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[Screening for breast cancer: worries about its effectiveness]
1International Prevention Research Institute, Strathclyde Institute of Global Public Health at iPRI, 69006 Lyon, France. philippe.autier@i-pri.org
La Revue Du Praticien
|March 4, 2014
Summary
French women aged 50-74 should be informed about mammography screening benefits and limitations. Participation in the national breast cancer screening program is recommended for those choosing to be screened.
Area of Science:
- Oncology
- Public Health
- Radiology
Context:
- France utilizes two breast cancer screening systems: individualized and organized national programs.
- The national program offers free mammography with double-reading for women aged 50-74.
- Participation in the national program has increased since 2004.
Purpose:
- To review the evidence supporting mammography screening for breast cancer.
- To address recent findings questioning the impact of screening on advanced breast cancer incidence and mortality.
- To highlight the issue of overdiagnosis in breast cancer screening.
Summary:
- Mammography screening in France is based on trials showing reduced breast cancer mortality.
- Recent studies suggest limited impact on advanced cancer incidence and mortality, with concerns about overdiagnosis.
- Informed decision-making regarding screening benefits, limitations, and side effects is crucial.
Impact:
- Emphasizes the need for clear communication to women about mammography screening.
- Recommends participation in the national program for women who opt for screening.
- Contributes to the ongoing discussion on optimizing breast cancer screening strategies.
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