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April 2, 2014

Breast Cancer ScreeningToward Informed Decisions

Author Affiliations
  • 1Harborview Medical Center, Department of Medicine, University of Washington School of Medicine, Seattle, Washington
  • 2Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland
JAMA. 2014;311(13):1298-1299. doi:10.1001/jama.2014.2494

In today’s fast-paced, media-saturated world, messages about mammography are ubiquitous. Breast cancer is sometimes characterized as an imminent threat to life and screening mammography as the way to overcome the resulting sense of vulnerability. Physicians recommend screening mammography, hoping that it will save lives; they also may be concerned about medical malpractice and poor quality performance ratings if they do not encourage screening. But patient fears and physician concerns are not conducive to truly informed shared decision making about a complex choice.

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