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Informed Medical Decisions
David C. Slawson, MD
Harrisburg Hospital/Pennsylvania State University Harrisburg, Pa
Arch Fam Med. 1993;2(8):813.
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Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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I read with interest the article by Sturrock1 published in the April 1993 issue of the ARCHIVES. I empathize with the frustration felt by Sturrock when his medical judgment was questioned by his patient as the result of a newspaper article.
I would like to expand on the information presented to the patient since, had I seen her, I would have agreed with her uncertainty over having the screening mammography. There are at least six published randomized clinical trials investigating the utility of screening mammography.2-7 The most current report alluded to in Sturrock's letter was from a Canadian trial showing that, among women aged 40 to 49 years, screening with yearly mammography had no effect on the rate of death from breast cancer for up to 7 years of follow-up. This trial and others were recently highlighted in the ACP Journal Club.8 There is no consistent evidence
. . . [Full Text PDF of this Article]
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