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February 16, 1976


Author Affiliations

Lansing, Mich

JAMA. 1976;235(7):707. doi:10.1001/jama.1976.03260330017011

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To the Editor.—  As a primary care physician, I was distressed by the Kalisher-Schaffer article (234:60, 1975). This review of a diagnostic procedure may have disastrous results if taken at face value.The article never gives an age breakdown of the women studied and makes no mention of possible long-range side effects of the excessive radiation required by this roentgenographic technique.The Food and Drug Administration Drug Bulletin, dated April-June 1975, quotes the American College of Radiology as being opposed to routine screening of asymptomatic women under the age of 35 years. The panel that made the recommendation further stated that the efficacy of screening asymptomatic women in the age group 35 to 50 is still in question.Kalisher and Schaffer admitted that 15% of the women were studied though asymptomatic, and 15% just because they were considered high-risk. While 27 centers participating in the current demonstration study throughout the