Breast Cancer Screening Could Cause More Harm Than Good, Say Experts

Breast Cancer Screening Harmful

First Posted: 9/12/2011 07:50 Updated: 9/12/2011 07:50   PA

Breast cancer screening in the UK may be causing more harm than good, according to new research.

Experts found women may be likely to be harmed by the programme and undergo unnecessary surgery, especially in the first decade of being screened.

James Raftery, professor of health technology assessment at the University of Southampton, led the new study which examined data from the 1986 Forrest report.

The Forrest report, which led to the introduction of breast cancer screening in the UK, determined the benefits of screening in terms of quality adjusted life years or QALYs (a measure of quantity and quality of life).

It found about 3,000 QALYs in terms of lives saved over a 20-year period for every 100,000 women who were invited for screening. But at the 10-year mark, the number of QALYs stood at only about 1,000.

In the new analysis, published in the British Medical Journal (BMJ), Prof Raftery and his colleague Maria Chorozoglou included estimates of the risk of women being harmed, which were not included in the Forrest report.

Harms include false positives (abnormal results that turn out to be normal) and over-treatment (treatment or surgery on harmless cancers that would never have caused symptoms or death during a patient's lifetime).

The new research found that once harms were included, the QALY benefit in terms of lives saved was only 1,500 QALYs after 20 years - half the figures quoted in Forrest. And, in the first few years of screening, women were, on average, more likely to be harmed than to see any benefit.

Prof Raftery said: "At up to eight years, the harms generally outweigh the benefits but at 20 years there are greater positive benefits. Nevertheless, either way, the benefit to patients is less than was stated in Forrest."

He said the vast majority of women undergoing surgery to remove a suspected cancer did not actually need the treatment.

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Breast cancer screening in the UK may be causing more harm than good, according to new research. Experts found women may be likely to be harmed by the programme and undergo unnecessary surgery, ...
Breast cancer screening in the UK may be causing more harm than good, according to new research. Experts found women may be likely to be harmed by the programme and undergo unnecessary surgery, ...
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kutepi4791
02:42 PM on 12/09/2011
Don't forget that every time you get a mammogram it gives you a 2% more chance of getting cancer by the x-ray machine. You should get an MRI or a thermogram.
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nikanj
free the fnords
08:50 PM on 12/09/2011
I don't quite get the logic of using x-rays to look for cancers whose growth can be
triggered by . . . x rays.
ThinkCreeps
Seriously, it's time.
12:15 PM on 12/09/2011
The potential harm does not come from the screening. It comes from misjudged actions taken as a result of a positive, or false-positive screening result. The conclusion is that better oncology is necessary, not the cancellation of screening.
02:45 PM on 01/26/2012
I don't know about that! since having a limpectomy in '86 all subsequent screening has been unable to show much at all because of scar tissue etc.

I have just attended another screening of breast tissue and lymph nodes, l have the all clear but still have lumps/cysts, which apparantly many women do and they may disperse over time.

So l am uner the impression that screening in most people is unecessary, but then of course if you are unfortunate enought to have Cancer is remains necessary, so a difficult one that still leaves questions without the whole story.
ThinkCreeps
Seriously, it's time.
03:23 PM on 01/26/2012
Once you're a survivor/received any treatment, maybe including augmentation or reduction surgery, then perhaps you should be getting MRI rather than X-ray images for screening. Especially perhaps to minimize the ionizing radiation dose to someone with a history of tumors in breast tissue.

My understanding is that this discussion of the bulk screening of the whole population should only apply to women with no history of problems.