High detection rates do not necessarily lead to lower mortality

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7029.509b (Published 24 February 1996) Cite this as: BMJ 1996;312:509
  1. Sneh Bhargava,
  2. D J Watmough,
  3. Fauzia Syed,
  4. Anjum Mernon,
  5. Fatima Gharbawy
  1. Professor Professor Research assistant Assistant professor Departments of Radiology and Community Medicine, Kuwait University, PO Box 24923, Safat Code No 13110, Kuwait
  2. Medical director Radiodiagnostic Department Mubarak Al-Kabeer Hospital, Kuwait

    EDITOR,—The finding of a substantially higher rate of detection of breast cancer by two view compared with single view x ray mammography in the well designed randomised clinical trial by Nicholas Wald and colleagues deserves comment.1 The assumption in the authors' four key messages that high detection rates will lead to larger reductions in mortality from breast cancer is not borne out by evidence from the randomised controlled trials summarised by Fletcher et al.2 The Health Insurance Plan trial detected 2.7 cancers, the …

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