Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 internal medicine physicians and medical students. The following highlights are not intended to substitute for articles as sources of information. For an embargoed fax of an article, call 1-800-523-1546, ext. 2656, or 215-351-2656.
Screening for Breast Cancer: New Information on Mammography
- Mammography Hasn't Reduced Death from Breast Cancer
(Latest Results from the Canadian National Breast Screening Study, p. 305.)
- US Task Force: Begin Breast Cancer Screening with Mammography at Age 40
(Recommendations, p. 344; Background analysis, p. 347.)
- "Mammography: A Crisis for Evidence-Based Medicine?" (Editorial, p. 363.)
- "Screening Mammography for Younger Women: Back to the Basics" (Editorial, p. 361.)
Study: Mammography Has Not Reduced Breast Cancer Death
PHILADELPHIA -- (September 2, 2002) The third report from the Canadian National Breast Cancer Screening Study after 11 to 16 years of follow-up found that 40 to 49 year-old women who had annual mammographies for five years had no fewer breast cancer deaths than a group of women who did not have the screening. The study appears in the September 3, 2002, issue of Annals of Internal Medicine.
The Canadian study, a large, randomized, controlled trial, has followed 50,430 women who were between ages 40 and 49 when initially enrolled between 1980 and 1985. The women in the treatment group received annual mammography along with breast physical examination and instruction on breast self-examination.
By the end of 1996, 105 women in the mammography screening group and 108 in the usual-care group had died from breast cancer. A total of 592 cases of invasive breast cancer and 71 cases of in situ breast cancer w
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Contact: Penny Fuller
pfuller@mail.acponline.org
215-351-2656
American College of Physicians
2-Sep-2002
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