Tuesday, October 21, 2014
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

Mammograms result in unnecessary procedures

Web_OurView_YourView

By
From page A11 | November 30, 2012 |

A new study published on Thanksgiving in The New England Journal of Medicine has been widely headlined as questioning whether widespread use of mammograms really saves as many lives as advocates claim, more than 230,000 women a year.

The short take from researchers at Dartmouth College and Oregon Health Sciences University is that 30 years of screenings has resulted in some 1.3 million women being diagnosed with cancer for small breast lesions that actually would have been harmless. At the same time, while the number of early-stage cancers doubled in three decades – from 112 to 234 cases per 100,000 women – the detection rate of late-stage breast cancer fell just 8 percent – from 102 to 94 cases per 100,000 women.

Of course, the findings were quickly assailed by legions of health professionals who have fought to make mammography a standard preventive health service and who continue trying to get more women, minorities in particular, to utilize the services. Each year, about 230,000 American women are diagnosed with invasive breast cancer out of some 39 million who get mammograms, at a cost of $5 billion.

The report’s strongest criticism is less about too much screening and more about too little understanding of the risk posed by small malignancies found earlier and earlier – and about clinicians who approach all tumors the same way.

“Our ability to detect things is far ahead of our wisdom of knowing what they really mean,” co-author Dr. H. Gilbert Welch, a Dartmouth professor of epidemiology and biostatistics, told one interviewer. The study’s main point is not to discourage women from being screened, but to make them more aware of the test’s shortcomings.

Right now, the American Cancer Society urges mammograms for all women every year starting in their 40s; the U.S. Preventive Services Task Force recommends women get screened every other year starting in their 50s.

Casting a wide net is clearly finding more tumors, but not many more late-stage tumors. Welch said rather than screening based on age, mammography should be done based on risk from factors such as family history or genetics.

And, just as men facing highly sensitive but less-than-certain prostate-cancer tests have learned in the past few years, women with an early positive breast exam need to be empowered to consider alternatives to aggressive treatment based on their own risk factors. Prevention is only as good as the advice and care that follows the screening.

Scripps Howard News Service

LEAVE A COMMENT

Discussion | No comments

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

.

Solano News

Crime key topic again at Fairfield candidates night

By Ryan McCarthy | From Page: A5 | Gallery

 
Pair testify in Laurel Creek shooting case

By Jess Sullivan | From Page:

 
Dixon corn maze breaks own world record

By Jess Sullivan | From Page: A5 | Gallery

PAL center seeks volunteers

By Jess Sullivan | From Page: A5

 
Police Department hosts employee recognition event

By Jess Sullivan | From Page: A5

.

US / World

Police say they might have spotted ambush suspect

By The Associated Press | From Page: B2

 
Fashion designer Oscar de la Renta dies at 82

By The Associated Press | From Page: B2 | Gallery

Yosemite proposes raising entrance, camping fees

By The Associated Press | From Page: B2

 
CDC releases revised Ebola gear guidelines

By The Associated Press | From Page: B2

Clinton: Midterm elections should motivate women

By The Associated Press | From Page: B2 | Gallery

 
Surfer fends off shark attack with fist, board

By The Associated Press | From Page: B2

WWII airman to be buried in Oakland

By The Associated Press | From Page: B2

 
Brown: California needs long-term vision on water

By The Associated Press | From Page: B2

Colorado proposes edible pot ban, then retreats

By The Associated Press | From Page: B2

 
Submarine hunt sends Cold War chill across Baltic

By The Associated Press | From Page: B2

Oscar Pistorius to finally learn his sentence

By The Associated Press | From Page: B2

 
Youths, tech workers duel over San Francisco field

By The Associated Press | From Page: B2

Suspect in Va. abduction charged in DC area rape

By The Associated Press | From Page: B2

 
Warming Earth heading for hottest year on record

By The Associated Press | From Page: B2

Lacking a plan, Abbas opts for rhetoric

By The Associated Press | From Page: B2 | Gallery

 
Police: Indiana suspect hints at more killings

By The Associated Press | From Page: B2 | Gallery

Turkey says it helps Kurdish fighters enter Syria

By The Associated Press | From Page: B2

 
Nigeria declared Ebola-free; ‘spectacular success’

By The Associated Press | From Page: B2 | Gallery

Urgent-care clinics ill-equipped to treat Ebola

By The Associated Press | From Page: B2

 
GOP governors don’t see ‘Obamacare’ going away

By The Associated Press | From Page: B2

British royal couples’ 2nd child due in April

By The Associated Press | From Page: B2

 
.

Opinion

Spering kept youth league going

By Letter to the Editor | From Page: A11

 
Day, Blankenchip good for respective cities

By Letter to the Editor | From Page: A11

‘Misleading’ mailer sent to residents

By Letter to the Editor | From Page: A11

 
.

Living

Community Calendar: Oct. 21, 2014

By Susan Hiland | From Page:

 
.

Entertainment

Yearwood, Santana to perform at World Series

By The Associated Press | From Page: B6

 
Standing ovation at Met Opera despite protest

By The Associated Press | From Page: B6 | Gallery

Still the Same: Bob Seger launching tour, album

By The Associated Press | From Page: B6 | Gallery

 
San Francisco radio stations ban hit song ‘Royals’

By The Associated Press | From Page: B6

Pitbull to host American Music Awards on Nov. 23

By The Associated Press | From Page: B6

 
‘Buffy the Vampire Slayer’ actor arrested in Idaho

By The Associated Press | From Page: B6

NBC’s Snyderman faces credibility issues

By The Associated Press | From Page: B6 | Gallery

 
Not so fast cordcutters – cable’s not going anywhere

By The Associated Press | From Page: B5 | Gallery

TVGrid Oct 21

By Daily Republic Syndicated Content | From Page: A11

 
.

Sports

Local Report: Armijo boys soccer team falls to Vintage

By Daily Republic staff | From Page: B1

 
Steelers rally past stunned Texans 30-23

By The Associated Press | From Page: B1

Bumgarner against Shields in World Series opener

By The Associated Press | From Page: B1 | Gallery

 
Raiders plagued by 3rd-down defensive woes

By The Associated Press | From Page: B1 | Gallery

Champion drag racer Raymond Beadle dies at 70

By The Associated Press | From Page: B1

 
Stiviano lawsuit against Shelly Sterling dismissed

By The Associated Press | From Page: B1

With TD mark in bag, Manning can set more records

By The Associated Press | From Page: B1 | Gallery

 
49ers lose center Daniel Kilgore, needs surgery

By The Associated Press | From Page:

Giants-Royals: A capsule look at World Series

By The Associated Press | From Page: B1

 
Belichick, Brady praise Manning on TD record

By The Associated Press | From Page: B1

Penn State board to meet on disputed Freeh Report

By The Associated Press | From Page: B1

 
McIlroy to skip 2 events to focus on lawsuit

By The Associated Press | From Page: B1

Column: Keselowski marches to his own beat

By The Associated Press | From Page: B1 | Gallery

 
Wanted: Cities interested in hosting 2024 Olympics

By The Associated Press | From Page: B1

Giants rely on core of 4 relievers

By The Associated Press | From Page: B1

 
Royals, fans bond over improbable postseason run

By The Associated Press | From Page: B1

Voynov suspended on domestic violence suspicion

By The Associated Press | From Page:

 
.

Business

Facebook sues law firms, claims fraud

By The Associated Press | From Page: B5

 
Apple reports record 39.3 million iPhone sales

By The Associated Press | From Page: B5

US regulator: Fannie, Freddie in deal with banks

By The Associated Press | From Page: B5

 
Sears plans to raise more cash via rights offering

By The Associated Press | From Page: B5

Survey: Pay raises rarer despite strong US hiring

By The Associated Press | From Page: B5 | Gallery

 
US agency warns car owners to get air bags fixed

By The Associated Press | From Page: B5

.

Obituaries

.

Comics

Pickles Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Bridge Oct 21

By Daily Republic Syndicated Content | From Page: B7

Sudoku Oct 21

By Daily Republic Syndicated Content | From Page: B7

 
Baby Blues Oct 21

By Daily Republic Syndicated Content | From Page: B6

Sally Forth Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Wizard of Id Oct 21

By Daily Republic Syndicated Content | From Page: B6

Dilbert Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
B.C. Oct 21

By Daily Republic Syndicated Content | From Page: B6

Crossword Oct 21

By Daily Republic Syndicated Content | From Page: B7

 
Frank and Ernest Oct 21

By Daily Republic Syndicated Content | From Page: B6

Blondie Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Word Sleuth Oct 21

By Daily Republic Syndicated Content | From Page: B7

Garfield Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Get Fuzzy Oct 21

By Daily Republic Syndicated Content | From Page: B6

Baldo Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Rose is Rose Oct 21

By Daily Republic Syndicated Content | From Page: B6

For Better or Worse Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Zits Oct 21

By Daily Republic Syndicated Content | From Page: B6

Peanuts Oct 21

By Daily Republic Syndicated Content | From Page: B6

 
Cryptoquote Oct 21

By Daily Republic Syndicated Content | From Page: B7

Beetle Bailey Oct 21

By Daily Republic Syndicated Content | From Page: B6