Title |
Pitfalls in accurate estimation of overdiagnosis: implications for screening policy and compliance
|
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Published in |
Breast Cancer Research, August 2013
|
DOI | 10.1186/bcr3448 |
Pubmed ID | |
Authors |
Stephen A Feig |
Abstract |
Stories in the public media that 30 to 50% of screen-detected breast cancers are overdiagnosed dissuade women from being screened because overdiagnosed cancers would never result in death if undetected yet do result in unnecessary treatment. However, such concerns are unwarranted because the frequency of overdiagnosis, when properly calculated, is only 0 to 5%. In the previous issue of Breast Cancer Research, Duffy and Parmar report that accurate estimation of the rate of overdiagnosis recognizes the effect of lead time on detection rates and the consequent requirement for an adequate number of years of follow-up. These indispensable elements were absent from highly publicized studies that overestimated the frequency of overdiagnosis. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 6% |
Unknown | 15 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 4 | 25% |
Researcher | 3 | 19% |
Professor | 2 | 13% |
Student > Ph. D. Student | 2 | 13% |
Lecturer > Senior Lecturer | 1 | 6% |
Other | 0 | 0% |
Unknown | 4 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 44% |
Economics, Econometrics and Finance | 1 | 6% |
Chemical Engineering | 1 | 6% |
Social Sciences | 1 | 6% |
Psychology | 1 | 6% |
Other | 0 | 0% |
Unknown | 5 | 31% |