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Screening Mammography Would Have Been Initiated Regardless of the CNBSS

Published:October 27, 2015DOI:https://doi.org/10.1016/j.acra.2015.08.033
      I respectfully disagree with Drs. Jha and Ware's concluding statement “The CNBSS is compelling enough to never start mammograms for breast cancer but not compelling enough to stop screening.” In addition, the assumption that “If the CNBSS was the first RCT in screening for breast cancer, it is unlikely that screening would have been approved” goes against our standard methods of critical review. Regardless of the order in which data are published, we still have an obligation as scientists to uphold rigorous methodology (
      • Atlman D.G.
      The scandal of poor medical research.
      ). Our clinical decisions are dependent upon this adherence to proper randomized controlled trial design.
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      References

        • Atlman D.G.
        The scandal of poor medical research.
        BMJ. 1994; 308: 283-284
        • Kopans D.B.
        • Feig S.A.
        The Canadian National Breast Screening Study: a critical review.
        AJR Am J Roentgenol. 1993; 161: 755-760
        • U.S. Department of Health and Human Services
        (Available at:) (Accessed October 16 2015)