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Abreast of the matter

I am reporting good news, for a change. The UK Breast Screening Service has said it intends to rip up the leaflet which is currently sent to women with breast screening appointments. A recent paper in the British Medical Journal outlined the kinds of uncertainties and likelihoods the authors thought would have counted as “fair […]

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Breast screening; better information?

For several years I have been trying – and, evidently, failing – to suggest that the information that women get about breast screening isn’t very balanced. The problem- as I see it anyway – is that services are geared to get women to turn up for screening. Whereas, I would like services judged not on […]

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Breast cancer: to screen or not to screen?

A very interesting paper just published in the Archives of Internal Medicine. The study followed women before and after the introduction of a breast screening programme in Norway. They were compared to a control group of women who did not take part in the screening programme, but who would have been, had the programme been started in […]

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Hard choices on hormone replacement therapy

When I was at medical school, hormone replacement therapy was not just the treatment of choice for the flushes and sweats of menopause. It was also thought to reduce the risk of heart attacks, strokes, dementia, colon cancer, bone and even teeth loss. Yet over the past few years new research has made many doctors […]

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Breast self examination – more harm than help

It  seems so sensible to try and find breast cancers early. Yet the truth in medicine is often counterintuitive, and this is one such example.   The headlines today are about breast self examination – regular exams done by women themselves looking for lumps – being ineffective to reduce deaths from breast cancer. 

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