Tag Archives: mammography

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Mary McNaughton-Collins, MD, MPH

New "Foundation Perspectives" Video: NEJM Study on Screening Mammography and Breast Cancer Overdiagnosis

The recent New England Journal of Medicine paper titled “Effect of Three Decades of Screening Mammography on Breast-Cancer Incidence” look at thirty-two years of cancer statistics in the U.S. and comes to the startling conclusion that roughly 1.3 million women have been overdiagnosed with breast cancer. In our newest “Foundation Perspectives” video, Dr. Mary McNaughton-Collins, medical director at the Informed Medical Decisions Foundation and a primary care doctor, gives us her take on the importance of this study. She provides a brief overview of the authors’ findings, explains why the overdiagnosis of breast cancer is harmful and provides her view on how these findings will affect how she engages women in a shared decision making conversation about screening mammograms. Continue reading
Posted in | Tagged breast cancer, breast cancer diagnosis, Gil Welch, mammograms, mammography, Mary McNaughton-Collins, NEJM, overdiagnosis, overtreatment, shared decision making | Permalink

In The News

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[The Boston Globe Daily Dose Blog] 1 Million Women 'Overdiagnosed' with Breast Cancer Due to Mammograms, Controversial Study Suggests

Others, however, defended the researchers' conclusions, saying the study verifies research data that's been published in other countries. "They just took a different way of looking at the likely benefits of mammographic screening and the overdiagnosis rate," said Dr. Michael Barry, president of the Informed Medical Decisions Foundation.
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Tagged breast cancer, breast cancer screening, Gilbert Welch, mammograms, mammography, Michael J. Barry, NEJM, overtreatment | Permalink

[news@JAMA] Author Insights: Patients Often Excluded From Decision Making About Common Conditions

To better gauge the extent to which patients are involved in decision making about 10 common medical issues, Floyd J. Fowler, PhD, and colleagues at the Informed Medical Decisions Foundation in Boston surveyed about 3000 patients. Patients were asked about the discussions they had with their physicians about 10 common medical decisions (whether to take medication for high blood pressure, high cholesterol, or depression; whether to be screened for breast, prostate, or colon cancer; or whether to undergo knee or hip replacement for osteoarthritis or surgery for cataracts or low back pain). Most of the patients (60%-78%) reported that they were asked for their input on most of these issues except for decisions about whether to take medication for hypertension or elevated cholesterol or to have a mammogram.
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Tagged blood pressure, breast cancer, cholesterol, DECISIONS Study, depression, Floyd J. Fowler Jr., hypertension, informed decisions, JAMA, mammography, medical decisions, medications, patient engagement, prostate cancer, prostate cancer screening, shared decision making, TRENDS Study | Permalink

Informed Medical Decisions Foundation Funded Research

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Overdiagnosis in Screening Mammography: Examination of Women's Attitudes and Responses to Information about Overdiagnosis

The overall purpose of this research is to contribute to improving communication with the community about screening mammography. The research involves developing and evaluating educational materials and strategies to meet the important ethical objective of providing balanced information about screening outcomes in order to support screening decisions. Continue reading
Posted in | Tagged mammography, overdiagnosis | Permalink