Jørgensen Karsten Juhl, Gøtzsche Peter C
H:S Rigshospitalet, Afsnit 7112, Det Nordiske Cochrane Center, København Ø.
Ugeskr Laeger. 2006 Apr 24;168(17):1658-60.
There is a delicate balance between the benefits and harms of mammography screening, and women should decide for themselves, on an informed basis. The invitation to have a mammography is the only source of information provided to all eligible women, and we explored whether it provides such a basis. We collected invitations from English-speaking and Scandinavian countries. The major benefit of screening, a reduction in breast cancer mortality, was mentioned in 30 of 31 invitations, whereas the most important harms, overdiagnosis and overtreatment, were not mentioned in any of the invitations.
乳腺钼靶筛查的利弊之间存在微妙的平衡,女性应在充分知情的基础上自行做出决定。进行乳腺钼靶检查的邀请是向所有符合条件的女性提供的唯一信息来源,我们探讨了它是否提供了这样一个基础。我们收集了来自英语国家和斯堪的纳维亚国家的邀请信。31份邀请信中有30份提到了筛查的主要益处,即降低乳腺癌死亡率,而最重要的危害——过度诊断和过度治疗,在任何一份邀请信中都未提及。