screening programs. Many invitations and informational materials fail to mention overdiagnosis or present balanced information about both benefits and harms.
10. Conflicts of interest have significantly influenced screening research and policy.
11. The total cost of screening can be substantial, raising questions about resource allocation in healthcare.
12. Breast cancer awareness and improved treatments likely account for much of the observed decrease in breast cancer mortality, rather than screening.
https://unbekoming.substack.com/i/150129522/mammography-screening-the-great-hoax
12-point summary of the book:
1. Mammography screening does not reduce overall mortality.
2. There is no reliable evidence that screening reduces breast cancer mortality.
3. Overdiagnosis is a major harm of screening, affecting about one in three screen-detected breast cancers
4. Screening increases the number of mastectomies by about 20%, contrary to claims that it leads to less aggressive treatment.
5. False positives are common in mammography screening, affecting 25% of women in the UK and 50% in the USA over 10 screening rounds.
6. Screening has not reduced the incidence of advanced cancers as expected.
7. The claimed benefits of screening are often exaggerated in both scientific literature and public communication.
8. The lead time for breast cancer - how much earlier screening detects cancer compared to symptoms - is much shorter than often assumed.
9. Informed consent is often lacking in screening programs. Many invitations and informational materials fail to mention overdiagnosis or present balanced information about both benefits and harms.
10. Conflicts of interest have significantly influenced screening research and policy.
11. The total cost of screening can be substantial, raising questions about resource allocation in healthcare.
12. Breast cancer awareness and improved treatments likely account for much of the observed decrease in breast cancer mortality, rather than screening.
https://unbekoming.substack.com/i/150129522/mammography-screening-the-great-hoax