Mammogram warns against cancer.
Often-conflicting results from studies on the value of assigned mammography have only fueled the contemplation about how often women should get a mammogram and at what seniority they should start. In a new criticism of previous research, experts have applied the same statistical yardstick to four generous studies and re-examined the results. They found that the benefits are more agreeing across the large studies than previously thought vitohealth.men. All the studies showed a solid reduction in breast cancer deaths with mammography screening.
So "Women should be reassured that mammography is degree effective," said think over researcher Robert Smith, senior governor of cancer screening for the American Cancer Society. Smith is scheduled to mete out the findings this week at the 2013 San Antonio Breast Cancer Symposium ointment. The findings also were published in the November emerge of the yearbook Breast Cancer Management.
In 2009, the US Preventive Services Task Force (USPSTF), an competent series of national experts, updated its recommendation on mammography, advising women grey 50 to 74 to get mammograms every two years, not annually.The assort also advised women aged 40 to 49 to blether to their doctors about benefits and harms, and decide on an characteristic basis whether to start screening. Other organizations, including the American Cancer Society, on 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 passing from breast cancer - a number that has ranged widely all studies. In assessing harms, experts receive 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 foreboding associated with additional testing.
Smith's span 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 parade and the European Screening Network review. To normalize the estimates of how many women for to be screened to forestall one breast cancer death, the researchers applied the matter from each of the four reviews to the scenario utilized in the UK study.
Before this standardized review, the number of women who must be screened to restrain one death ranged from 111 to 2000 among the studies. Smith's troupe found that estimates of the benefits and harms were all based on divers situations. Different age groups were being screened, for instance, and contrary follow-up periods were used. Some studies looked at the include of women for whom screening is offered and others looked at the digit 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 expire of soul cancer. This hugely depresses the benefits. If you don't have a want follow-up, you are not able to accurately quota the benefit. Some women die 20 or more years after the diagnosis". After the researchers in use a single, average scenario, the gap in benefit estimates among studies dropped in large measure - ranging from 64 to 257 women who must be screened to baulk a single death from breast cancer.
Dr Michael LeFevre, co-vice chairman of the USPSTF, reviewed the unknown findings but was not snarled in the study. "For women aged 50 to 69, it confirms that mammography can tone down deaths from boob cancer. The new analysis doesn't include women in their 40s, which is one of the main parts of the ongoing debate about the use of screening mammography. The chore force is in the process of updating the 2009 good word who is also a professor of family and community medicine at the University of Missouri. "The update is not in reaction to the re-analysis hormone. It's standard timing for an update".
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