TY - JOUR
T1 - Mammographic screening
T2 - No reliable supporting evidence?
AU - Miettinen, Olli S.
AU - Henschke, Claudia I.
AU - Pasmantier, Mark W.
AU - Smith, James P.
AU - Libby, Daniel M.
AU - Yankelevitz, David F.
PY - 2002/2/2
Y1 - 2002/2/2
N2 - Much confusion is being generated by the conclusion of a recent review that "there is no reliable evidence that screening for breast cancer reduces mortality." In that review, however, there was no appreciation of the appropriate mortality-related measure of screening's usefulness; and correspondingly, there was no estimation of the magnitude of this measure. We take this measure to be the proportional reduction in case-fatality rate, and studied its magnitude on the basis of the only valid and otherwise suitable trial. We found reliable evidence of fatality reduction, apparently substantial in magnitude.
AB - Much confusion is being generated by the conclusion of a recent review that "there is no reliable evidence that screening for breast cancer reduces mortality." In that review, however, there was no appreciation of the appropriate mortality-related measure of screening's usefulness; and correspondingly, there was no estimation of the magnitude of this measure. We take this measure to be the proportional reduction in case-fatality rate, and studied its magnitude on the basis of the only valid and otherwise suitable trial. We found reliable evidence of fatality reduction, apparently substantial in magnitude.
UR - http://www.scopus.com/inward/record.url?scp=0037006385&partnerID=8YFLogxK
U2 - 10.1016/S0140-6736(02)07592-X
DO - 10.1016/S0140-6736(02)07592-X
M3 - Article
C2 - 11844515
AN - SCOPUS:0037006385
SN - 0140-6736
VL - 359
SP - 404
EP - 405
JO - The Lancet
JF - The Lancet
IS - 9304
ER -