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REPLY
Cost-Effectiveness of Mammography for Older Women
Jeanne Mandelblatt, MD, MPH;
Somnath Saha, MD, MPH; and
Mark Helfand, MD, MPH
18 May 2004 | Volume 140 Issue 10 | Page 844
IN RESPONSE:
In our Table, data on reductions in mortality noted in the column titled "Mammography Effectiveness" are meant to refer to reductions in breast cancer–specific mortality. We understand that the precise population effects of mammography on all-cause mortality remain an area of active and lively research discussion. A summary of this complex area is beyond the scope of this letter, but the interested reader is referred to the Cancer Intervention and Surveillance Modeling Network (http://cisnet.cancer.gov) and several other sources (1-3) for in-depth reviews of this topic.
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Author and Article Information
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From Lombardi Cancer Center, Washington, DC 20007, and Portland Veterans Affairs Medical Center, Portland, OR 97239.
1. Gotzsche PC, Olsen O. Is screening for breast cancer with mammography justifiable? Lancet. 2000;355:129-34. [PMID: 10675181].[Medline]
2. U.S. Preventive Services Task Force. Breast Cancer Screening. February 2002. Accessed at http://www.ahcpr.gov/clinic/uspstf/uspsbrca.htm on 9 April 2004.
3. Humphrey LL, Helfand M, Chan BK, Woolf SH. Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002;137:347-60. [PMID: 12204020].[Abstract/Free Full Text]
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Related articles in Annals:
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Clinical Guidelines
Breast Cancer Screening: A Summary of the Evidence for the U.S. Preventive Services Task Force
Linda L. Humphrey, Mark Helfand, Benjamin K.S. Chan, AND Steven H. Woolf
- Annals 2002 137: 347-360.
[ABSTRACT][SUMMARY][Full Text]
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