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Biology Cancer Clinical trials Medicine Science Skepticism/critical thinking

A study of overdiagnosis due to mammography reported during Breast Cancer Awareness Month

I knew it. I just knew it. I knew I couldn’t get through October, a.k.a. Breast Cancer Awareness Month, without a controversial mammography study to sink my teeth into. And I didn’t. I suppose I should just be used to this now. I’m referring to the latest opus from H. Gilbert Welch and colleagues that […]

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Cancer Clinical trials Science

How should we treat stage 0 breast cancer?

I’ve written more times than I can remember about the phenomenon of overdiagnosis and the phenomenon that is linked at the hip with it, overtreatment. Overdiagnosis is a problem that arises when large populations of asymptomatic, apparently healthy people are screened for a disease or a condition, the idea being that catching the disease at […]

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Cancer Clinical trials Medicine

Once more into the breach: The American Cancer Society publishes new mammography guidelines

One of the things that feels the weirdest about having done the same job, having been in the same specialty, for a longer and longer time is that you frequently feel, as the late, great Yogi Berra would have put it, déjà vu all over again. This is particularly true in science and medicine, where […]

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Cancer Clinical trials Medicine Science Skepticism/critical thinking

Does mammography save lives? A new study shows that this is a harder question than you might think

Mammography is a topic that, as a breast surgeon, I can’t get away from. It’s a useful tool that those of us who treat breast cancer patients have used for over 30 years to detect breast cancer in asymptomatic women and thus (or so we hope) decrease their risk of dying of breast cancer through […]

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Cancer Medicine

Mortality from cancer continues to decline, contrary to the claims of quacks

Recently published 2020 American Cancer Society statistics show that overall cancer mortality continues to decline. In fact, it’s declining faster than ever, thanks to science-based medicine and public health.