© 2003 by Oxford University Press
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© 2003 Oxford University Press
COMMENTARY |
Mammography Screening: Are Women Really Giving Informed Consent?
Correspondence to: Cornelia J. Baines, MD, Department of Public Health Sciences, University of Toronto, 12 Queen’s Park Crescent W, Rm. 401C, Toronto, Ontario, Canada M5S 1A8 (e-mail: cornelia.baines@utoronto.ca).
| The first 150 words of the full text of this article appear below. |
Many women remain unaware of the extent to which efforts to achieve breast cancer control through mammography screening may be doing harm as well as good. An unacknowledged harm is that for up to 11 years after the initiation of breast cancer screening in women aged 40–49 years, screened women face a higher death rate from breast cancer than unscreened control women, although that is contrary to what one would expect (1).
The belief in early detection as a universal good is widespread among women, health care professionals, and the media, all of whom focus on the benefits from mammography screening. Although the bad news about excess breast cancer deaths was published in the Journal (1), in 6 years it has been cited only eight times, four of which were by the same research group. Discussing the bad news is considered unethical and alarmist. Recently, the
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J Natl Cancer Inst 2003 95: 1511-1512.
J Natl Cancer Inst 2003 95: 1512-1513.
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