The Mammography Dilemma
Authors: Steven N. Goodman
Journal: Annals of Internal Medicine (2003)

Letters6 May 2003The Mammography DilemmaSteven N. Goodman, MD, MHS, PhDSteven N. Goodman, MD, MHS, PhDJohns Hopkins School of Medicine; Baltimore, MD 21205 (Goodman)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-9-200305060-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:I appreciate the opportunity to clarify some points made in my editorial on the mammography controversy. I will address Drs. Berg, Allan, and Woolf's points in reverse order. My mention of alternative approaches to representing uncertainty was not a criticism of the USPSTF methods; indeed, the USPSTF has been a leader in developing methods to translate evidence into policy recommendations. But the USPSTF has changed its methods over time (1), and I assume that methodologic progress will continue. My suggestionnot a faultingwas aimed at moving the USPSTF and the field toward different means of representing uncertainty.Regarding Berg ...References1. Harris RP, Helfand M, Woolf SH, Lohr KN, Mulrow CD, Teutsch SM, et al. . Current methods of the US Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20:21-35. [PMID: 11306229] CrossrefMedlineGoogle Scholar2. Olsen O, Gtzsche PC. Systematic review of screening for breast cancer with mammography. Accessed at image.thelancet.com/lancet/extra/fullreport.pdf on 25 March 2003. Google Scholar3. Screening for breast cancer: recommendations and rationale. Ann Intern Med. 2002;137:344-6. [PMID: 12204019] LinkGoogle Scholar4. 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] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins School of Medicine; Baltimore, MD 21205 (Goodman) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBreast 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 Screening for Breast Cancer: Recommendations and RationaleThe Mammography Dilemma: A Crisis for Evidence-Based Medicine? Steven N. Goodman 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 The Mammography Dilemma: A Crisis for Evidence-Based Medicine? Steven N. Goodman Screening for Breast Cancer John K. Whiteford and John Ryan Whiteford Screening for Breast Cancer Peter C. Gtzsche Screening for Breast Cancer Linda L. Humphrey , Mark Helfand , and Benjamin K.S. Chan The Mammography Dilemma Alfred O. Berg , Janet Allan , and Steven Woolf The Mammography Dilemma Donald E. Stanley Metrics 6 May 2003Volume 138, Issue 9Page: 771KeywordsAnxietyBiopsyDecision makingEvidence based medicineMammographyMortalityRisk managementSurgery ePublished: 6 May 2003 Issue Published: 6 May 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...