As a physician who takes care of women with breast cancer, and as a breast cancer
advocate, I strongly disagree with the Drs. Jha and Ware's commentary entitled “Mammography
Trials.” The commentary contains multiple inaccurate statements about screening mammography.
Drs. Jha and Ware's most egregious is their opening statement, “There is so much uncertainty
precisely because the benefits are so small at the population level.” Their limited
review of mammography trials focuses solely on the Canadian National Breast Screening
Study (CNBSS). They have chosen to ignore the results of all the other randomized
clinical trials (RCTs).
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References
- The randomized trials of breast cancer screening: what have we learned?.Radiol Clin North Am. 2004; 42: 793-806
- Reduction in mortality from breast cancer after mass screening with mammography: randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare.Lancet. 1985; 1: 829-832
- Swedish two-county trial: impact of mammographic screening on breast cancer mortality during 3 decades.Radiology. 2011; 260: 658-663
- Is screening for breast cancer with mammography justifiable?.Lancet. 2000; 355: 129-134
- Pan-Canadian study of mammography screening and mortality from breast cancer.J Natl Cancer Inst. 2014; 106: dju261
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Publication history
Published online: October 27, 2015
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© 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.