Just a short piece of news I thought you might like to know about.
A Swedish friend of mine tells me that the local diary in
I wonder what the UK's Food Standards Agency would say about that?
Studies and other evidence published since Trick and Treat went to press
Just a short piece of news I thought you might like to know about.
A Swedish friend of mine tells me that the local diary in
I wonder what the UK's Food Standards Agency would say about that?
"The ingrained misconception linking egg consumption to high blood cholesterol and heart disease must be corrected."
"The UK public do not need to be limiting the number of eggs they eat - indeed they can be encouraged to include them in a healthy diet as they are one of nature's most nutritionally dense foods."
"The amount of saturated fat in our diet exerts an effect on blood cholesterol that is several times greater than the relatively small amounts of dietary cholesterol.
“By contrast, little information is given about harms. It states that "some women" find mammography uncomfortable or painful, which becomes "many women" in the summary. The summary also notes that recalls for more investigations "can cause worry." No mention is made of the major harm of screening - that is, unnecessary treatment of harmless lesions that would not have been identified without screening. This harm is well known and acknowledged, even among screening enthusiasts. It is in violation of guidelines and laws for informed consent not to mention this common harm, especially when screening is aimed at healthy people. The new guidelines from the General Medical Council state: "You must tell patients if an investigation or treatment might result in a serious adverse outcome, even if the likelihood is very small." The likelihood of being overdiagnosed after mammography is not very small; it is ten times larger than the likelihood of avoiding death from breast cancer.”And there are many more examples of the harm that mammography causes that are mentioned in Chapter 2 of Trick and Treat.
“Another harm is false positive diagnoses. The leaflet notes that about one in every 20 women screened will be recalled for more tests, but does not explain that this 5% rate applies to only one round of screening. The rate of false positive diagnosis after 10 screenings was 50% in the United States and 20% in Norway.”
Summary from evidence based leafletBut I doubt that women will be told the truth. If they were, they would probably say ‘no, thank you’ and doctors would then see a cut in their salaries – and that would never do, would it?
• It may be reasonable to attend for breast cancer screening with mammography, but it may also be reasonable not to attend because screening has both benefits and harms
• If 2000 women are screened regularly for 10 years, one will benefit from the screening, as she will avoid dying from breast cancer
• At the same time, 10 healthy women will, as a consequence, become cancer patients and will be treated unnecessarily. These women will have either a part of their breast or the whole breast removed, and they will often receive radiotherapy and sometimes chemotherapy
• Furthermore, about 200 healthy women will experience a false alarm. The psychological strain until one knows whether it was cancer, and even afterwards, can be severe