Mammogram warns against cancer.
Often-conflicting results from studies on the value of regular mammography have only fueled the dispute about how often women should get a mammogram and at what seniority they should start. In a new review of previous research, experts have applied the same statistical yardstick to four humongous studies and re-examined the results. They found that the benefits are more dependable across the large studies than previously thought got weed gh2. All the studies showed a telling reduction in breast cancer deaths with mammography screening.
So "Women should be reassured that mammography is undoubtedly effective," said turn over researcher Robert Smith, senior conductor of cancer screening for the American Cancer Society. Smith is scheduled to hand over the findings this week at the 2013 San Antonio Breast Cancer Symposium. The findings also were published in the November go forth of the dossier Breast Cancer Management.
In 2009, the US Preventive Services Task Force (USPSTF), an unbidden catalogue of national experts, updated its recommendation on mammography, advising women old 50 to 74 to get mammograms every two years, not annually.The pile also advised women aged 40 to 49 to info to their doctors about benefits and harms, and decide on an unitary basis whether to start screening. Other organizations, including the American Cancer Society, resume to recommend annual screening mammograms beginning at epoch 40.
In assessing mammography's benefits and harms, researchers often expression at the number of women who must be screened to prevent one liquidation from breast cancer - a number that has ranged widely amid studies. In assessing harms, experts adopt into account the possibility of false positives. Other possible harms involve finding a cancer that would not otherwise have been found on screening (and not been problematic in a woman's lifetime) and worry associated with additional testing.
Smith's group looked at four large, well-known reviews of the benefit of mammography. These included the Nordic Cochrane review, the UK Independent Breast Screening Review, the USPSTF re-examination and the European Screening Network review. To regiment the estimates of how many women requirement to be screened to ban one breast cancer death, the researchers applied the facts from each of the four reviews to the scenario hand-me-down in the UK study.
Before this standardized review, the number of women who must be screened to mitigate one death ranged from 111 to 2000 among the studies. Smith's span found that estimates of the benefits and harms were all based on sundry situations. Different age groups were being screened, for instance, and original follow-up periods were used. Some studies looked at the several of women for whom screening is offered and others looked at the calculate who actually got mammograms. There often is a huge difference between those two groups.
So "Thirty to 40 percent don't show up, and they are counted as having a mammogram although they did not when they decease of teat cancer. This hugely depresses the benefits. If you don't have a eat one's heart out follow-up, you are not able to accurately yardstick the benefit. Some women die 20 or more years after the diagnosis". After the researchers utilized a single, low-class scenario, the gap in benefit estimates among studies dropped essentially - ranging from 64 to 257 women who must be screened to anticipate a single death from breast cancer.
Dr Michael LeFevre, co-vice chairman of the USPSTF, reviewed the unheard of findings but was not intricate in the study. "For women aged 50 to 69, it confirms that mammography can bust deaths from heart cancer. The new analysis doesn't include women in their 40s, which is one of the important parts of the ongoing debate about the use of screening mammography. The business force is in the process of updating the 2009 praise who is also a professor of family and community medicine at the University of Missouri. "The update is not in feedback to the re-analysis get more information. It's standard timing for an update".
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