An important paper by H Gilbert Welch and Honor J Passow provides high and low estimates of balance between breast cancer screening benefits and harms – by age group. ‘Like all early detection strategies, screening mammography involves trade-offs. If women are to truly participate in the decision of whether or not to be screened, they need some quantification of its benefits and harms.’
They end by calling for a new RCT on breast screening in the light of improved treatment.
Quantifying the Benefits and Harms of Screening Mammography
JAMA Intern Med. doi:10.1001/jamainternmed.2013.13635
Published online December 30, 2013.